I understand the concept of the sliding scale for insulin. What I need to know is why regular insulin is used for the sliding scale? What are the benefits of using regular insulin as opposed to NPH?
Maybe its that my brain is tired from the finals, but for some reason I cant grasp this, and I cant seem to find an answer anywhere.
I know you will all know...
Jun 15, '05
Bolus Insulins (short onset and effect, Meal-time Insulin)
Regular Insulin (Novolin R, Humulin R)
Onset: 30 to 60 minutes
Peak: 2.5 to 5 hours
Duration: 6 to 8 hours
Analogue Insulins (more consistent absorption)
Onset: 10 to 15 minutes
Peak: 30 to 60 minutes
Duration: 2 to 4 hours
Onset: 5 to 10 minutes
Peak: 1 to 3 hours
Duration: 3 to 5 hours
Regular Insulin Sliding Scale Standard Orders
As a supplement to a patient's usual diabetes medications to treat uncontrolled high blood sugars.
For short-term use (24-48 hours) in a patient admitted with an unknown insulin requirement.
Basal Insulins: (daily dose with long effect)
NPH Insulin, Novolin R, Humulin R or Lente
Onset: 2-4 hours
Peak: 4-10 hours
Duration: 10 to 16 hours (Lente slightly longer)
Ultralente Insulin (extended insulin zinc suspension)
Onset: 6-10 hours
Peak: No peak
Duration: 18 to 24 hours
Regular is often thought of as "meal" Regular or "high blood sugar" Regular
Last edit by NRSKarenRN on Jun 15, '05
: Reason: Clarity