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Discussion

Question about Novolog

so a nurse's pt had Novolog 30 units scheduled routinely AND for sliding scale. Pts BS was 199 So sliding scale coverage was between 5-7 units (can't remember) on top of the 30 UNITS. My question is - why so much?

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    Insulin sensitivity varies for everyone. A lot of things effect it, including age, weight, hormone levels, activity levels, and more! Everyone needs a different amount. I've seen teeny tiny doses and huge doses and everything in between. What is important is if it's keeping the patient's blood sugars in range.

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    The receptor cells (or whatever) of people with a hx of uncontrolled diabetes don't use insulin very efficiently. So they might require what seems like ungodly doses of novolog. I remember a resident who got 48 units of novolog with meals. You see doses like that from time to time.

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    • Columnist

    Moved to Nursing and Patient Medications for more response.

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    Thank you everyone for the responses!

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