From South Carolina, USA:
When someone is on a standing twice-a-day insulin dose and also sliding scale coverage, if the morning blood sugar is high, do you just give the standing dose or both the standing dose and the sliding scale coverage?
The purpose of a sliding scale is to give extra insulin in addition to the "standing" dose when the blood sugar is high. The "standing" dose is the insulin you give in advance to attempt to keep the blood sugar normal over the next several hours. The sliding scale coverage is extra insulin you give when the blood sugar is high to bring it down.
If you need to take extra coverage frequently in the morning, you should speak to your doctor to see if the evening "standing" dose needs to be increased to prevent high blood sugars in the morning. If you don't completely understand your doctor's suggestions for insulin management, you should speak to your diabetes nurse educator to understand the details.
Original posting 15 Jan 1999
Posted to Insulin
Last Updated: Tuesday April 06, 2010 15:09:00
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