Insulin - Sliding Scale vs. Basal Bolus orders (Nursing)

[@afrahasif7961]

Best explanation

[@NurseRyan]

Thank you! I'm glad it was helpful 🙂

[@melissachristina8752]

THIS WAS THE VIDEO I NEEDED. I've been super confused, and this cleared everything up. Thank you :)

[@NurseRyan]

That's great to hear! I'm glad you found it helpful 🙂

[@megx5998]

Love that you have included the UK info as I'm from england! great video, thank you

[@NurseRyan]

That's awesome, I'm glad it was helpful! 😊

[@EP-cm8ch]

Great video short clear explanation thank you 🙏🏻

[@NurseRyan]

Always happy to help! Thank you 😀

[@jesusistruth.sthazel-adaug3279]

Thank you so much. Amazing.

[@NurseRyan]

I'm glad to help! Thank you 😀

[@carolinespruce958]

Thank you very clear & concise

[@NurseRyan]

Happy to help! 🙂

[@alyannatbh]

this was really helpful!

[@NurseRyan]

Thank you! I'm glad it helped 😀

[@debbyshows3433]

Wow The video is very informative and sound I have really learn a lot Am now one of your subscriber

[@NurseRyan]

I'm glad to hear that, thank you very much!

[@fay1298]

Thank you very much. That was very helpful 🙏

[@NurseRyan]

Thank you! I'm glad to help out 😀

[@geraldahimbisibwe9918]

Thanks

[@NurseRyan]

Anytime!

[@syedqasimabbas4427]

Awesome 👍

[@NurseRyan]

Thanks! Happy to help 😀

[@jennyinthemorning]

That was very informative!! and to the point. Thanks for sharing.

[@NurseRyan]

Glad it was helpful! Thank you 😀

[@gelad5387]

Thank you so much for video ❤

[@NurseRyan]

Always happy to help! Thank you 😀

[@abulbashar4754]

Dear Sir, thanks for your wonderful video. Sir, I am type 1 diabetic. But can’t fixing my basal dose. Normally my basal (Levemir) dose 8 units at bedtime. And my bolus (Humalog) insulin doses are :- before breakfast 4 units, before lunch 6 units, before dinner 3 units. Pls guide me for fixation Levemir dose at bed time. * most of early morning blood sugar became low. Regards.

[@NurseRyan]

Hi Abul, I'm sorry to hear that. First, I always recommend speaking to your primary healthcare provider for any medical advice. One thing you can start doing right now, is to record and keep all of your blood glucose levels, and write down the time/date at each check. You can use a simple notepad, or an actual blood glucose log, like the one from the Canadian Diabetes Association (guidelines.diabetes.ca/docs/patient-resources/blood-glucose-log.pdf). This information may be very useful for your healthcare provider in determining if your insulin doses need to be adjusted. The American Diabetes Association also has a Food & Exercise Daily Journal that can be used to track even more information that can be useful to you and your healthcare provider (main.diabetes.org/dorg/lwt2d/packet-three/food-and-exercise-log.pdf). Again, above all else, I recommend bringing your concerns to your primary healthcare provider. I hope that helps! -Ryan

[@abulbashar4754]

@@NurseRyan thank you Sir for your fast response. I will follow your advice, keeping all record accordingly, if you have your mail available than send you on time. Regards.

[@NurseRyan]

@@abulbashar4754 You're welcome! My e-mail can be found in the About page here: kzbin.info/door/--nHXuPPEVKFUP8eoeG5Qwabout Thanks!

[@benjaminbailey1586]

@Abul Bashar hope all is well with you, but I must say I am not a doctor but I have been a type 1 diabetic for about 31 years, over the past 2 years I have strict control with my Dexcom G6 Monitor what I noticed for every unit of insulin for me (fast acting) I would drop 50 points and on your night time shot (Long acting) adjust down by 1 unit but please consult with your doctor and also check on getting that Dexcom it was a God send for me A1c before was 10s and 12s now I stay in the 6.3 to 6.8 range. But with that monitor you can make a note of what you eat how many carbs are in it and adjust easily i.e earlier today at lunch I was 137 so I took 2 units of insulin ate about 30 carbs and 1 hour later I'm holding steady at 154 I might take 1 unit if it crosses 160 which I have set on the monitor as high and 80 is my low warning. Trust me you will be happy and it is so easy, best regards.

[@brandocg3207]

so in sliding scale we use only fast-acting right?

[@NurseRyan]

Most often, sliding scale orders use fast-acting insulin like you said. However, it is possible to see sliding scale orders that use long-acting insulins. It is still much more common to see sliding scale orders with fast-acting insulins. Hope that helps!

[@salmanbakhsh8169]

Insulin Lispro is compulsory or any rapid acting can be given?

[@NurseRyan]

Hi, I would always recommend speaking to your doctor or pharmacist for any actual medical advice, as these videos are meant only for educational purposes! Insulin lispro is just one example of a rapid acting insulin (bolus insulin). Other examples include Insulin aspart, Insulin glulisine, and Insulin regular. Hope that helps!

[@eduardobarragan3960]

So does the dr. Provide you a chart/sliding scale or can i use the one you provided for example

[@NurseRyan]

Your doctor should provide you with a sliding scale that fits your blood sugar needs. The dosing and the ranges in the sliding scale vary greatly from person to person!