Insulin
Contents
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2.1 Low Dose (Renal Insufficiency)
2.3 High Dose (Severely Insulin Resistant)
Types
|
Type |
Onset of action (h) |
Peak action |
Effective duration |
Max duration |
|
RAPID ACTING |
|
|
|
|
|
Lispro (humalog) |
0.25-0.5 |
0.5-1.25 |
3-4 |
4-6 |
|
Aspart (novolog) |
0.25-0.5 |
0.5-1.25 |
3-4 |
4-6 |
|
Glulisine (apidra) |
0.25-0.5 |
0.25-1.25 |
3-4 |
4-6 |
|
SHORT ACTING |
|
|
|
|
|
Regular |
0.5-1 |
2-3 |
3-6 |
6-8 |
|
INTERMEDIATE ACTING |
|
|
|
|
|
NPH |
2-4 |
6-10 |
10-16 |
14-18 |
|
LONG ACTING |
|
|
|
|
|
glargine (Lantus) |
3-4 |
8-16 |
18-20 |
20-24 |
|
detemir (Levemir) |
3-4 |
6-8 |
14 |
~20 |
Insulin Sliding Scale
- Dosing depends on the patient’s level of insulin resistance.
- The example sliding scales are for regular insulin with blood glucose (BG) measured in mg/dL
Low Dose (Renal Insufficiency)
- BG 150-199: 1 unit bolus Insulin
- BG 200-249: 2 units bolus Insulin
- BG 250-299: 3 units bolus Insulin
- BG 300-349: 4 units bolus Insulin
- BG Over 350: 5 units bolus Insulin
Medium Dose (Standard)
- BG 150-199: 1 unit bolus Insulin
- BG 200-249: 3 units bolus Insulin
- BG 250-299: 5 units bolus Insulin
- BG 300-349: 7 units bolus Insulin
- BG Over 350: 8 units bolus Insulin
High Dose (Severely Insulin Resistant)
- BG 150-199: 2 unit bolus Insulin
- BG 200-249: 4 units bolus Insulin
- BG 250-299: 7 units bolus Insulin
- BG 300-349: 10 units bolus Insulin
- BG Over 350: 12 units bolus Insulin
Regular: 0.5u/kg/day