Diabetes Treatment

Get to Know Sliding Scale Insulin Better

Your doctor may prescribe insulin on a sliding scale basis to normalize your blood sugar levels. In simpler terms, your dose or doses of insulin are determined on the basis of your blood sugar results. Sliding scale is broadly defined as a set of instructions meant to adjust the dose of insulin in accordance with the results of your blood glucose levels, activity level and meals.

Here is an example to help you understand the things better. For example, you may be asked to take regular insulin as per the following scale:

* A units- if blood sugar is less than 180
* B units- if blood sugar is 181-240
* C units- if blood sugar is 241-320
* AB units if blood sugar is 321-400
* BC units if blood sugar is greater than 401

You would generally be suggested to take insulin almost half an hour before a meal. Go as per the suggestion of your doctor so that you do not commit any mistake.

Now, let’s take a look at how this sliding scale works. For example, it’s half an hour before your dinner time and you test your blood sugar levels. It comes out to be 200. What you need to do is just look at the ranges provided in the above scale and mark a dosage for yourself. In case of the given scale, it would be B units.

Suppose if it is lunch time and your blood sugar levels are 110. How do you determine the amount of insulin that you must take?  Well, the answer is not that simple. Different test times make a difference and they are to be handled in different ways. What you will have to do is keep a correct and detailed record of the test timings, test results and the amount of insulin taken.

This record would help your doctor fine tune or improve your sliding scale as per your body’s requirement. The principle of sliding scale might sound confusing to you at the first instance. If you are confused, your doctor is the best man to help you. Make sure that you carry all your records along when you go for appointments.