Lantus Sliding Scale Calculator
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Your provider will prescribe an insulin dose regimen for you.
Lantus sliding scale calculator. 2 4 units of rapid acting or regular insulin sq at each meal base dose 2 or 1 sliding scale depending on sensitivity. The concentration of insulin glargine in toujeo is 300 units per ml. However you still need to calculate some of your insulin doses. Toujeo contains the same active ingredient insulin glargine as lantus.
Correction greater than 130 increase long acting basal insulin dose by 2 4 units at bedtime greater. One may need to adjust the amount and timing of short or rapid acting insulins and dosages of any oral anti diabetic drugs. Lantus glargine or levemir detemir or nph insulin a1c greater than 7 with optimal long acting basal insulin. Your insulin dose regimen provides formulas that allow you to calculate how much bolus insulin to take at meals and snacks or to correct high blood sugars.
And x 0 5 if already on insulin. The recommended starting dose of lantus in patients with type 2 diabetes who are not currently treated with insulin is 0 2 units kg or up to 10 units once daily adjusted to patient s appropriate fpg target. 5 of total daily insulin requirement for example someone who requires 20 units of basal insulin should start with a sliding scale. For example ernest was taking a tdd of 90 units.
This dosage reduction will lower the likelihood of hypoglycemia see warnings and precautions. Calculating the appropriate sliding scale instead of using your hospital s predetermined one. This dose reduction will lower the likelihood of hypoglycemia see warnings and precautions 5 3. Millions of people every day count on lantus to help them manage their a1c and control their blood sugar.
Basal insulin analogs may be interchanged with nph with a 20 reduction in dose and divided based on predicted meal frequency if eating 2 meals per day split the new dose into nph with first meal. Changing to lantus from other insulin therapies. Lantus basalgar glargine u 100 toujeo glargine u 300 tresiba degludec u 100 u 200 interchange recommendations. If you have been using a sliding scale another way to make insulin dose adjustments is to add all of the sliding scale doses the patient has been given to the previous tdd and then recalculate the 50 50 lantus humalog split based on the new tdd.
Lantus insulin glargine 100 unitsml is the most prescribed long acting insulin. If changing patients from once daily toujeo insulin glargine 300 units ml to once daily lantus the recommended initial lantus dose is 80 of the toujeo dose that is being discontinued. The joslin center calculating an initial dose of long acting basal insulin.
