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insulin sliding scale (ISS)

Protocol for administration of insulin to control hyperglycemia. Daily basal insulin should also be included in the protocol. [1] blood glucose regular insulin (mg/dL) (units) < 60 give 1 vial D50W, or give orange juice 60-150 0 (do nothing) 151-200 2 201-250 4 251-300 6 301-350 8 351-400 10 > 400 call MD Notes: - daily basal insulin should be adjusted to minimize amount of sliding scale administered in the absence of episodes of hypoglycemia

General

scale

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 16, American College of Physicians, Philadelphia 2012
  2. Queale WS, Seidler AJ, Brancati FL. Glycemic control and sliding scale insulin use in medical inpatients with diabetes mellitus. Arch Intern Med. 1997 Mar 10;157(5):545-52. PMID: 9066459