Sliding-scale insulin therapy bases the amount of insulin a diabetic needs to take prior to eating on the pre-meal blood sugar. The higher the blood sugar, the more insulin required. Sliding-scale therapy has been used since the 1930s and is common in hospitals and other health care facilities.Know More
This sliding-scale method requires that the amount of carbohydrates consumed at each meal remain fixed. Carbohydrate sources may change, but the actual amount consumed at a particular meal must remain unchanged. The amount of long-acting, or background, insulin also remains fixed. Only the bolus and pre-mixed insulin doses change depending on pre-meal blood sugar.
This method has fallen into disfavor because it doesn't seem to control blood sugar very well. It can cause patients to have blood sugar highs and lows, and it cannot be personalized according to meal contents, activity or stress levels. Furthermore, it bases the current insulin dose on how well the last dose worked, not on what actually is needed for a given meal.
Alternatives to sliding-scale insulin therapy include fixed-dose insulin therapy and the carbohydrate-to-insulin ratio. In fixed-dose therapy, the number of insulin units given at each meal remains the same, regardless of blood sugar and meal content. While this is an easy system to learn, it lacks personalization regarding meal contents and activity. In contrast, the carbohydrate-to-insulin ratio tailors the amount of insulin given to the amount of carbohydrates in a meal.Learn more about Medical Ranges & Levels
Low insulin levels occur when the beta cells of the pancreas do not produce enough insulin, according to the American Association for Clinical Chemistry. This can occur in diabetes, hypopituitarism or pancreatitis.Full Answer >
A normal fasting insulin level is 100 milligrams or below per deciliter, as stated by WebMD. A fasting insulin check is done after a person goes without food or drink for eight hours.Full Answer >
Normal blood sugar ranges between 60 to 100 milligrams per deciliter, according to the Diabetes Teaching Center at the University of California, San Francisco. This range is for a nondiabetic person testing between meals or first thing in the morning prior to eating.Full Answer >
The sliding scale for insulin-dependent diabetics bases the amount of insulin taken on blood sugar levels before a meal, explains Healthline. This type of treatment is most often used in hospitals or other health care facilities, where it is easy for health care providers to monitor blood sugar levels.Full Answer >