This is because insulin sensitivity - the way the body responds to insulin - can change as the day progresses. Throughout the day, the dose will change. This row will show breakfast, then lunch, then dinner. Mealtime: This usually appears along the chart’s top row. The more blood sugar a person has, the more insulin they will need to deal with it. Pre-meal blood glucose level: This usually appears on the left-hand side on the chart, from low to high, with higher doses of insulin toward the bottom of the chart. Insulin dosage will vary, depending on two factors: They base it on how the person’s body responds to insulin, their daily activity, and a carbohydrate intake that they will agree on. The sliding scale is a chart of insulin dosages.Ī doctor creates this chart with the individual. In this study, sliding-scale NPH insulin was demonstrated to be a safe and effective management strategy for blood glucose control in continuously tube-fed patients NPH insulin resulted in better blood glucose control compared with insulin aspart.Share on Pinterest Sliding scale insulin therapy involves creating and following an individual chart. 001), but no statistical significance was observed between the groups receiving NPH every 4 hours and NPH every 6 hours ( P =. More patients in the NPH groups had blood glucose values in the target and acceptable ranges than those in the insulin aspart group ( P <. 41) were observed between patients receiving the NPH regimen given every 4 or 6 hours. No statistically significant differences in mean blood glucose values ( P =. Mean blood glucose was found to be lower in patients receiving NPH every 4 hours and NPH every 6 hours than in patients receiving insulin aspart ( P <. Methods:Ī retrospective, records-based review comparing sliding-scale NPH insulin given every 4 or 6 hours with sliding-scale insulin aspart was performed in patients admitted to 2 community hospitals between April 1, 2006, and September 30, 2007. The purpose of this study was to determine if the use of sliding-scale neutral protamine Hagedorn (NPH) insulin was more effective than sliding-scale insulin aspart in controlling blood glucose in continuously tube-fed patients. Hyperglycemia is often a problem in patients who receive continuous enteral nutrition.
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