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What is a Sliding Scale
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<blockquote data-quote="phoenix" data-source="post: 377521" data-attributes="member: 12578"><p>I think there must be times when they have to use intravenous insulin and when they also have to use saline, glucose and other intravenous solutions . ( but it doesn't necessarily mean that they are being used with a chase the glucose, sliding scale )</p><p> you still find ones like this one here used for :</p><p>Concurrent illness – vomiting/nil by mouth</p><p>Pre major surgery</p><p>Post myocardial infarction</p><p>During labour for gestational, pregnant ladies with</p><p>diabetes</p><p>Management of hyperglycaemia in ITU </p><p><a href="http://www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/EndocrineAndDiabetes/DiabeticMonitoringChartFeb2010AllDocs.pdf" target="_blank">http://www.rcht.nhs.uk/DocumentsLibrary ... llDocs.pdf</a> </p><p>I hope that they don't always use the standard prescription , the doses seem very high to me, if I wasn't eating and if I ate then they wouldn't necessarily be enough for the meal. </p><p> From what I read, a sliding scale of insulin is according to many, very outdated and tends to keep glucose levels higher than optimal. </p><p> Which is why you can find lots of papers with titles such as</p><p>Sliding Scale, time to stop sliding</p><p>It's time to abandon the sliding scale ?</p><p>Sliding scale use Myth or Insanity?</p><p>Sliding scale insulin, will the false idol finally fall?</p><p>(this last one gives a brief history of it's use and why it's outdated )</p><p><a href="http://onlinelibrary.wiley.com/doi/10.1111/j.1445-5994.2010.02231.x/full" target="_blank">http://onlinelibrary.wiley.com/doi/10.1 ... 231.x/full</a></p></blockquote><p></p>
[QUOTE="phoenix, post: 377521, member: 12578"] I think there must be times when they have to use intravenous insulin and when they also have to use saline, glucose and other intravenous solutions . ( but it doesn't necessarily mean that they are being used with a chase the glucose, sliding scale ) you still find ones like this one here used for : Concurrent illness – vomiting/nil by mouth Pre major surgery Post myocardial infarction During labour for gestational, pregnant ladies with diabetes Management of hyperglycaemia in ITU [url=http://www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/EndocrineAndDiabetes/DiabeticMonitoringChartFeb2010AllDocs.pdf]http://www.rcht.nhs.uk/DocumentsLibrary ... llDocs.pdf[/url] I hope that they don't always use the standard prescription , the doses seem very high to me, if I wasn't eating and if I ate then they wouldn't necessarily be enough for the meal. From what I read, a sliding scale of insulin is according to many, very outdated and tends to keep glucose levels higher than optimal. Which is why you can find lots of papers with titles such as Sliding Scale, time to stop sliding It's time to abandon the sliding scale ? Sliding scale use Myth or Insanity? Sliding scale insulin, will the false idol finally fall? (this last one gives a brief history of it's use and why it's outdated ) [url=http://onlinelibrary.wiley.com/doi/10.1111/j.1445-5994.2010.02231.x/full]http://onlinelibrary.wiley.com/doi/10.1 ... 231.x/full[/url] [/QUOTE]
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