Insulin Sliding Scale Generator
Generate low, standard, or high-dose subcutaneous insulin sliding scales for inpatient blood glucose management. Customizable for individual patient sensitivity.
Sliding Scale — Standard / Moderate
Order: Subcutaneous Regular Insulin — Check fingerstick glucose before meals & bedtime
| Blood Glucose | Insulin Dose (subcutaneous) |
|---|---|
| <70 mg/dL | Hypoglycemia — Treat with 15g oral glucose / 25 mL D50 IV. Recheck in 15 min. |
| 70-149 mg/dL | 0 units (no correction) |
| 150-199 mg/dL | 3 units |
| 200-249 mg/dL | 6 units |
| 250-299 mg/dL | 9 units |
| 300-349 mg/dL | 12 units |
| 350-399 mg/dL | 15 units |
| ≥400 mg/dL | 18 units + call physician + ABG, ketones, anion gap |
Important: Sliding scale is reactive correction only. Add basal insulin (Glargine 0.2-0.3 units/kg HS or NPH 0.15 units/kg BD) for sustained hyperglycemia. Reassess after 24-48 hours and convert to basal-bolus regimen.
★ DoctorScribe — Complete Clinic Management
ICU + ward diabetes management, charted automatically
DoctorScribe's inpatient module logs every fingerstick, every insulin dose, every hypoglycemic event — and graphs glucose trends across nursing shifts. Built for high diabetic caseloads.
Clinical Disclaimer: Sliding scale insulin alone is NOT recommended as primary management of inpatient hyperglycemia (per ADA 2024). Use as supplemental correction with basal-bolus therapy. Always individualize based on renal function, weight, prior insulin requirement, and concomitant therapy (steroids, TPN, etc.). Always verify against your local prescribing reference and apply clinical judgment.
Manage diabetes longitudinally, not just episodically
DoctorScribe stores every HbA1c, every glucose log, every insulin dose change, and every hypoglycemic episode. Generate insulin titration recommendations from history — no more guessing.
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