Lg Cwd
Need Help

Submit your question to our team of health care professionals.

Current Question

See what's on the mind of the community right now.

Meet the Team

Learn more about our world-renowned team.

DTeam Archives

Review the entire archive according to the date it was posted.

May 28, 2001

Daily Care, Insulin

Question from Yuba City, California, USA:

Is there a formula to use to modify the number of units of Regular insulin to provide for sliding scale dosages?


I would not recommend such fine tuning with Regular. I would use Humalog — Fast in Fast out. I set a target, lower in older kids and higher in younger kids (100-140 mg/dl [5.6-7.8 mmol/L]). I then calculate how much the sugar is too high or too low. The correction factor is individualized from 1 unit for 30 mg/dl to up to 1 unit for 90 mg/dl. You have to see what it takes. Remember this test is without food. Then the food –1 unit for somewhere between 6 to 30 grams of carb. Again, just see.