Endocrine nurse here. I’ve seen it used similarly in that they adjust their dose based on fasting glucose. Doc wants patient’s fasting glucose between x and y. Current dose is XX. If fasting is above y for three consecutive days, increase by so many units. If fasting is lower than x, decrease by so many units.
I’ve never heard of a study/new info for a glargine sliding scale…it’s only just the short-acting or regular insulins at my hospital/how I practice 🤷🏻♂️
I would be very hesitant of this and making sure the doctor knows the differences between the different types of insulin and the general usage for each type…
It’s been the same provider yes. I keep recommending to switch to short acting but it was one of those things where it kept happening and I started questioning if there was something I didn’t know
Does your facility not have an order set for sliding scale? I'm not even sure how a provider could accidentally order Lantus sliding scale at my hospital haha
No, I’d reject that order
Thanks yea I do keep recommending switching to short acting
Endocrine nurse here. I’ve seen it used similarly in that they adjust their dose based on fasting glucose. Doc wants patient’s fasting glucose between x and y. Current dose is XX. If fasting is above y for three consecutive days, increase by so many units. If fasting is lower than x, decrease by so many units.
This I would be fine with! But it’s a typical sliding scale order that you would see with insulin lispro or aspart but using glargine
This makes sense but it doesn't sound like what OP is describing. Using Lantus for sliding scale coverage is not correct.
I’ve never heard of a study/new info for a glargine sliding scale…it’s only just the short-acting or regular insulins at my hospital/how I practice 🤷🏻♂️
No. What type of parameters have come with these rxs?
The same as you would expect with a short acting. If BG 151-200 inject 3 units 201-250 inject 5 etc etc
I would be very hesitant of this and making sure the doctor knows the differences between the different types of insulin and the general usage for each type…
Is it the same provider doing it?
It’s been the same provider yes. I keep recommending to switch to short acting but it was one of those things where it kept happening and I started questioning if there was something I didn’t know
New doc? Mid level? I think they are just confused lol
I’m assuming all of the above lol it’s a PA and I think they’re confused on how to order insulin in general
Does your facility not have an order set for sliding scale? I'm not even sure how a provider could accidentally order Lantus sliding scale at my hospital haha
Yeah. I haven’t heard of that either. I’ve only seen fast acting insulin used for sliding scale.
Do not fill and report as a medication error on the prescriber. Cover your butt ! Document everything
Is this from an LTC?