Insulin Sliding Scale

Using NPH and regular insulin

	before breakfast	before lunch	before dinner	at bedtime
NPH dose	12 units		6 units
regular insulin dose if fingerstick glucose is (mg/dl) [mmol/L]:
70-100       [3.9-5.5]	4 units		4 units
101-150     [5.6-8.3]	5 units		5 units
151-200     [8.4-11.1]	6 units		6 units
201-250     [11.2-13.9]	7 units		7 units
251-300     [14.0-16.7]	8 units	1 unit	8 units	1 unit
>300         [>16.7]	9 units	2 units	9 units	2 units

Using glargine and lispro:'

• Insulin glargine: 20 units at bedtime

Insulin lispro to be given as follows:

if fingerstick glucose is (mg/dl) [mmol/L]:	before breakfast	before lunch	before dinner	at bedtime
70-100       [3.9-5.5]	5 units	5 units	5 units
101-150     [5.6-8.3]	6 units	6 units	6 units
151-200     [8.4-11.1]	7 units	7 units	7 units
201-250     [11.2-13.9]	8 units	8 units	8 units	1 unit
251-300     [14.0-16.7]	9 units	9 units	9 units	2 units
>300         [>16.7]	10 units	10 units	10 units	3 units