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Sliding scales determine how much extra insulin a person needs at routine times of the day.

Sample sliding scale from doctor:

• BS <100 = no additional insulin
• 100-150 = 0.5u
• 151-200 = 1u
• 201-250 = 1.5u
• Etc.

Sliding Scales & Ratios

1 serving size = 15g of carbohydrates

• People with Diabetes use a method of 鈥渃arb-counting鈥� their food
• Carbohydrates have a large effect on blood sugar
• Insulin administration is based on how many carbohydrates are eaten
• Treatment of low blood sugar (hypoglycemia) also involves giving the person a form of carbohydrates

• Most opened vials can be left at room temperature (below 86 degrees Fahrenheit) for 30 days.

• Most opened pens or pen cartridges may be left at room temperature for less than 30 days

• Unopened vials should be stored in a refrigerator and are good until their expiration date.

1. Get supplies: insulin, syringe and needle , alcohol wipe, gloves & sharps container
2. Wash hands and apply gloves. 
3. Have student select injection site 
4. Clean the injection site and wait to dry
5. Verify the type of insulin before drawing into the syringe.
6. Clean the rubber top of the insulin vial with an alcohol swab.
7. Remove the cap from syringe.  Do NOT touch the needle.
8. Pull the plunger down to th

Obtain glucagon kit and gloves, then call 911.

An insulin pump delivers one type of insulin and looks like a pager that can be attached to a belt, carried in a pocket, or held with a strap around the arm or thigh.

The pump connects to narrow plastic tubing that ends with a short plastic catheter inserted just under the skin in the abdomen, buttocks, or thigh.

Users set the pump to give a steady trickle or 鈥渂asal鈥� amount of insulin continuously throughout the day and 鈥渂olus鈥� doses at meals and at times when blood glucose is too high based on the user鈥檚 programming.

Regardless of whether a student uses a pre-filled or a reusable pen design, the techniques for dose preparation and insulin delivery are generally similar.

Instructions: 

1. Get supplies:

• insulin
• syringe and needle 
• alcohol wipe
• gloves
• sharps container

2.  Wash hands and apply gloves. 

• AKA 鈥渞apid-acting鈥� or 鈥渟hort acting鈥� and is generally what is administered at school
• Acts within 10-15 minutes
• Given for one of two reasons:
  • When food is eaten
  • Glucose level is too high and needs correcting
• Amount of insulin needed is based on the insulin to carbohydrate ratio
• When insulin has been given prior to a meal or snack, food should be eaten soon (beginning within 15 minutes)