Pediatric Insulin Sliding Scale

Other Managements:

1. Based on Pediatric Diabetic Ketoacidosis IV infusion to SC Conversion

2. Based on 'Thinking Scale' for Self Dose Adjustment
Correction Factor

• Estimation of how much 1 unit of rapid-acting insulin will lower the blood sugar (Insulin Sensitivity Factor, ISF)
• Must be individually set
• Exm: 1 unit of rapid-acting insulin lowers blood sugar level by 2mmol/L
• The amount given to correct these high values are called Correction Bolus/Dose

Insulin Scale

• Amount of insulin to be given before a meal, listed on a scale
• Calculated based on individual Correction Factor and Target Blood Sugar Range

References:

1. www.bcchildrens.ca
2. Leeds Medicines Management and Pharmacy Services
3. Royal Hospital for Women, Clinical Policies and Procedure: Actrapid (Hyperglycaemia)
4. Adjusting Insulin Doses and 'Thinking Scales'