How to Use Sliding Scale Insulin For Medical & Nursing Students, Insulin Treatment For Diabetes
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- čas přidán 24. 07. 2024
- How to Use Sliding Scale Insulin For Medical & Nursing Students, Insulin Treatment For Diabetes
This video explains insulin treatment for diabetes in detail with explanations of sliding scale insulin and how to start insulin therapy in a patient. Insulin treatment and therapy is a very high yield topic of endocrinology. Diabetes mellitus treatment and management of diabetes mellitus according to new guidelines have been explained in this video.this video focuses on how to start insulin on a patient.Administration of insulin has been explained in it.
This video on diabetes mellitus treatment and Management explains diabetes treatment guidelines of 2020.diabetes treatment stepwise step by step is a very high yield topic on usmle step 2 ck and usmle step 1 and plab exams. Diabetes mellitus management protocols and diabetes treatment guidelines nad updates of year 2020 and year 2019 have been explained in this medicine lecture on diabetes mellitus usmle. management of diabetes is one of the very important topics of usmle and plab exam and nursing exams.nursing management of diabetes mellitus has been also explained.
DIABETES TREATMENT PART 1: • Diabetes Mellitus Trea...
HOW TO START INSULIN THERAPY: • INSULIN TREATMENT FOR ...
All those medical years i tried to understand this concept which you have taught in just 5 minutes. Good job doc
Extremely helpful MedNerd!
I have followed the series.Concise but clear concept.Thank you so much sir.
Very, very insightful thank you!!!
Well explained sir 💪🏾
A new subscriber.
Thank you so much sir for giving practical medical knowledge in very easy and clear way.... learning from your videos and using them.Huge respect and love from Nepal 🙂🙏🙏🌻🥰🥰
Very excellent lecture!
You are best teacher and doctor sir.......👏👏👏
Please make this concept clear with clinical examples. Thank you 🙏🏼
Thank you very much for the videos
Clear cut explanation thankyou sir
Thank you so much 🙏💐💐 sir
Hi Dr Fazal, I just saw your channel, and I've had to subscribe immediately.
Fantastic content and is addictive. Please keep up the excellent work.
One question from me is this: when combining SSI with a basal-bolus regimen, will SSI be at the usual doses, or should the extra insulin dose be reduced?
Cheers.
Excellent sir
Very nicely explained sir🙂
Very helpful
Excellent video
Tysm sir for helping us🎉🎉🎉🎉
Great video Highly appreciated
Sir in previous lecture on insulin regimen, you said we give 0.3-0.5 U / Kg in basal bolus .
In this video for scale , you suggested Sliding Scale and Basal combination. With 0.1 U /kg. Thats result huge differnce in total units at the end. Plz clear confusion
Best of best sir🙏
God bless you
thank you sir
Thanks
Awesome lecture ! Thank you
You're welcome Marjan Mathilda. 😊
Best..
Very helpful guidance especially for peripheral working doctors
A solid presentation sir.
Just wanna clear things up a bit,
1. Are you using R insulin for sliding insulin?
2. Can you combine sliding insulin regimen with mixed insulin regimen?
Please use examples to better illustrate your point. Thank you!
Awesome lecture, please also make a video on antibiotics selection in various infections . Its humble request 🙏
Teach better then my teacher
Thanks sir❤❤❤
The way he explains is flawless, thanks sir
Sir please make a video on ecg assessment, you ll be highly appreciated
Anam Sharif sure, I will make videos on ECG Soon. 😊
Thank u sir for this knowledgeble lecture.
So kind of you. Keep supporting 😊
Sir please make concept clear with clinical example thank uu sir
Can u make a video on suddenly diagnosed high blood sugar and how to manage and when pt is on both oral hypoglycaemic and insulin and non compliance of treatment that lead to dka…that type case cenario
Sure Tharun manikanta I will make a video on this topic. Very soon I will also upload management of DKA and hypoglycemia management in diabetics and nondiabetics. 😊
Video on DKA management has been uploaded. 😊
Thank u sir.. can u pls examples of these calculations
Please add some examples to it. Example using a body weight or some blood sugar levels. Thank You
It a very good explanation, but if use a case based and apply what you are saying that would be better.
Thanks
Is the night basal dose insulin still given when using SSI + basal bolus insulin, or is it only before big meals breakfast, day and night?
❤️❤️
please make one video on correction dose of insulin
I think the sliding scale doesn't take into consideration the insulin resistance of the individual patient. Giving the same amount of insulin for the same level of glucose may produce different effects in different patients. I think the response, by taking post prandial values, will give better control with sliding scale. So the insulin dose of day 2 morning is to be judged by day 1 morning insulin dose and day 1 morning pp2 glucose value.
Thank you so much sir. Please how do we calculate the amount of insulin using the sliding scale unsylin?
Sir make the video on dka
can you give example how to calculate the extra insulin to give when the glucose is not control in sliding scale after basal bolus is given
Can we use the sliding scale when the patient is on NPO before and after surgery?
I want example of hhow to calculate
So, to be mathematically clear: With SSI & the Basal-Bolus method, you have SSI(2.5U * (Glucose-150)/50) + Bolus(1/(# of meals) of 1/2 of 0.1to0.2U/kg) prior to meals (or perhaps recommend directly after eating to be safe?), and then Basal insulin (1/2 of 0.1to0.2U/kg) at night before bed?
Please explain. I got confused by this
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I'm confused about dosage sir is it 0.1-.02 or o.3-0.5? Which one is correct
Extremely helpful sir.sir plz make a video on hypertension management with different level of hypertension
Thank you Rakesh Gupta for your kind words. I have already made video on hypertension treatment step by step. You can check it out in playlists. 😊
plz explain with example, how to calculate the extra dose of insulin required with SSI + basal bolus regimen if pre-lunch sugar is 350 mg/dl
is it by, 0.1 x 60 kg of patient = 6 unit, divided by 2 to have 3 units basal and 3 units for bolus so 1 U for pre breakfast, pre lunch and pre dinner. incase pre lunch sugar is 350. using SSI it requires 10 units extra so how do i calculate, do i add another 10 U or 9 (10-1) U for pre lunch bolus insulin
plz correct me
For bolus you add correction factor (1800/ Total daily dose). Lets say correction factor is 50 so it means that for every 50mg above 130 you add 1 unit to the bolus dose.
Sir how to calculate correction factor
You should've given an example. 1 Person of a given weight and how much they would take throughout the day. I'm still confused.
Very Well explained Sir.... One clarification please... In previous video you told to start BASAL BOLUS REGIME @ 0.3 - 0.5 IU/kg but here you're telling to start BASAL BOLUS REGIME @ 0.1 - 0.2 IU/kg.
What should be the correct one?
In clinical practice 0.1 to 0.2 units/kg is not much helpful so most of the 0.3 units / kg is applied
There is no definite sliding scale as l was taught in ph diab course in gandhi hosp hyd ap
Give a working Example please sir.
😇
he talks like dear dr naik
What you have said sir, is not correct. You have said that by SSI, if premeal blood sugar level is upto 150, then no insulin. What about rise due to the meal? You have to give insulin to neutralize this. You will not give short acting insulin with 150 sugar only if you are using a basal-bolus regimen. But if you are using only short acting insulin, you have to give and hence follow a different chart.
Below 150 then no insulin
Above 150 then yes insulin
@@ayeshakhan-py3rs yes but in basal bolus becoz basal long acting will keep work for 24 hour and will keep it control
But in sliding scale with no basal long acting insulin so if rbs less than 150 one take meal it will spike rbs and with no long acting basal .. it will remain elevated
Meaning episode of hyperglycemia poorr control diabetes that time
So take 2 unit insulin short acting if rbs less than 150 but only when meal is in front of u
If meal not before u one can't take risk of insulin as prone to hypoglycemia