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Dr. Andrew Rynne

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Can More Than 20 Units Of Sliding Scale Insulin Be Taken To Manage Elevated Blood Sugar Levels?

I had a steroid injection in my wrist today and my blood sugar is really high. I have sliding scale insulin which I took two hours ago but my sugar is still 400 How much sliding scale insulin can someone take. Should I take more than the 20 units I already took?
Thu, 22 Nov 2018
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Diabetologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Ideally yes, insulin dose of more than 20 units can be taken. However, this erratic dosing can put a person at risk of developing hypoglycemia. So, you will need to monitor sugars very regularly.

Also, manage your diet- eat regular meals- change of meal options and quantities can be detrimental. Have a look at your diet chart again.

If needed, meet a dietician again for a suitable diet chart. Please do meet your diabetologist for a regular insulin dosage instead of sliding scale.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saumya Mittal
I find this answer helpful
Diabetologist Dr. Saumya Mittal 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I think, I should tell you that the raised sugars are probably the effects of steroids. And yes, you can take higher than 20 units of insulin.

However, be careful as it can easily cause hypoglycemia. Regular monitoring of sugar is advised.

You may need to meet a diabetician for a sliding scale with higher doses while the effects of steroids last. Later you may return to the previous sliding scales.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saumya Mittal
I find this answer helpful

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Can More Than 20 Units Of Sliding Scale Insulin Be Taken To Manage Elevated Blood Sugar Levels?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Ideally yes, insulin dose of more than 20 units can be taken. However, this erratic dosing can put a person at risk of developing hypoglycemia. So, you will need to monitor sugars very regularly. Also, manage your diet- eat regular meals- change of meal options and quantities can be detrimental. Have a look at your diet chart again. If needed, meet a dietician again for a suitable diet chart. Please do meet your diabetologist for a regular insulin dosage instead of sliding scale. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saumya Mittal