Doctor insights on:
Modified Insulin Sliding Scale
Contact your doctor: That prescription would come from the doctor providing your care; the one who knows your sugars and your history. The physicians on health tap do not provide treatment. ...Read more
Potassium is an essential electrolyte, important in the functioning of many organs including the heart, kidneys, muscles, nerves, and digestive system. Deficiency can be caused by diseases such as kidney failure, vomiting, and diarrhea, or by drugs such as diuretics. ...Read more
What is the formula doctors use for insulin dosing? When do they quit using the sliding scale? When do they put patients on the twice a day high dose
Diabetes care: Forget the doctor for a bit and find a diabetes educator. They are excellent, knowledgeable, friendly, and helpful. At your age you most likely have type 2 diabetes. If that is correct the diabetes educator will try to get you a point where you no longer have diabetes. Work hard at it and you can get rid of your diabetes. Go for it! ...Read more
Individualized: Hi. No one on this site can tell you that information. You need to talk with your doctor or see a specialist who deals with diabetes. The amount of Novolog you take for meals depends meal-by-meal on what your sugar is coming into the meal, what & how much you're going to eat, and your current sensitivity to insulin. You need to be doing frequent glucose monitoring to keep it safe & effective. ...Read more
I need to find a familydoctor in my area that takes cash only/ sliding scale/ no insurance. I desperately need a checkup and check my cholestrol, etc.
County Health Dept.: Check with your county or state health department. Most of them have lists of low cost or free clinics available for people in your situation. Also, check with st. Vincent de paul, salvation army, local churchs, medical or nursing schools, universities, etc., as they may have knowledge of clinics in the area. ...Read more
I am in desperate need of a neurologist that has a sliding scale payments in or around romulus, mi...........Please can anyone help me?
As above: I am sorry I don't live there and I don't know any one, perhaps if u ask u. Pcp he can be advise u. ...Read more
I have an appt @ a sliding scale drs office. It used to be only for HIV patients but now its for any1 & has good reputation. Will it be safe to use?
Certainly should: Be just fine. You will find that almost all physicians are altruistic, and charitable recognizing that their mission is to care for people before their finances. Even though not advertised widely this a characteristic you will find in most physicians. ...Read more
Sources: Pt referrals best, pharmacist, they hear about compassionate good docs, medical society call them they hear a lot, your own m.D ask him/her and make you choice. Read review about M.D. ...Read more
We all know expensive dental procedures can be, that is why most employees barely over this. Do dentists offer sliding scale or installment options?
Depends: Some do and some don't. You have to ask about that at the time you call the dental office. Many offices offer care credit which allows someone to pay for their dental care over a period of time with no interest. Also dental schools and some clinics offer a sliding scale. You may have to call around a bit... But be careful about things that sound too good to be true. You may get what you pay for. ...Read more
Can anyone recommend a dentist in Paulding County, GA that will remove wisdom teeth on a payment plan or sliding scale? Desperate.
Dental Society: Please contact your local dental society. They will be of more help since they have information specific to the area. ...Read more
What is your diagnosis? Age 65. Type II diabetic since 2002. Novolog on sliding scale with meals + lantis 55 units @ bedtime. Take avapro 150mg/2x and htcz 12.5mg/2x to control hbp. Most recent CBC panel revealed for first time low values for white ce
I agree with you that it sounds like you are doing a very good job overall. I am glad that you are so active and can do your own yard work, and feel well.
I am concerned that you are so anemic. A hematocrit of 30.2 is very low. It needs to be determined if that has been worked up, and if that is a stable hematocrit for you.
Your a1c sounds like it has been improving but htat is stll quite high.
I agree with you that portion control can be very helpful, and it sounds like you are quite active so that will also help you. ...Read more
Looking for free or sliding scale doctors know where any are? I have panic attacks and I have pains in my chest, knees, back and other places as well as hard ball like things under the skin in my arms. I go to the emergency room but all they do is give me
(Un)fortunately,: (un)fortunately, you're not alone. Many americans are struggling in this economy. Dr. Fowler has listed a number of options in georgia. For others who are in a similar situation but don't live in georgia, many low cost, if not free, options are available to you with a bit of online searching. We're either volunteers or supported by grants, both government & non-government. Pharmaceutical companies have stepped up to the plate if you can jump through their paper hoops. Or check out all the $4 monthly options for generic medications. Good luck! ...Read more
What causes low glucogon? Mine is 33 on a scale from 40 to 150. Insulin is 8.9 (5-25). Fbs under 100. Non-diabetic
Why was it measured?: There are very few reasons to measure a blood glucagon. There are very rare tumors that make too much, but I doubt you have that. Glucagon raises blood sugar and is important to keep our blood sugar up while fasting. The normal range is not accurate. Your glu is normal and you are not diabetic. You don't need additional hormone measurements. See an endocrinologist if you have more questions. ...Read more
See below: Yes, most likely you will need to adjust but this is impossible to determine without blood sugar logs, your history of Insulin dosing, and any other meds (including diabetes meds) that you are taking. You should discuss this with your doctor who knows you and your history well. ...Read more
Humulin is the marketed name by Eli Lilly and Company. Both are biosynthetic human insulin.
Humulin N, is neutral protamine hagedorn (NPH), an intermediate-acting insulin, has an onset of 1-3 hours, peak of 8 hours and duration of 12 to 16 hours.
Humulin R is Regular insulin, a short-acting insulin, has an onset of 30 to 60 minutes, a peak of 2-4 hours, and a duration of 5-8 hours. ...Read more
Lantis: Lantis is a slow release Insulin injection that is administered once a day, good for 24 hours. Humulin is not the same. Humulin lasts for about 14 hours and peaks differently than lantus (insulin glargine). If you were to switch to humulin, you may need to give your self 2 injections/day to regulate your blood sugar. Let your doctor know what your wishes are and that you'd like to opt for a substitute, one that is more affordable. The change may, however, change the way you administer Insulin to yourself in terms of how many injections you need in a day, as well as the frequency for which you check your blood sugar. ...Read more
Not much!: Humulin n and novolin n are both forms of nph insulin. Nph Insulin is considered intermediate-acting (generally less than 24 hours in duration, usually 8-12 hours). They are both heavily crystallized solutions of human insulin, which is what gives it the longer-acting property (and cloudy appearance). Humulin is made by eli lilly & co. (usa), and novolin is made by novo nordisk (denmark). ...Read more
Novalin long acting: Novalog short acting- I order them separately. The novalog covers your meals. ...Read more
Yes...: Yes, novolin R is a short acting insulin while novolin N is an intermediate acting insulin - so they can be used together. While these can be purchased over the counter in most states you should still be seeing a provider to discuss insulin needs. You should not start any insulin without the recommendation by a doctor who knows your history. Insulin overdoses can kill! ...Read more
Diabetics: if your insulin is being controlled by daily injections, do you still have to modify your diet?
I have fasting insulin raised to71 n pp insulin 126. What can be diagnisis. N do. I hv any harm from this? Normal is 0-25
Insulin levels: Are generally poorly done by commercial labs and highly inaccurate. They are rarely useful for clinical diagnosis or medical practice. If you are overweight with a family history of diabetes, then you are most likely Insulin resistant -- no matter what your Insulin levels are from the lab. Eat better, exercise and lose weight to reduce your chances of developing diabetes in the future. ...Read more
Different timing: R is usually given about 1/2 hr prior to a meal. No longer the short acting Insulin of choice because others more effective having shorter 1/2 lives. Nph may be combined with short acting Insulin or given alone to provide later coverage. Starts to peak in ~ 4 hrs, though effect will last for several. It peaks which predisposes people to low sugars. Newer insulins replace nph for better control. ...Read more
If 'N' = NPH, yes:
It peaks in 6-8 hours, last 10-14 hours.
Lantus has mosest peaks, lasts 24 hours
the amer assoc of clinical endocrinologists
recommends not using nph, but longer acting basal insulin, like Insulin to obtain smoother control [often in combination with meal time short-acting insulin]. ...Read more
I presume you mean a blood sugar meter. If that is correct there are many brands of blood glucose meter, most being available at your pharmacy.
If you have diabetes your doctor should have given you some ideas of which blood glucose meter to use.
Do you indeed have diabetes? If so you should have been using a glucose meter by now. What am I missing? ...Read more
Insulin resistance: Many people are Insulin resistant. That means you have to make more Insulin to keep blood glucose normal. The most common cause is obesity/overweight and sedentary lifestyle. Genetic predisposition. Medications and medical conditions can contribute. So the solution is to fix the problem: diet and exercise. I actually do not measure insulin, since it will not change what I would do anyway. ...Read more
Certainly, but so can you, your husband, your family.
I started giving my dear departed mother insulin injections daily beginning at age 8. Took some time to get used to but soon OK.
FYI, in those days we checked blood sugar levels in the urine and the different colors had no effect on the dose.
Not pleasant to do but turned out OK for me and Mum. ...Read more
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