Fine-Tuning Control: Pattern Management Versus Supplementation
View 2: Sliding Scale or Sliding Scare: It’s All Sliding Nonsense
- Irl B. Hirsch, MD and
- Ruth Farkas-Hirsch, MS, RN, CDE
Abstract
In Brief
Sliding-scale insulin has a long history and, today, a variety of connotations. With the development of more sophisticated insulin regimens and insulin analogs, it is important to differentiate different types of insulin algorithms from more traditional sliding-scale insulin regimens, which have many disadvantages. For a flexible diabetes regimen to be effective, emphasis must also be given to matching food intake with the appropriate amount of insulin.
Footnotes
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Irl B. Hirsch, MD, is an associate professor of medicine and medical director of the Diabetes Care Center at the University of Washington School of Medicine in Seattle. Ruth Farkas-Hirsch, MS, RN, CDE, is a diabetes clinical specialist in Bellevue, Wash.
- American Diabetes Association
