Sliding scale insulin therapy uses your pre-meal blood sugar level to determine insulin dosage. Research indicates sliding scale insulin therapy is ineffective at managing blood sugar levels.

Hyperglycemia was most often associated with an unwillingness of providers to take responsibility for diabetes management and the exclusive use of sliding-scale insulin regimens. Conclusion ...

compared the efficacy and safety of a basal-bolus insulin regimen with that of sliding-scale regular ... given four times daily for blood glucose >140 mg/dl). The starting daily dose of the ...