Insulin

Question 1

Average total daily insulin dose

Answer 1

0.6 units/Kg

Question 2

Basal insulin regimen

Answer 2

Long acting insulin
0.2 units/kg OD
Max 30 units

or

Intermediate acting Insulin
0.2 units/kg
Max 30 units
Nocte

Increase by 2-4 units every 3-7 days based on fast BGL over past 3 days

Question 3

Indication for moving to basal plus regimen

Answer 3

High postparandial

Question 4

Basal Plus Regimen

Answer 4

Bolus of rapid acting before meal with largest 2 hour post parandial BGL rise

Rapid acting Insulin
4 units
15 minutes before meal

Increase by 1-2 units every 3 days

Question 5

Mixed Insulin Regimen

Answer 5

Fixed dose combination insulin
0.2 units/kg
max 30 units

OD 15 minutes before evening meal
OR
BD 15 minutes before breakfast and evening meal

Morning dose increased by 2-4 units based on pre-evening meal BGL over past 3 days

Evening dose adjusted based on prebreakfast BGL over past 3 days