WebTitrate dose of basal insulin based on FBS weekly 90-150 mg/dl is as reasonable goal in most pts May change goal based on overall health If 50% of the FBS > goal, ↑dose by 2 u Change meal-time insulin If meal-time insulin <10 u/dose: d/c and add non-insulin agents If meal-time insulin >10 u/dose: ↓50% and add non-insulin agent WebThe ADA suggests insulin replacement therapy with basal and rapid-acting prandial (basal-bolus) insulin when the blood glucose level is 300 to 350 mg per dL (16.7 to 19.4 mmol …
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Webcutaneous insulin may require high IV doses; the standard scale may not provide adequate CBG control for such patients. Unless advised otherwise by a Diabetes Specialist, all patients (regardless of their normal sub-cutaneous dose) should be started on VRIII using the ‘Recommended initial rate’ (pre-populated on the VRIII chart). WebFor patients with baseline HbA 1c levels between 8% and 10%, dose-for-dose conversion from U-100 is recommended. U-500 regular insulin should be administered at least 30 minutes before meals— the same as for U-100 regular insulin—because its time- to-onset of action is similar to that of U-100 regular insulin (. 18. ). humana project tcs
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Web10 de fev. de 2010 · In patients with type 2 diabetes, marked obesity, and insulin resistance, total daily insulin doses of 200 to 300 units are often required. In this setting, management for most patients includes a total of 1.0 to 2.0 units of insulin per kilogram per day; thus, in very obese patients, a larger total dose is required. In these patients … WebHer elevated HgbA1c and blood glucose changes lead to initiation of sliding scale insulin lispro (Table 6), 11 units of insulin glargine daily, and metformin 1000 mg in two 500 mg … Web8 de dez. de 2024 · Sliding-scale insulin therapy (SSI) In the sliding-scale method, the dose is based on your blood sugar level just before your meal. The higher your blood sugar, the more insulin you take. humana promotional products