Your Insulin Regimen

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These guidelines assist patients with diabetes in tracking their insulin regimen. Care providers give it to patients during diabetes planned visits, and it is included in the Diabetes Planned Visit Notebook.

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Your Insulin Regimen

Family Medicine Center of Akron

Time	Type of Insulin	Dose of Insulin	Goal Blood Glucose
Breakfast			Pre-meal Under 120
			1-2 hours After meal <150
Lunch			Pre-meal Under 120
			1-2 hours After meal <150
Supper			Pre-meal Under 120
			1-2 hours After meal <150
Bedtime			Pre-bedtime <140

Sliding Scale Insulin for Hyperglycemia

Time	Blood Glucose	Dose of Regular or Lispro Insulin
Breakfast
	0-60
	61-99
	100-149
	150-199
	200-249
	250-299
	300-349
	350-399
	400 or more Call physician
Lunch
	0-60
	61-99
	100-149
	150-199
	200-249
	250-299
	300-349
	350-399
	400 or more Call physician
Supper
	0-60
	61-99
	100-149
	150-199
	200-249
	250-299
	300-349
	350-399
	400 or more Call physician
Bedtime
	0-60
	61-99
	100-149
	150-199
	200-249
	250-299
	300-349
	350-399
	400 or more Call physician

 

Sliding Scale 1500 Rule for Regular Fall in glucose for each 1 unit increase = 1500 "÷ total daily dose of insulin 1800 Rule for Lispro Fall in glucose for each 1 unit increase = 1800 "÷ total daily dose

Insulin Pharmacology

Type of Insulin	Onset	Peak Effect	Dosing Interval	Consistency
Lispro Humalog	5-15 min	.5-1.5 H	Mealtime	High
Regular Humulin R	30-60 min	2-4 H	20-45 min AC	Moderate
NPH Humulin N	45-180 min	4.5-7 H	BID	Moderate
Lente	1-3 H	6-8 H	BID	Moderate
Ultralente	1-4 H	6-8 H	BID	Low
Glargine Lantus	1.5-2 H	No peak	Daily	High

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