Diabetes Planned Visit Notebook

36.3 Your Insulin Regimen

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.

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
Page last reviewed January 2008
Internet Citation: 36.3 Your Insulin Regimen. January 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/diabnotebk/diabnotebk363.html