36.3 Your Insulin Regimen

Diabetes Planned Visit Notebook

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

TimeType of InsulinDose of InsulinGoal 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

TimeBlood GlucoseDose 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 InsulinOnsetPeak EffectDosing IntervalConsistency
Lispro
Humalog
5-15 min.5-1.5 HMealtimeHigh
Regular
Humulin R
30-60 min2-4 H20-45 min ACModerate
NPH
Humulin N
45-180 min4.5-7 HBIDModerate
Lente1-3 H6-8 HBIDModerate
Ultralente1-4 H6-8 HBIDLow
Glargine
Lantus
1.5-2 HNo peakDailyHigh
Page last reviewed January 2008
Internet Citation: 36.3 Your Insulin Regimen: Diabetes Planned Visit Notebook. January 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/diabnotebk/diabnotebk363.html