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Insulin Dosing in Type 1 Diabetes
Aka: Insulin Dosing in Type 1 Diabetes, Insulin Dosing in Type I Diabetes
- See Also
- Carbohydrate Counting
- Insulin Dosing
- See Insulin Dosing in Type II Diabetes
- Insulin Adjustment with Carbohydrate Counting
- Dose: Initial Dosing with basal/Bolus Insulin
- Calculate total daily Insulin (TDI) dose
- Ketones moderate or less: 0.5 units/kg/day
- Ketones large: 0.7 units/kg/day
- Divide total Insulin into basal and bolus dosing
- Basal Insulin (long-acting): 50% of total Insulin
- Insulin Glargine (Lantus) once daily (any time) or
- NPH Insulin twice daily
- Bolus Insulin (rapid acting): 50% of total Insulin
- Rapid acting Insulins: Lispro, Aspart
- Regular Insulin may be used instead due to cost
- Divide out equally before meals
- Adjust later for carb count variations at meals
- Example: 60 kg adult with moderate Ketones
- Total Insulin dose: 30 units
- Divide Insulin
- Insulin Glargine (Lantus): 15 units at bedtime
- InsulinLispro: 15 units total divided over meals
- Before breakfast: 5 units
- Before lunch: 5 units
- Before dinner: 5 units
- Dose: Conversion from mixed Insulin (70/30 or 75/25)
- Calculate total Insulin units
- Reduce total Insulin depending of Hemoglobin A1C
- Hemoglobin A1C >9%: Decrease total Insulin by 10%
- Hemoglobin A1C <9%: Decrease total Insulin by 20%
- Divide total Insulin into basal and bolus dosing
- Basal Insulin (long-acting): 50% of total Insulin
- Insulin Glargine (Lantus) once daily or
- NPH Insulin twice daily
- Bolus Insulin (rapid acting): 50% of total Insulin
- Rapid acting Insulins: Lispro, Aspart
- Divide out equally before meals
- Adjust later for carb count variations at meals
- Management: Adjustments
- See Insulin Dosing for adjustment regimen