Multiple daily insulin injections

Regimen	Breakfast	Lunch	Dinner	Bedtime
1*	RA + N		RA	N
2^¶	RA	RA	RA	N
3	RA	RA	RA	G or D or De
4	RA + G or D or De	RA	RA
5	RA + G^Δ or D	RA	RA + G^Δ or D

Rapid-acting analog (lispro, aspart, or glulisine) can be replaced with regular insulin.

RA: any rapid-acting analog (lispro, aspart, or glulisine); N: NPH (neutral protamine hagedorn) insulin; G: glargine; D: detemir; De: degludec.
* A small dose of RA may be needed at lunch, depending upon the carbohydrate content of lunch.
¶ If RA is used and there are >4 hours between breakfast and lunch, lunch and dinner, or dinner and bedtime, another regimen should be used.
Δ U-300 insulin glargine is generally not administered twice daily, as it has a flatter and more prolonged duration of action than U-100 insulin glargine.

Graphic 69575 Version 7.0

خرید پکیج

Multiple daily insulin injections