NettetResults: A regimen of BIAsp 30 BID, at breakfast and dinner, provides improved PPG control compared with BHI 30 BID, NPH BID, and insulin glargine OD for patients with type 2 diabetes. Fasting plasma glucose (FPG) with BIAsp 30 was not significantly different from FPG with insulin glargine; however, FPG was higher with BIAsp 30 than with NPH. Nettetmeal of the day, pre-meal bolus insulin at each meal or 70/30 premix insulin. DC all oral agents except Metformin. Pre-meal bolus with rapid acting OR regular insulin AND with Lantus (glargine) OR Levemir (detemir) OR NPH insulin A1C greater than 7% with optimal long acting (basal) insulin. 2-4 units of rapid acting or regular insulin SQ at each
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NettetThis transition dose of rapid acting insulin can sometimes be quite large.[br]From our preliminary data, the mean post-drip glucose after a bridging dose of insulin is 106 mg/dl.[br]This method allows the bridging dose to keep up with the early insulin resistant state and the NPH taper the improvement of resistance and beta cell function. Nettet• For all other DM patients 10 units of NPH is an appropriate starting point. If patient is not on basal bolus insulin, use NPH with correction insulin • In patients on basal bolus … easyjoint stained my patio
Comparison of Once- Versus Twice-Daily Administration of Insulin ...
NettetSwitching from BID (twice daily) basal insulin dosing = reduce dose by 20% You have a patient who takes 50 units of NPH insulin twice daily. You switch him to Lantus (glargine) once daily. So 50+50=100 x 0.8 = 80 units of Lantus (glargine) once daily This was originally part of the Lantus monograph. When NettetNPH Human Insulin which has an onset of insulin effect of 1 to 2 hours, a peak effect of 4 to 6 hours, and duration of action of more than 12 hours. Very small doses will have an earlier peak effect and shorter duration of action, while higher doses will have a longer time to peak effect and prolonged duration. easy joists price list