This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Initiation and titration of a basal insulin in type 2 diabetes

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Initiation and Titration of insulin:

The most common starting regimen in type 2 diabetes is a single injection, generally at night-time of a basal, long-acting insulin (e.g. insulin glargine, insulin detemir). If adequate control is not achieved using a basal insulin then consider introducing a twice-daily biphasic insulin or a basal-bolus regimen.

A suggested initiation regimen is outlined below (1):

1) Start insulin glargine ten units (usually evening)

2) Measure fasting blood glucose (FBG) in morning

3) Alter insulin dose according to chart below. Increases in glargine are make at weekly intervals - based on the previous weeks' reading

 

FBG (mmol/l) in morning

insulin dose change

<4

reduce insulin immediately to previous dose

4-6

make no change

6-8

increase dose by 2 units

8-10

increase dose by 4 units

>10

increase dose by 6 units

 

Reference:

  1. Doctor (February 13th 2007):46-7.

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.