How do you split insulin doses?

If you have a fatty meal it might be worth splitting your insulin dose. This would mean calculating how much insulin you need for your meal and giving ½ of the insulin with your meal and the remaining ½ 90 minutes- 2 hours after your meal.

How do you adjust insulin?

Adjust insulin dose by 5\% to 10\% per week or 1 or 2 units at a time to prevent hypoglycemia. 3. Adjust one insulin at a time. Begin with the insulin that will correct the first problem blood glucose of the day.

What are two reasons that bolus doses would be added to basal doses?

One of the main advantages of a basal-bolus regimen is that it allows you to fairly closely match how your own body would release insulin if it was able to. A second advantage of a basal-bolus regimen is that it allows for flexibility as to when meals are taken.

Which insulin do you draw up first?

When you mix regular insulin with another type of insulin, always draw the regular insulin into the syringe first. When you mix two types of insulins other than regular insulin, it does not matter in what order you draw them into the syringe.

When should you split insulin doses?

Maximum Doses are “Expert Opinion” At Best “Volumes greater than 0.5 mL (50 units of U-100 insulin) should be split and injected in separate areas to facilitate absorption” (http://www.aafp.org/afp/2004/0801/p489.html.

When do you split long acting insulin?

When basal insulin is injected twice daily, it is reasonable to split the doses evenly and take them approximately 12 hours apart. Taking more in the evening and less in the morning does not usually produce a desired “peak” at any particular time.

How long do you have to wait between shots of insulin?

With regular insulin, you inject the insulin and then wait 30 to 60 minutes before eating.

Can you mix basal and bolus insulin?

A basal-bolus insulin regimen involves a person with diabetes taking both basal and bolus insulin throughout the day. It offers people a way to control their blood sugar levels without needing to eat meals at specific times each day and helps them achieve similar blood sugar levels to people who do not have diabetes.

When do you add bolus insulin to basal?

Bolus insulin should be added to basal insulin if fasting glucose goals are met but postprandial goals are not. When blood glucose levels are above predefined targets, additional short-acting insulin may be added to the bolus dose before meals.

How is long-acting insulin split?

How do you use mixed insulin?

Novolog Mix 70/30 is injected under the skin of the upper arm, upper leg, abdomen, or buttocks, usually within 15 minutes before a meal. As with any insulin injection, the site of injection should be rotated for each dose.

Can I split my lantus the next day if I forget to take it the night before?

Missed dose If you miss a dose of Lantus, take it as soon as you remember. However, if it’s the next day or almost time for your next dose, skip the missed dose and take your next dose at the regular time. You should not take more than one dose at once or double your dose of Lantus to “make up” for the missed dose.

Can I give my basal insulin injections once a day?

Giving a basal dose of Lantus or Levemir entails giving one dose every 24 hours or as many wisely do it, 2 half-doses spread apart by 12 hours. This is called, “splitting” the dose. For years I gave my basal insulin injection once a day because I thought, “I will not be bothered to remember another set injection time”.

What is the difference between basal insulin and bolus insulin?

The basal or background insulin dose usually is constant from day to day. The other 50-60\% of the total daily insulin dose is for carbohydrate coverage (food) and high blood sugar correction. This is called the bolus insulin replacement.

Can splitting high-dose insulin in two sites improve glycemic control?

LISBON — Splitting high-dose insulin and injecting it in two sites may lead to significant improvements in glycemic control for severely insulin-resistant patients with type 2 diabetes in geographic regions where a U500 insulin preparation is not available.

How to calculate the carbohydrate coverage of insulin dose?

First, you have to calculate the carbohydrate coverage insulin dose using this formula: CHO insulin dose = Total grams of CHO in the meal ÷ grams of CHO disposed by 1 unit of insulin