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Insulin Dosing in Type 1 Diabetes

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Insulin Dosing in Type 1 Diabetes, Insulin Dosing in Type I Diabetes

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