How do you adjust Lantus insulin?
Adjust Insulin dose every 3 days until BG < 130 150-250 Increase AM Regular dose by 2 units. Greater than 250 Increase AM Regular dose by 4 units. PM dose = 1/3 of total daily dose given as custom-mix: 1/2 Regular before supper (PM) and 1/2 NPH at bedtime (HS). 150-250 Increase PM Regular dose by 2 units.
When should I adjust my Lantus?
When To Change Your Basal Insulin Dose (Lantus®) If you find a pattern that your blood glucose is above or below target range before breakfast, you may want to change your basal insulin. Changing your basal insulin will help keep your blood glucose in target range during the night.
How much does each unit of Lantus lower blood sugar?
One unit of insulin should cause your blood sugar level to drop 30 to 50 mg per dL, but you may need more insulin to get the same effect.
How is insulin adjustment calculated?
The amount blood glucose is lowered by the injection of 1 unit of insulin is called the insulin sensitivity factor (also known as the correction factor) , and is calculated by dividing the constant 1700 by the Total Daily Dose (TDD) of rapid acting insulin or dividing the constant 1500 by the Total Daily Dose of …
How do you switch between insulins?
When switching from an intermediate-acting to a once a day long-acting insulin, add up the total amount of intermediate-acting insulin units for one day, and give it as a single long-acting insulin dose once a day.
How do you adjust basal insulin?
If your blood glucose remains within 30 mg/dl from bedtime to wake-up time, your basal dose is probably OK. If it rises more than 30 mg/dl, increase your basal insulin dose by 10% and repeat the test. If it drops by more than 30 mg/dl, decrease your basal insulin by 10% and repeat the test.
How many units of Lantus is normal?
The usual starting dose of Lantus for people with type 2 diabetes is 0.2 units/kg. (There are about 2.2 lb/kg.) The maximum starting dose of Lantus is 10 units a day. Lantus is typically taken once a day, not twice a day.
How much insulin should I take if my blood sugar is 500?
Thus: 500 ÷ total daily dose = the number of grams of carbs covered by 1 unit of rapid-acting insulin. If your total daily dose was 50, this would give you the following calculation: 500 ÷ 50 = 10. This would mean that 10 grams of carbs would require 1 unit of insulin, giving you the ratio of 1:10.
What is the 500 rule in diabetes?
Use the 500 Rule to estimate insulin-to-carb ratio: 500/TDD = number of carb grams covered by a unit of insulin. Example: 500/50=10; 1unit of insulin will cover about 10 grams of carbohydrate.
What is the sliding scale for insulin?
The term “sliding scale” refers to the progressive increase in pre-meal or nighttime insulin doses. The term “sliding scale” refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. Sliding scale insulin regimens approximate daily insulin requirements.
Can I put insulin back in the fridge?
Insulins Unused (unopened) insulin vials, devices, or cartridges inadvertently left at room temperature can be returned to refrigeration but must be used within designated days of initially being stored at room temperature (see Tables 1 and 2).
Why is Lantus given at night?
Lantus is designed to give a steady level of insulin over 24 hours, even when you are not eating such as between meals and overnight. This helps keep blood glucose levels consistent during the day and at night.