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4-T Insulin Titration Algorithm. Prior to each visit and telephone contact patients are asked to perform three self-measured capillary glucose profiles, before breakfast and the evening...
May consider self titrating basal insulin by increasing dose 1 unit every day until average fasting glucose is < 130, if that is easier for the patient to understand. Self titration of small doses may be easiest for patients using insulin pens.
1 paź 2019 · A pooled analysis of six clinical trials showed that, in patients with optimized basal insulin therapy, elevated A1C (≥7.0%) with fasting glucose levels <130 mg/dL indicates a need to intensify therapy for PPG excursions to improve glycemic control rather than continue basal insulin titration (49).
1 maj 2019 · Real-world data collection regarding titration algorithms for insulin glargine in patients with type 2 diabetes mellitus.
14 paź 2022 · By using individualized meal sizes (i.e., small, usual, and large) in conjunction with immediate and retrospective glucose data, the insulin titration algorithm outlined above provides a simple, holistic approach that facilitates simultaneous adjustments of mealtime and basal insulin doses.
2. Titrate slowly over 1-2 weeks (500 mg increments and always with food) 3. Use of extended release highly recommended 4. Continue full dosing if GFR > 45 cc/min 5. Reduce to 500 mg BID if GFR 30-45 cc/min 6. STOP Metformin if GFR less than 30 Metformin Monotherapy
Updated 08/2016. 1 Basic Guidelines - Insulin Adjustment for Multiple Daily Injection Regimens. Insulin adjustment for hyperglycaemia (Blood Glucose (BG) > 10mmol/L) THINK . The recommended target BG level in in-patients with diabetes is 6-10 mmol/L with 4-12 mmol/L being acceptable (Joint British Diabetes Society)
