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TITRATE: Teach patient to self titrate ↑ by 2 units every 2-3 days until average fasting glucose < 130*6,7,8,13,14,30,32. (*Inform patient to hold titration until further evaluation if develops any hypoglycemia) or Titrate 1-2 times per week such as per table below until average fasting glucose < 1306,19.
Insulin titration every 2 3 days to reach glycemic goal: Increase prandial dose by 10% or 1-2 units if 2-h postprandial or next premeal glucose consistently >140 mg/dL
1 maj 2019 · A number of titration algorithms have been evaluated that aim to simplify insulin titration and enable patient empowerment through self-titration to effectively participate in the management of their disease (4,39–42), the details of which are summarized in Table 1.
•Current Meds: metformin, saxagliptin, insulin detemir 36 units HS •A1C: 8.1%, anti-GAD negative, eGFR >60 ml/min/1.73m •BG pattern: fasting average 142 mg/dL, post-meal average 207 mg/dL, no hypoglycemia •Patient/Provider Goals: avoid complications, facilitate weight loss, dosing simplicity
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.
1 paź 2019 · Once-weekly insulin degludec dose titration algorithms based on a single prebreakfast blood glucose value or on three consecutive values showed similar effectiveness in reducing A1C and FPG .
Tips for insulin titration. Blood glucose (BG) monitoring is needed to help identify the efficacy of treatment in diabetes. Monitor blood glucose according to individual need. Measurement of blood glucose before meals and two hours following a meal can provide important information to adjust insulin.
