Table 2.
INSULIN ASPART GLARGINE SUBCUTANEOUS ORDER SETS | |||||
---|---|---|---|---|---|
NPO | Poor PO Intake | Low | Medium | High | |
Indication | Use for short term NPO; If Type 1 Diabetes, must order basal insulin | Use for poor oral intake < 50% of tray | Use for elderly Type 1 Diabetes Lean body type Renal insufficiency; pancreatectomy |
Use for average body size | Use for obesity; taking steroids |
Glargine | None | 0.1 unit/kg | 0.15 unit/kg | 0.2 unit/kg | 0.3 unit/kg |
BG frequency | Q 6hours (00,6,12,18) | AC (with meals and bedtime) | AC (with meals and bedtime) | AC (with meals and bedtime) | AC (with meals and bedtime) |
BG | Initial Aspart Doses | ||||
70–100 | 0 units | 0 units | 0 units | 0 units | 2units |
101–150 | 0 units | 0 units | 0 units | 4 units | 6 units |
151–200 | 1 units | 2 units | 3 units | 5 units | 8 units |
201–250 | 2 units | 3 units | 4 units | 6 units | 10 units |
251–300 | 3 units | 4 units | 5 units | 7 units | 12 units |
301–350 | 4 units | 5 units | 6 units | 8 units | 14 units |
351–400 | 5 units | 6 units | 7 units | 9 units | 16 units |
>400 | 6 units | 7 units | 8 units | 10 units | 18 units |
Bedtime BG | Initial Aspart Doses | ||||
250–300 | 0 units | 0 units | 0 units | 4 units | |
301–350 | 2 units | 2 units | 4 units | 6 units | |
351–400 | 3 units | 3 units | 5 units | 8 units | |
>400 | 4 units | 4 units | 6 units | 10 units |