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. 2021 Mar 22;14:1315–1327. doi: 10.2147/DMSO.S297913

Table 2.

Fasting Blood Glucose Based Dosage Titration Protocol

Fasting Capillary Glucose (mmol/L) Glargine Dose Adjustment (U)a
≤2.8 −6 (if total dose > 45 U, reduce 15%), contact the investigator as a emergency problems
2.9–3.8 −4 (if total dose > 45 U, reduce 10%)
3.9–4.3 −2 (if total dose > 45 U, reduce 5%)
4.4–6.1 0
6.2–7.8 +2
7.9–9.9 +4
≥10 +6

Notes: aDose should be adjusted every 3–4 days to achieve a target range for fasting capillary glucose of 4.4–6.1mmol/L. Change in insulin dose were based on the median of fasting capillary glucose values measured on 3 consecutive days of which the last is the day when titration is to occur.