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. 2021 Aug 11;12(9):2545–2556. doi: 10.1007/s13300-021-01130-x

Table 2.

Insulin dose adjustment according to presence of pre-meal blood glucose tests and meals

Test/meal conditions according to treatment groups Morning Mid-day Evening
Group 70a
 BG test done, meal taken Planned doseb

 ≤ 240 mg/dL: no insulin

 > 240 mg/dL: 2 ×  ICD

Planned dose
 No BG test, meal taken Planned dose No insulin Planned dose
 BG test done, no meal

 < 80 mg/dL: no insulin

 ≥ 80 mg/dL: 3 ×  ICD

 ≤ 240 mg/dL: no insulin

 > 240 mg/dL: 2 ×  ICD

 < 80 mg/dL: no insulin

 ≥ 80 mg/dL: 1 × ICD

 No BG test, no meal 3 × ICD value of 151–180 mg/dL sliding scale range No insulin No insulin
Group NRa
 BG test done, meal taken

N: Planned dose

R: MID

N: ∅

R: ∅ for ≤ 240 mg/dL

ICD for > 240 mg/dL

N: Planned dose

R: MID + ICD

 No BG test, meal taken

N: Planned dose

R: MID

N: ∅

R: ∅

N: Planned dose

R: MID

 BG test done, no meal

N: 1/3 or 1/2 planned dose

R: ICD

N: ∅

R: ∅ for ≤ 240 mg/dL

ICD for > 240 mg/dL

N: ∅

R: ICD

 No BG test, no meal

N: 1/3 or 1/2 planned dose

R: ∅

N: ∅

R: ∅

N: ∅

R: ∅

BG Blood glucose, MID meal insulin dose

aGroup 70 (G70) were treated with the 70/30 insulin formulation; Group NR (GNR) switched to self-mixed Neutral Protamine Hagedorn (NPH) +  regular (R ) insulin

bPlanned dose is defined as the previous dose adjusted, when needed, to have its effect on BG

∅: no insulin