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INSULIN ROUTINE |
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Insulin in Recent Diagnosis
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• With blood glucose monitoring system |
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0 - 2 years: |
NPH: 0.3 U/Kg/day (2xday: 2/3 BB and 1/3 BT) |
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or |
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Glargine: 0.24 U/Kg/day (1xday, BB) |
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or |
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Detemir: 0.3 U/Kg/day (1xday, BB) |
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+ |
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Rapid/Ultra-rapid acting insulin: >250: 1U and each 100 mg/dl |
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½ U, maximum 2 U/ dose (BB, BL and BD) |
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3 - 6 years: |
NPH: 0.3 U/Kg/day (2xday: 2/3 BB and 1/3 BT)
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or |
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Glargine: 0.24 U/Kg/day (1xday, BB) |
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or |
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Detemir: 0.3 U/Kg/day (1xday, BB) |
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+ |
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Rapid/Ultra-rapid acting insulin: >200: 1U and each 50 mg/dl |
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½ U, maximum 3 U/ dose (BB, BL and BD) |
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7 years to puberty: |
NPH: 0.3 U/Kg/day (2xday: 2/3 BB and 1/3 BT or |
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3xday: ½ BB, ¼ BL and ¼ BT) |
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Glargine: 0.24 U/Kg/day (1xday, BB) |
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Detemir: 0.3 U/Kg/day (1xday, BB) |
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Rápida/Ultrarrápida: >150: 1U and each 50 mg/dl ½ U,
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maximum 5 U/ dose (BB, BL and BD) |
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Puberty to |
NPH: 0.5 U/Kg/day (3xday: ½ BB, ¼ BL and ¼ BT) |
adulthood: |
or |
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Glargine: 0.4 U/Kg/day (1xday, BB) |
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or |
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Detemir: 0.5 U/Kg/day (2xday: 2/3 BB and 1/3 BT) |
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+ |
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Rapid/Ultra-rapid acting insulin: >100: 1U and each 50 mg/dl 1U, |
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maximum 8 U/ dose (BB, BL and BD) |
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Note: After the Honeymoon period, doses of rapid or ultra-rapid acting insulin must begin at 70 mg/dl and be adjusted according to postprandial goals.
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Without blood glucose monitoring system |
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0 - 2 years: |
NPH: 0.3 U/Kg/day (2xday: 2/3 BB and 1/3 BT) |
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or |
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Glargine: 0.24 U/Kg/day (1xday, BB) |
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or |
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Detemir: 0.3 U/Kg/day (1xday, BB) |
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3 - 6 years: |
NPH: 0.5 U/Kg/day (2xday: 2/3 BB and 1/3 BT) |
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or |
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Glargine: 0.4 U/Kg/day (1xday, BB) |
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Detemir: 0.5 U/Kg/day (1xday, BB) |
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7 years to puberty: |
NPH: 0.3 U/Kg/day (2xday: 2/3 BB and 1/3 BT or 3xday: |
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½ BB, ¼ BL and ¼ BT) |
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Glargine: 0.4 U/Kg/day (1xday, BB) |
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Detemir: 0.3 U/Kg/day (1xday, BB) |
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Rapid/Ultra-rapid acting insulin: 0.2 U/Kg/day (3xday,BB,
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BL AND BD) |
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Puberty to adulthood: |
NPH: 0.5 U/Kg/day (3xday: ½ BB, ¼ BL and ¼ BT) |
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Glargine: 0.4 U/Kg/day (1xday, BB) |
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or |
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Detemir: 0.5 U/Kg/day (2xday: 2/3 BB and 1/3 BT)
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Rapid/Ultra-rapid acting insulin: 0.2 U/Kg/day (3xday, BB, |
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Insulin in the Honeymoon period |
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At first, keep the same insulin administration schedule and gradually reduce the doses according to glycemic levels.
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If necessary, discontinue one of the insulin doses, initially discontinue the dose before lunch (BL) and gradually reduce the doses bed time |
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(BT) or before dinner (BD) and before breakfast (BB). If necessary, discontinue the insulin dose BT and keep the dose BB at a later moment. |
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Do not completely discontinue the administration of insulin, keep at least 1U BB.
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0 - 2 years: |
Pre-prandial: 100 - 180 mg/dl |
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Post-prandial: < 200 mg/dl |
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Bed time: 120 - 200 mg/dl |
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Late night: >100 mg/dl |
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3 - 6 years: |
Pre-prandial: 90 - 150 mg/dl |
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Post-prandial: < 200 mg/dl |
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Bed time: 100 - 180 mg/dl |
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Late night: >100 mg/dl |
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7 years to puberty:
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Pre-prandial: 70 - 150 mg/dl |
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Post-prandial: < 180 mg/dl |
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Bed time: 100 - 160 mg/dl |
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Late night: > 100 mg/dl |
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Puberty to adulthood: |
Pre-prandial: 70 - 120 mg/dl |
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Post-prandial: < 180 mg/dl |
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Bed time: 80 -150 mg/dl |
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Late night: > 80 mg/dl |
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