Dm handout
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An insulin regimen outlines the type and timing of insulin injections needed to manage blood sugar levels over 24 hours. A once a day regimen uses a long-acting insulin at bedtime and provides baseline coverage but does not control post-meal blood sugars. A twice a day split mix regimen uses an NPH insulin in the morning and evening for baseline coverage along with a rapid-acting insulin before meals. A three times a day combination uses NPH before breakfast and dinner with a rapid-acting insulin before each meal. A four times a day multiple dose regimen uses rapid-acting insulin before each meal along with an NPH at bedtime for flexibility and post-meal control.
Dm handout
- 1. Insulin regimens Regimen Type of insulin Comments Once a day single dose Intermediate Or Long acting At bed time One injection should cover noon meal 1 injection will last 24hrs with no peaks and less chance for hypoglycemi a Does not cover postprandial blood sugars Twice a day Split mix dose NPH regular Or NPH rapid Before breakfast, and at dinner 2 injections provide coverage for 24hrs Three times a day Combination of mixed and single dose NPH regular Or NPH rapid Before breakfast and dinner as well as at bed time Three injections provide coverage or 24hrs Particularly during early hours Four times a day Multiple dose Regular or rapid injection Before breakfast, lunch and dinner AND NPH at bed time More flexibility is allowed at meal times and for amount of food intake Good postprandial control Basal bolus Before breakfast, lunch and dinner Long acting once a Four injection srequired per day