What Is Basal Plus Insulin Regimen?

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Examples Of Insulin Initiation And Titration Regimens In People With Type 2 Diabetes

Appendix 3 All people starting insulin should be counseled about the recognition, prevention and treatment of hypoglycemia. Consider a change in type or timing of insulin administration if glycemic targets are not being reached. Example A: Basal insulin (Humulin®-N, Lantus®, Levemir®, Novolin®ge NPH) added to oral antihyperglycemic agents • Insulin should be titrated to achieve target fasting BG levels of 4.0 to 7.0 mmol/L. • Individuals can be taught self-titration, or titration may be done in conjunction with a healthcare provider. • Suggested starting dose is 10 units once daily at bedtime. • Suggested titration is 1 unit per day until target is reached. • A lower starting dose, slower titration and higher targets may be considered for elderly or normal weight subjects. • In order to safely titrate insulin, patients must perform SMBG at least once a day fasting. • Insulin dose should not be increased if the individual experiences 2 episodes of hypoglycemia (BG <4.0 mmol/L) in 1 week or any episode of nocturnal hypoglycemia. • For fasting BG levels consistently <5.5 mmol/L, a reduction of 1 to 2 units of insulin may be considered to avoid nocturnal hypoglycemi Continue reading >>

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Popular Questions

  1. Discreet User

    Was at the pharmacy to pick up Testosterone Cypionate and the pharmacist sold me 29 gage insulin pins.
    She assured me that these can be used for Testosterone Cypionate and said these are the only ones they sell.
    I'm concerned that she might be wrong
    Please tell me if these can be used to inject Testosterone Cypionate.
    Thank you.

  2. Discreet User

    Over 40 views and no responses?
    Please help me out.
    The pharmacist was so adamant about this...

  3. fishn4life

    If you're injecting into sites with minimal subQ tissue (typically quads, delts, bi's) they will work, however, there are a couple concerns.
    1) The oil in the test will typically move very slow through a 29g needle making both drawing and injecting slower.
    2) It is better to inject deep into the muscle tissue. 1 1/2" is typical and for shallow sites a 1" is good. With a 29g 1/2" needle you wont get very deep.
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