INSULIN DOSING



























Reference [12]
Fasting blood sugar (mg/dl)
average over 3 days
Adjustment to basal insulin dose
(units of insulin)
≥ 180 add 8 units
160 - 179 add 6 units
140 - 159 add 4 units
120 - 139 add 2 units
100 - 119 add 1 unit
80 - 99 no change
60 - 79 subtract 2 units
< 60 subtract 4 or more units



Reference [12]
  • If pre-lunch average is not in desired range, adjust pre-breakfast dose
  • If pre-dinner average is not in desired range, adjust pre-lunch dose
  • If pre-bedtime snack average is not in desired range, adjust pre-dinner dose
Premeal blood sugar (mg/dl)
average over 3 days
Adjustment to premeal insulin dose
≥ 180 add 3 units
160 - 179 add 2 units
140 - 159 add 2 units
120 - 139 add 1 units
100 - 119 maintain dose (desired range)
80 - 99 subtract 1 unit
60 - 79 subtract 2 units
< 60 subtract 4 or more units

















Blood sugar (mg/dl) Insulin dose in
units of rapid or short-acting
< 150 0
150 - 200 2
201 - 250 4
251 - 300 6
301 - 350 8
351 - 400 10
401 - 450 12
> 450 14