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INSULIN ROUTINE
       
           
               
 
Insulin in Recent Diagnosis
     
       
   
 
   
       
 
With blood glucose monitoring system
 
 
 
 
 
       
 
0 - 2 years:
NPH: 0.3 U/Kg/day (2xday: 2/3 BB and 1/3 BT)
or
Glargine: 0.24 U/Kg/day (1xday, BB)
or
Detemir: 0.3 U/Kg/day (1xday, BB)
+

Rapid/Ultra-rapid acting insulin: >250: 1U and each 100 mg/dl

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