Table 1 Insulin therapy and feed algorithms for the maintenance of blood glucose and weight gain
Measurements | Adjustments | |||
|---|---|---|---|---|
Blood glucose (mg/dL) | Behavior | Body weight (kg) | Insulin glargine (U) | Food (by weight) |
> Diabetic target range of 120–200 | Normal |  | Base + 0.1 U/kg | No Change |
> Diabetic target range of 120–180 | Lethargic |  | Base + 0.2 U/kg | No Change |
120–200 | Normal |  | Base (0.1–0.3 U/kg) | No Change |
< Diabetic target range of 120–200 | Normal |  | Base (0.1–0.3 U/kg) | Increase 15% |
< Diabetic target range of 120–200 | Lethargic |  | Base (0.1–0.3 U/kg) | Increase 15% |
|  |  | Decrease > 5% in one week | Base + 1 U/kg | Increase 30% |
| Â | Â | Less than target weight gain at weeks 4, 8, 12, 16, 20 | No change | Increase 15% |
|  |  | Increase > 10% in 1 week | No change | Decrease 15% |
| Â | Â | >Â 10% over target weight gain at weeks 4, 8, 12, 16, 20 | No change | Decrease 15% |