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DM1

Diabetes Information

QuestionAnswer
How should Lantus be initiated in Type 1 diabetes? 0.5-1U/kg/day (onset 1h) Use approximately 1/3 of the total daily insulin requirements. Short acting, premeal insulin should be used for the remainder of the requirements.
How should Lantus be initiated in insulin naive Type 2 diabetes? Starting dose is 10 units (or 0.2 U/kg) once daily, then increase by 1u/day until FPG <100mg/dL
How should Lantus be converted if using once daily NPH insulin? Recommended initial Lantus dose is the SAME as the dose of NPH that is being discontinued.
How should Lantus be converted if using twice daily NPH insulin to once daily Lantus? Use 80% of total NPH dose that is being discontinued. (This will lower the chance of hypoglycemia.)
How is Lantus available? 10ml vial (1000U/10ml) 3ml Cartridge system OptiClik (300U/3ml) 3ml SoloStar disposable insulin device
What is Lantus? LANTUS®, a basal insulin analog, is slowly released over 24 hours. It is given once daily at the same time each day.
When should Apidra be given? Administer within 15 minutes before a meal or within 20 minutes after starting a meal. Use in a regimen with an intermediate or long-acting insulin.
How is APIDRA 100 units/mL (U-100) available? • 10 mL vials • 3 mL cartridge system for use in OptiClik ® (Insulin Delivery Device) • 3 mL SoloStar® prefilled pen
How is Apidra dosed? Add prandial insulin in a stepwise fashion, starting with 1 dose at the largest meal. Start with 4U, then every 3D, increase by 2U until PPBG in range (<180mg/dL 2h post meal.
Created by: sun123
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