Achieving target glycaemic control is essential in people with diabetes to minimize the risk of long-term complications.
Record your fasting blood glucose
Check the reading and dose in the table below
Adjust your Basal insulin dose by adding the recommended units to your existing Basal insulin dose
FPG (mg/dL) (mean of the three most recent values
Recommended dose adjustment (once or twice a week)
< 80 mg/dL (4.4 mmol/L)
Reduce dose by 2 units
80-130 mg/dL (4.4-7.2 mmol/L)
No dose modification
131-160 mg/dL (7.27-8.9 mmol/L)
Increase dose by 2 units
161-180 mg/dL (8.94-10.0 mmol/L)
Increase dose by 4 units
> 80 mg/dL (>10.0 mmol/L)
Increase dose by 6 units
Current Basal Insulin dose: 18 U | Current fasting glucose: 155 mg/dL
New Basal insulin dose: 18+2 = 20 U
Bajaj, S., Das, A.K., Kalra, S. et al. BE-SMART (Basal Early Strategies to Maximize HbA1c Reduction with Oral Therapy): Expert Opinion. Diabetes Ther 10,
1189-1204 (2019). https://doi.org/10.1007/s13300-019-0629-z.
FPG: Fasting Plasma Glucose.
BE-SMART - Basal Early Strategies to Maximize HbA1c Reduction with Oral Therapy.