Dose titration at home during covid 19

• STEP 1

  Record your fasting blood glucose

• STEP 2

  Check the reading and dose in the table below

• STEP 3

  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

Example:
Current Basal Insulin dose: 18 U | Current fasting glucose: 155 mg/dL
New Basal insulin dose: 18+2 = 20 U

References:
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.