IMPORTANCE OF DOSE TITRATION AT HOME

Achieving target glycaemic control is essential in people with diabetes to minimize the risk of long-term complications.

Basal insulin allows a simple and safe dose titration

Important steps to follow

  • How to check blood sugar STEP 1

    Record your Fasting blood glucose

  • How to check blood sugar STEP 2

    Check the reading and dose in the table below

  • How to check blood sugar 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>

  • 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

Consult your doctor for any queries

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.