How to determine the initial dose of insulin

Insulin before playing in the beginning, the first thing is to get a decision in the end up playing a number of insulin. Generally speaking, when insulin started to play more than 3 to 4 times a day to breakfast the largest pre-dose, pre-dose followed by dinner, lunch smaller pre-dose method of injection, injection plus bedtime if needed, its the smallest dose.

There are many ways to choose as the beginning of the reference dose:

⑴ choice based on the number of urine: which are generally a plus urine for a few, they should each plus 2 to 3 units before a fight in the appropriate amount of insulin. For example, before lunch for three plus sugar, you can start playing before breakfast from 6 to 10 units of insulin. If the fasting glucose plus three should be the previous day, before dinner or bedtime playing 6 ~ 10 units of insulin;

⑵ insulin according to blood glucose level of play: According to (blood glucose -100) × kg body weight × 6 ÷ 2000 calculated the amount of insulin;

⑶ sulfonylurea hypoglycemic agents per piece All five units of insulin to calculate: if the two eat breakfast before glibenclamide, could be converted to 10 units of insulin;

⑷ decision based on experience of the amount of insulin: blood sugar level can be decided based on three meals a day before the fight in the 8,4,6 or 10,6,8 units of insulin as initial insulin dose, which is a relatively simple and practical to the method. Choice of several ways according to the above-mentioned dose of insulin injections a few days later, again in accordance with the level of glycemic control to be adjusted further.