A favourite pop-up quiz during round – How to overlap Insulin? (in patient initially started with IVI insulin for DKA)
According to CPG Management of Type 2 DM
Use patient’s body weight, let’s say 60kg
60 kg x 0.5 = 30 unit
30 unit / 2 = 15 unit
15 units for prebed (long acting) insulin e.g. SC insulatard 15 units ON.
15 units daytime insulin (if divided as prebreakfast, prelunch, predinner, each time would be 5 units)
Therefore,
SC insulatard 15 unit ON
SC actrapid 5 unit TDS
