Insulin dose? units/kg/day
(Enter only for Regimen 1)
Calculated Initial Insulin Regimens
Regimen 1: 2/3 dose in AM 1/3 dose in PM
1/2 hour before breakfast
give
units Regular insulin and
units NPH insulin subcutaneously
1/2 hour before dinner
give
units
Regular insulin and
units NPH insulin subcutaneously.
NPH may be given separately at hour of sleep to avoid early morning
hypoglycemia.
Regimen 2: Mealtime boluses with basal insulin
At breakfast
units
rapid acting analog
subcutaneously
At lunch
units
rapid acting analog
subcutaneously
At dinner
units rapid acting analog
subcutaneously
At bedtime
units
NPH
subcutaneously
REFERENCES
1. Guidelines for Care, California Diabetes and Pregnancy
Program,2002
2. Jovanovic L. Role of diet and insulin treatment of
diabetes in pregnancy. Clin Obstet Gynecol 2000; 43(1): 46-55
All calculations must be confirmed before use. The suggested results are not a substitute for clinical
judgment. Neither OBFocus.com nor any other party involved in the preparation or publication of this site shall be liable for any special, consequential,
or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.
