Obstetrics & Gynecology

Gestational Diabetes Table 2



Initial Calculation of Insulin


7:30 am4:30 pm 10:00 pm
Type
  • NPH
  • Regular
    Total

    • 8/18 I
    4/18 I
    2/3 I

    3/18 I
    1/6 I    		3/18 I


    1/6 I
    I= insulin dosage*
    I=0,7U/Kg, Total 24h requirement for wk 6-18
    I=0,8U/Kg, Total 24h requirement for wk 6-18
    I=0,9U/Kg, Total 24h requirement for wk 6-18
    I=1,0U/Kg, Total 24h requirement for wk 6-18

    * Sliding Scale for irregular insulin dosage:

    7:00 am blood glucose4:30 pm blood glucose
    < 60 = 3/18 I
    60-100 = 4/18 I
    100-140 = 5/18 I
    > 140 = 6/18 I    		< 60 = 2/18I
    60-100 = 3/18 I
    100-140 = 4/18 I
    > 140 = 5/18 I

    Adapted from Jovanovic L, Peterson CM: Optimal insulin delivery for pregnant diabetic patient. Diabetes care 5 (suppl 1) : 24, 1982.


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