Back to Gestational Diabetes| Time Insulin is administred | Insulin Type | Time of blood glucose sample to monitor peak action | Titration procedure |
|---|---|---|---|
| 10:00 pm | NPH | 7:00 am | If fasting glucose is > 100mg/dL add 2 U to 10 pm NPH If fasting glucose is < 60 mg/dL, decrease 10 pm NPH by 2 U |
| 7:30 am | Regular | 10:00 am | If fasting postprandial glucose is> 140 mg/dL, add 2U of regular insulin to 7:30 am dose the following day |
| 7:30 am | NPH | 4:00 pm | If 4:00 pm glucose is 100mg/dL, add 2U to 7:30 am NPH dose If 4:00 pm glucose is < 60 mg/dL decrease 7:30 am NPH by 2U |
| 4:30 pm | regular | 6:00 pm | If 6:00 glucose is >140 mg/dL, add 2U to regular insulin |
From Jovanovic L, Peterson CM: Optimal insulin delivery for pregnant diabetic patient. Diabetes care 5 (suppl 1) : 24, 1982.
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