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Insulin Family intermediate

Basal-Bolus Insulin Regimens

Intensive insulin therapy combining basal insulin analogue with rapid-acting prandial insulin doses.

By Encyclopeptide Editorial | 1 min read
insulin basal-bolus regimen intensive-therapy diabetes

Overview

Basal-bolus therapy is the gold standard for intensive insulin management, providing both fasting and prandial glucose control through separate basal and bolus insulin components.

Regimen Components

Basal Component

  • Purpose: Suppress hepatic glucose output between meals
  • Options: Glargine, degludec, detemir (once or twice daily)

Bolus Component

  • Purpose: Cover postprandial glucose excursions
  • Options: Lispro, aspart, glulisine (before each meal)

Dosing Guidelines

  • Basal: Start 0.2-0.4 U/kg/day, titrate by 2 units every 3 days
  • Bolus: Start 0.1 U/kg per meal, adjust based on carb ratio
  • Total daily dose: 0.5-1.0 U/kg/day

Chemical Identity

PropertyValue
NameBasal-Bolus Insulin Regimens
CategoryInsulin Family

References

  1. Encyclopeptide Database. “Basal-Bolus Insulin Regimens” monograph. encyclopeptide.com.

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