Fasting blood glucose levels for 3 consecutive daysAdjustment of basal insulin dose (units)Premeal or bedtime blood glucose levels for 3 consecutive daysAdjustment of rapid-acting insulin dose (units)


Titration schedule for basal insulin*Titration schedule for rapid-acting insulin
> 180 mg per dL (10.0 mmol per L)8> 180 mg per dL3
160 to 180 mg per dL (8.9 to 10.0 mmol per L)6140 to 180 mg per dL2
140 to 159 mg per dL (7.8 to 8.8 mmol per L)4120 to 139 mg per dL1
120 to 139 mg per dL (6.7 to 7.7 mmol per L)2100 to 119 mg per dLMaintain dose
100 to 119 mg per dL (5.6 to 6.6 mmol per L)180 to 99 mg per dL−1
80 to 99 mg per dL (4.4 to 5.5 mmol per L)Maintain dose60 to 79 mg per dL−2
60 to 79 mg per dL (3.3 to 4.4 mmol per L)−2< 60 mg per dL−4
< 60 mg per dL (3.3. mmol per L)−4
Fasting blood glucose levels for 3 consecutive daysAdjustment of predinner dose (units)Predinner blood glucose levels for 3 consecutive daysAdjustment of prebreakfast insulin dose (units)

Titration schedule for premixed insulins
> 180 mg per dL6> 180 mg per dL6
141 to 180 mg per dL (7.8 to 10.0 mmol per L)4141 to 180 mg per dL4
111 to 140 mg per dL (6.2 per 7.8 mmol per L)2111 to 140 mg per dL2
80 to 110 mg per dL (4.4 to 6.1 mmol per L)Maintain dose80 to 110 mg per dLMaintain dose
60 to 79 mg per dL−260 to 79 mg per dL−2
< 60 mg per dL−4< 60 mg per dL−4