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Long-Acting Insulin Self-Adjustment 3 by 3
Dec 21, 2024
•
Mark Morgan
categories:
pharmacology
endocrinology
This is an insulin adjustment tool.
Long-Acting Insulin Self-Adjustment ("Three By Three")
try the interactive version at //goo.gl/69rRR1
Note: These instructions are designed to help you adjust your own insulin. These instructions only apply for long-acting insulins like Lantus or Levemir and do not apply to NPH, Insulin 70/30, or short-acting insulins like Regular or Humalog.
Your long-acting insulin is
Glargine (brand name is Lantus)
Detemir (brand name is Levemir)
Your dose of long-acting insulin is
units
every morning
every evening
every morning and evening
.
ADJUSTING YOUR OWN INSULIN
1. Check your morning blood sugar everyday prior to eating or drinking anything (fasting).
2. Know your goals! Goal fasting blood sugar less than
.
3. Adjust your long-acting insulin every 3 days as follows:
----------------------------------------
If ALL of your blood sugars greater than
. --> INCREASE by 3 units
If ALL of your blood sugars between
. --> NO CHANGE
If ANY of your blood sugars less than
. --> DECREASE by 3 units
----------------------------------------
4. Tell your medical provider how much insulin you are taking at every office visit.
5. Bring your meter, diary, or log of your blood sugars to every office visit.
References (Hide/Show)
Blonde L, Merilainen M, Karwe V, Raskin P; TITRATE Study Group. (2009) Diabetes Obes Metab. 11(6):623-31.
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