Guidelines for Patient Self-Adjustment of Evening Insulin

CLINICAL DIABETES
VOL. 17 NO. 3 1999

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PATIENT INFORMATION

Begin with a dose of _____ units of NPH insulin administered just before bedtime.

If your pre-breakfast blood glucose level is greater than 140 mg/dl for 3 days in a row, then increase your evening NPH insulin dose by _____.

If your pre-breakfast blood glucose level is less than 100 mg/dl for 2 days in a row, then decrease the evening NPH insulin by _____ units.

Remember to not increase your insulin dose more frequently than every 3 days.

If you have any questions, please call me at _____________________________________________________.

_____________________________________________________
Physician's name

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