Calculation and Dose Distribution for Initial Insulin Management in Pregnancy
Calculation and Dose Distribution for Initial Insulin Management in Pregnancy - Flowchart
«Flowchart»

Total initial insulin dose
(usually not more than 60 units/day to start)
0.7 U/kg at 6–8 weeks
0.8 U/kg at 18–26 weeks
0.9–1.1 U/kg at >26 weeks

Total initial insulin dose
(usually not more than 60 units/day to start)
0.7 U/kg at 6–8 weeks
0.8 U/kg at 18–26 weeks
0.9–1.1 U/kg at >26 weeks

Total initial insulin dose
(usually not more than 60 units/day to start)
0.7 U/kg at 6–8 weeks
0.8 U/kg at 18–26 weeks
0.9–1.1 U/kg at >26 weeks





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1/2 of the total dose in the morning

1/2 of the total dose in the morning

1/2 of the total dose in the morning

1/2 of the total dose in the evening

1/2 of the total dose in the evening

1/2 of the total dose in the evening

2/3 as NPH at breakfast

2/3 as NPH at breakfast

2/3 as NPH at breakfast

1/3 as rapid-acting insulin at breakfast (Humalog or Novolog)

1/3 as rapid-acting insulin at breakfast (Humalog or Novolog)

1/3 as rapid-acting insulin at breakfast

1/2 as NPH at bedtime

1/2 as NPH at bedtime

1/2 as NPH at bedtime

1/2 as rapid-acting insulin at dinner (Humalog or Novolog)

1/2 as rapid-acting insulin at dinner (Humalog or Novolog)

1/2 as rapid-acting insulin at dinner

NPH, neutral protamine hagedorn.

NPH, neutral protamine hagedorn.

NPH, neutral protamine hagedorn.