Insulin Regimens for GDM and Pregnancy in Patients With Type 2 Diabetes
| Regimen . | Dose . |
|---|---|
| Weight-based dosing (10) | 0.7–1 units/kg daily in divided doses (no additional recommendations are provided) |
| Trimester + weight-based dosing | 1st trimester TDD: 0.7 units/kg 2nd trimester TDD: 0.8 units/kg 3rd trimester TDD: 0.9–1 units/kg |
| 2/3 of TDD given in the morning: • 1/3 insulin aspart or lispro with breakfast • 2/3 NPH 1/3 of TDD given in the evening: • 1/2 insulin aspart or lispro with dinner • 1/2 NPH before bed | |
| One-dose-for-all regimen | NPH: 20 units in the morning and 20 units at bedtime Insulin aspart or lispro: 10 units at breakfast and 10 units at dinner |
| Regimen . | Dose . |
|---|---|
| Weight-based dosing (10) | 0.7–1 units/kg daily in divided doses (no additional recommendations are provided) |
| Trimester + weight-based dosing | 1st trimester TDD: 0.7 units/kg 2nd trimester TDD: 0.8 units/kg 3rd trimester TDD: 0.9–1 units/kg |
| 2/3 of TDD given in the morning: • 1/3 insulin aspart or lispro with breakfast • 2/3 NPH 1/3 of TDD given in the evening: • 1/2 insulin aspart or lispro with dinner • 1/2 NPH before bed | |
| One-dose-for-all regimen | NPH: 20 units in the morning and 20 units at bedtime Insulin aspart or lispro: 10 units at breakfast and 10 units at dinner |
TDD, total daily dose.