Basal-Bolus Insulin



Basal-Bolus Insulin

Multiple Daily Subcutaneous Injections

(Non-ICU Protocol)

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What is Basal Insulin?

Basal insulin is long-acting and maintains steady, continuous level of insulin during the day and night resulting in better control when no food is eaten at bedtime. Basal insulin is 40-50% of Total Daily Dose (TDD).

Per Basal Bolus Insulin: Non ICU Protocol, Basal Insulin may be ordered as:

Basal Insulin: Glargine (Lantus): ____ units SubQ at bedtime. Contact physician prior to administration if blood glucose is less than 70.

Basal Bolus can be given at any time of the day; it just has to be administered at the same time each day. Per the Garden City Hospital Basal Bolus Insulin: Non-ICU Protocol, basal insulin is scheduled at bedtime.

What is Bolus Insulin?

Bolus insulin is short-acting insulin to cover nutritional needs.

• Nutritional Insulin (50-60% of Total Daily Dose) to cover patients eating meals, tube feeding, or TPN.

• Correction Dose Insulin to be administered in addition to scheduled nutritional insulin dose to correct hyperglycemia (May be used alone to establish Total Daily Dose)

How is Nutritional Insulin Administered?

If the patient is eating meals or receiving bolus tube feedings, the blood glucose would be checked AC and HS before insulin is administered. Per Basal Bolus Non ICU Protocol, administer Novolog (insulin aspart) at breakfast, lunch, and dinner as ordered by the physician.

o Administer Novolog when the food tray is present.

o Do not administer Novolog if the patient is not receiving a meal or bolus tube feedings.

o Do not administer if the patients blood glucose is ................
................

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