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What is an average dosage of insulin in treatment of type 1 vs type 2 diabetes?

Female
Female
asked May 04, 2011 at 11:19PM in Diabetes
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    answered May 05, 2011 at 05:20PM
    Is there a question? There are protocols which help physicians estimate initial insulin dosages and it is then titrated to improve glycemic control.
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    answered May 19, 2011 at 03:42PM
    Type 2 diabetics frequently (but not universally) require much higher doses of insulin because their problem is caused by insulin resistance.

    A usual starting dose for type 1 diabetics is 1/2 unit/kg per day, split half between long acting (basal) and short acting (bolus) insulin. For a 70 kg person, 35 units a day would therefore be reasonable starting total dose (although titration will need to happen, as mentioned above).

    A type 2 diabetic may be maintained on oral agents such as metformin and have a long acting agent added (if fasting glucoses are elevated), or short acting added if glucoses are elevated during meals. Some very resistant type 2 diabetics require 100 units or more of insulin per day, while others require far less.

    Insulin therapy is very personalized because people require very different amounts.
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