Satyendra Dhar, MD @DharSaty · 4 years ago
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Estimating the Total Daily Dose (TDD) of Insulin: Weight-Based Dosing TDD in units of insulin = N
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Estimating the Total Daily Dose (TDD) of Insulin: Weight-Based Dosing
TDD in units of insulin = N x Patient's weight in Kg
 • Insulin Sensitive (N=0.3): Lean or malnourished patients. elderly, chronic kidney disease (stage IV or V CKD) or insulin naive
 • Moderate Insulin Sensitive (N=0.4): Patients without clear features of insulin sensitivity or resistance, including most type 1 diabetics
 • Insulin Resistant (N=0.5-1): Obese, infected/inflamed. post-surgical stress, glucocorticoids, or combination of above, including most 2 diabetics
Steps to Follow:
1. Calculate TDD
2. Administer approximately 1/2 as Basal (Long-acting) and 1/2 with meals
3. Target pre-meal Blood Glucose < 140 and random Blood Glucose < 180 in non-ICU patients
4. Add sliding scale insulin for Elevated FSBS (finger stick blood sugar)

Satyendra Dhar, MD @DharSaty

#TDD #Insulin #dosing #estimation #Weight #Based #pharmacology #endocrinology #diabetes #DM2
Satyendra Dhar, MD @DharSaty · 4 years ago
Hospital Medicine Clinical Assistant Professor The content and images on this website are provided for educational and informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. The views expressed are those of the authors and do not necessarily reflect those of any affiliated institutions. While efforts are made to ensure accuracy and currency, medical knowledge is continually evolving, and errors or omissions may occur. Users are advised to independently verify information and seek guidance from qualified healthcare professionals for any medical decisions. By using this website, you acknowledge responsibility for your own clinical judgments, and the website and its contributors disclaim any liability arising from the use of its content. 👉 Follow 'Medical Infographics' on 👉 https://www.DharSaty.com
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