Forwarded from Suleiman
Weight-based NPH insulin regimen [35]
Convert glucocorticoid to equivalent prednisone dose (see “Glucocorticoids”).
Calculate daily NPH dose based on prednisone dose equivalent and patient weight.
Administer glucocorticoid with NPH as a single dose in the morning.
Prednisone dose equivalent (mg/day)NPH (units/kg/day)100.1200.2300.3≥ 400.4
NPH doses should be administered in addition to usual basal insulin in patients who are already receiving insulin.
Consider using glargine or detemir in patients receiving dexamethasone. Dexamethasone has a longer hyperglycemic effect than prednisone and most other commonly used systemic glucocorticoids.
Convert glucocorticoid to equivalent prednisone dose (see “Glucocorticoids”).
Calculate daily NPH dose based on prednisone dose equivalent and patient weight.
Administer glucocorticoid with NPH as a single dose in the morning.
Prednisone dose equivalent (mg/day)NPH (units/kg/day)100.1200.2300.3≥ 400.4
NPH doses should be administered in addition to usual basal insulin in patients who are already receiving insulin.
Consider using glargine or detemir in patients receiving dexamethasone. Dexamethasone has a longer hyperglycemic effect than prednisone and most other commonly used systemic glucocorticoids.
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