Suggested starting doses of basal insulin (glargine or detemir) for hospitalized patients
| Type of diabetes | Insulin dose (U/kg/day) | ||||
|---|---|---|---|---|---|
| Normal renal function | GFR 10-50 mL/min | GFR <10 mL/min | Age > 70 | Body mass index < 19 kg/m2 | |
| Type 1 | 0.2 | 0.15 | 0.1 | 0.15 | 0.15 |
| Type 2 | 0.25 | 0.15 | 0.1 | 0.15 | 0.15 |
NOTE: For patients who are eating, give an equivalent amount as short-acting insulin (eg, for a 100-kg patient with a GFR of 30 mL/min, give 15 units basal once per day and 5 units short-acting insulin with each meal).