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Dr Geraint Preest, Clinical Section Editor at BMJ OnExamination, gives you some hints and tips for Basal Bolus Insulin Doses.
The Royal College of General Practitioners has advised that in previous sittings of the AKT, there has been a lack of familiarity with basal bolus regimes.
In their feedback in the April 2016 AKT exam, the Royal College of General Practitioners sited Insulin Basal Bolus Regimes as an area of weakness. We thought it may be useful to go through a few tips and explain to you how to work this out.
Now Basal Bolus Regimes are useful for people who need flexibility in their dosing and it’s used in Type 1 Diabetes primarily. The way you work out your Basal Bolus Regime, is firstly to work out the total daily insulin requirement. I’ll give an example of 100 units. You then reduce this by 20%, which goes down to 80 units. You divide the 80 units by 50% as a basal insulin regime, so 40 units is a basal regime. Then you divide the remaining 50% into three meals. You could do those as rapid acting insulin, say 12-14 units of insulin.
If you would like to learn more about this there are lots of references available online, for example the Leicestershire Diabetes resource.
Leicestershire Diabetes resource (External Site)