Basal Insulin Patient Is Converting to | Insulin Glargine 100 U/mL | Insulin Detemir | LY2963016 (Insulin Glargine 100 U/mL Alternative) | Insulin Glargine 300 U/mL | Insulin Degludec 100 U/mL or 200 U/mL |
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Starting dose for insulin-naïve patients with T2D | 10 units (or 0.2 units per kg body weight) once daily | 10 units (or 0.1 to 0.2 units per kg body weight) once daily in the evening or twice daily | 0.2 units per kg body weight or up to 10 units once daily | 0.2 units per kg body weight | 10 units once daily |
Conversion ratio from other basal insulin treatments | 1:1 for once daily NPH | 1:1 for NPH or insulin glargine | 1:1 for insulin glargine 100 units/mL | 1:1 for once daily, long- or intermediate-acting basal insulin | 1:1 for once daily basal insulin |
80% for twice daily NPH | 80% for insulin glargine 300 units/mL or twice daily NPH | 80% of daily NPH | |||
Titration recommendations* | Adjustments should be made according to blood glucose measurements | Adjustments should be made according to blood glucose measurements | Titrate based on metabolic needs, blood glucose measurements, and glycemic control goal | 3 to 4 days between dose increases | Adjust and titrate over 3 to 4 days |
Decrease 2 units if below FPG goal, 0 units if within FPG goal, and increase 2 units if above FPG goal | Should be individualized to patient needs and FPG goals |
↵* These should be individualized to patient needs.
FPG, fasting plasma glucose; T2D, type 2 diabetes.