>75 year old Diabetic >
>I seem to remember this type of patient does well on a single dose of
>Actrapid. Is this so?
Certainly single dose daily yes
but I would choose a longer acting preparation like ultratard... less likely
to go hypo midmorning
go for 0.5 units per kilo then take off 20% for starters and buuild up
according to prebreakfast and pre evening meal sugars. This is normally a bd
regime so I would take off a little bit more initially
i.e 80Kg =40 units - 20% = 32 units (16 units bd ideally) therefore I would
try something like 24 to 28 units (for the weight I've given)
Couldn't quuote you out of a book but it seems to work for me without too
many disasters.
One of my patients (opera singer) has bought himself a continuous infusion
pump ... (£2000) His sugar is noe NEVER outside of 5 to 5.7 Unbelievable He
tells me that a whole range of minor irritating health problems have
improved (mild acne, itchy hands and feet for two...)
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