Building Competency in Diabetes Education THE ESSENTIALS

BASAL-BOLUS INSULIN THERAPY | 12-26

Modified basal-bolus insulin inject ions using three inject ions/day Modified BBI is used in some clinical settings. Below are the calculations for this regimen.

Figure 6. Modified BBI using three injections/day

• Type o Intermediate-acting or long-acting basal analogue insulin and rapid/short-acting insulin. • Timing o Intermediate/long-acting basal analogue and rapid/short-acting before breakfast; rapid/short-acting before supper; intermediate/long-acting at bedtime. • Dosage o Because this is a modified BBI regimen, insulin dose calculations are done differently from BBI. The breakdown may be as follows. Of the total calculated daily insulin requirement, two-thirds is given as intermediate- or long-acting basal analogue insulin and one-third as rapid/short-acting insulin. Approximately two-