Premeal blood glucose level, mg/dL (mmol/L)Insulin doseLag timeComments
< 50 (2.8)Decrease by 2 units.Inject during meal.Include at least 10 g of simple carbohydrates in the meal.
50 to 80 (2.8 to 4.4)Decrease by 1 unit.0
80 to 130 (4.4 to 7.2)No change0
130 to 150 (7.2 to 8.3)Increase by 1 unit.0
150 to 200 (8.3 to 11.1)Increase by 2 units.10 minutes
200 to 250 (11.1 to 13.9)Increase by 3 units.15 minutes
250 to 300 (13.9 to 16.7)Increase by 4 units.20 minutesTest for urinary ketones.
300 to 350 (16.7 to 19.4)Increase by 5 units.25 minutesTest for urinary ketones; if levels are moderate or large, increase fluid intake and consider giving additional insulin.