Analysis of insulin doses of Chinese type 2 diabetic patients with intensive insulin treatment

Abstract

Background: To investigate the daily insulin doses and the ratio of basal insulin to total daily insulin in Chinese type 2 diabetic patients who received basal bolus insulin therapy. Methodology/Principal Findings: Totally 2480 patients prescribed with pre-meal bolus insulin and bedtime basal insulin were included. The mean daily insulin doses was 38.22±14.92 IU/day, the mean daily insulin doses per weight was 0.58±0.22 IU/kg, the mean bolus insulin dose was 0.44±0.17 IU/kg and the mean basal insulin dose was 0.13±0.08 IU/kg. The mean basal/total daily insulin ratio (BD/TDD) was 0.23±0.08. In most patients (47.94%), the BD/TDD was between 0.20 and 0.30. Diabetic duration, BMI, HbA1c, fasting and postprandial blood glucose level were positively associated with daily insulin dose, while age was negatively associated with daily insulin dose. Diabetic duration, BMI, HbA1c, fasting blood glucose level, and using metformin were positively associated with BD/TDD ratio, while age, postprandial C peptide, postprandial blood glucose level and CRE level were negatively associated with BD/TDD ratio. Conclusions/Significance: The daily insulin doses of intensive treatment in Chinese type 2 diabetic patients was 38.22 IU/day, the mean daily insulin doses per weight was 0.58 IU/kg, mean BD/TDD ratio was 0.23. © 2012 Cai et al.