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Insulin Detemir Dosage

Medically reviewed by Drugs.com. Last updated on Mar 27, 2023.

Applies to the following strengths: 100 units/mL

Usual Adult Dose for Diabetes Type 1

Dose should be individualized based on clinical response; this basal insulin should be used in regimens with short-acting insulin

Initial dose: One-third the total daily insulin requirement subcutaneously once a day or in divided doses twice a day

Maintenance dose: Adjust according to metabolic needs, blood glucose measurements, and glycemic goals

Conversion from Other Insulin Therapies: Insulin glargine and NPH insulin can be converted on a unit to unit basis; closely monitor blood glucose during the transition and in the initial weeks thereafter, the dose and frequency of short-acting insulin may need to be adjusted.

Comments:

Use: To improve glycemic control in patients with type 1 diabetes mellitus.

Usual Adult Dose for Diabetes Type 2

Dose should be individualized based on clinical response


Conversion from Other Insulin Therapies: Insulin glargine and NPH insulin can be converted on a unit to unit basis; however, some patients may require more insulin detemir than NPH insulin.

Comments:

Use: To improve glycemic control in patients with type 2 diabetes mellitus.

Usual Pediatric Dose for Diabetes Type 1

Age: 2 years or older:


Initial dose: One-third the total daily insulin requirement subcutaneously once a day or in divided doses twice a day
Maintenance dose: Adjust according to metabolic needs, blood glucose measurements, and glycemic goals

Conversion from Other Insulin Therapies: Insulin glargine and NPH insulin can be converted on a unit to unit basis; closely monitor blood glucose during the transition and in the initial weeks thereafter, the dose and frequency of short-acting insulin may need to be adjusted.

Comments:

Use: To improve glycemic control in pediatric patients 2 years or older with type 1 diabetes mellitus.

Renal Dose Adjustments

Use with caution; frequent glucose monitoring and insulin dose adjustments may be required

Liver Dose Adjustments

Use with caution; frequent glucose monitoring and insulin dose adjustments may be required

Dose Adjustments


Supplemental doses may be prescribed during illness
Patients with type 2 diabetes receiving oral medications may be switched to insulin therapy temporarily.

Dosage adjustments may be required when the brand, type, or species of insulin is changed; oral antidiabetic treatment may need to be adjusted as well.

Precautions

Safety and efficacy have not been established in patients younger than 2 years.
Safety and efficacy in patients with type 2 diabetes mellitus have not been established in patients younger than 18 years.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:


Storage requirements:

General:

Monitoring:

Patient advice:

Frequently asked questions

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.