Complete dosing information for insulin glargine
Medical guidance required: Dosing information here is for educational purposes. Your healthcare provider will determine the appropriate dose based on your specific condition, kidney function, other medications, and medical history. Never adjust your dose without consulting your doctor or pharmacist.
Type 1 DM (basal-bolus): Typically 30–40% of total daily insulin requirement as glargine; initial: 0.1–0.2 units/kg/day once daily; Type 2 DM (starting insulin): 10 units once daily at same time each day; titrate by 2 units every 3 days to fasting glucose target; Toujeo (300 U/mL): Same unit dose as Lantus initially, but not interchangeable (different concentration); Insulin-naive type 2 DM: 0.1–0.2 units/kg/day; adjust based on fasting blood glucose
Type 1 DM (≥6 years): 0.2–0.4 units/kg/day initially; adjust based on blood glucose monitoring and A1C.
Insulin requirements may decrease with renal impairment (reduced renal insulin clearance). Monitor closely and reduce dose as needed.
Insulin requirements may decrease with hepatic impairment (reduced gluconeogenesis). Monitor closely.