5.2.3.0 Type 1 Di­a­betes

For pa­tients with type 1 di­a­betes, dos­ing in­sulin based sole­ly on pre­meal glu­cose lev­els does not ac­count for basal in­sulin re­quirements or caloric in­take, in­creas­ing both hy­po­glycemia and hy­per­glycemia risks. Typ­i­cal­ly, basal in­sulin dos­ing schemes are based on body weight, with some ev­i­dence that pa­tients with renal insufficien­cy should be treat­ed with lower doses (41). An in­sulin reg­i­men with basal and cor­rection com­po­nents is nec­es­sary for all hos­pi­talized pa­tients with type 1 di­a­betes, with the ad­di­tion of pran­di­al in­sulin if the pa­tient is eat­ing.