If taking insulin with sulfonylureas (SU) | Consider stopping SU. |

For any insulin | Try to titrate and establish dose to achieve adequate glycemic control prior to start of Ramadan and then adjust dose during Ramadan accordingly. |

**Basal insulin** | |

Once a day | Take with Iftaar meal, but consider a 20% reduction from usual dose. |

Twice a day | Take the usual morning dose with Iftaar meal and 50% of the usual evening dose for Suhoor meal. |

**Rapid-acting analogues** | Take the usual morning dose with Iftaar meal, skip the usual lunch time dose and take 50% of the usual evening dose for Suhoor meal if required. |

**Premixed insulins** | Take the usual morning dose with Iftaar meal and 50% of the usual evening dose for Suhoor meal. Skip the usual lunch time dose if on three times a day regimen. |