Table 3

Algorithm for premixed insulin titration during Ramadan

Fasting/Premeal blood glucoseRecommended action
>16.6 mmol/L (300 mg/dL)Break the fast.
Increase daily insulin dose by 20%.
>10 mmol/L (180 mg/dL)Increase insulin daily dose by 10%.
5.5–10 mmol/L (100–180 mg/dL)No change.
<3.9 mmol/L (70 mg/dL)Break the fast.
Reduce insulin daily dose by 20%.
<2.8 mmol/L (50 mg/dL)Break the fast.
Stop Insulin.
Or reduce insulin daily dose by 30%–40%.