Three Times a Day

This regimen was developed for when it is difficult to use multiple insulin injection regimens because of a reluctance or difficulty in injecting at lunch time at school.  It is only a temporary regimen.  The morning insulin is usually a premixed insulin (NovoMix 30) which covers breakfast and daytime.  A rapid acting insulin analogue (NovoRapid or Humalog) is given with the evening meal and it is important to learn to carbohydrate count to work out the dose of insulin.  A long acting insulin analogue is given in the evening (Glargine or Detemir) and works during the night.

Advantages

• No need to inject at school
• Allows more flexibility with evening meal
• Less likely to get hypos at night
• Can switch to 4 times per day or multiple injections at weekends or holidays.

Disadvantages

• Not as flexible as multiple injections
• Three different insulins used and therefore potential for confusion.