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Medicines

Basal bolus regimen

A basal bolus regimen is a way of using insulin that copies the body's natural pattern: background (basal) insulin around the clock, plus mealtime and correction (bolus) doses.

Also called
basal-bolus, basal bolus insulin, multiple daily injections, MDI, intensive insulin therapy
Formerly called

What it means

On injections, this usually means one or two long-acting injections (Basal) a day plus a rapid-acting injection with each meal (Bolus), often called multiple daily injections (MDI). An insulin pump gives the same pattern using rapid-acting insulin alone. It is the usual way people living with type 1 diabetes use insulin, and some people living with type 2 diabetes use it too.

It allows flexibility in what and when you eat, because meal doses can be matched to food. Doses are often worked out from an insulin-to-carbohydrate ratio and a correction factor set with your diabetes team. Premixed insulin is a simpler option with less flexibility.

At PDC Health Hub
PDC Health Hub's Credentialled Diabetes Educators support people starting and adjusting insulin.

Sources and clinical review

Clinically reviewed by
Teresa Di Franco
Last reviewed:
November 5, 2026
Next review due:
November 1, 2027

Questions about what this means for you?

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