What is the recommended usage and dosage of Ryzodeg (insulin degludec/insulin aspart) for patients with diabetes mellitus?

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Last updated: June 16, 2025View editorial policy

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From the Research

Ryzodeg (insulin degludec/insulin aspart) is recommended for adults with diabetes mellitus as a once or twice daily injection with main meals, with a typical starting dose of 10 units once daily for insulin-naïve type 2 diabetes patients. The dosage and administration of Ryzodeg should be individualized based on the patient's needs, with dose adjustments made according to blood glucose measurements, and increases or decreases of 2-4 units at a time 1.

Key Considerations

  • The insulin degludec component provides basal coverage for approximately 24 hours, while the insulin aspart component covers mealtime glucose excursions 2.
  • Ryzodeg should be administered subcutaneously in the abdomen, upper arm, or thigh, and injection sites should be rotated within the same region to reduce the risk of lipodystrophy 3.
  • Blood glucose monitoring is essential when initiating or adjusting Ryzodeg therapy, and patients should be aware of hypoglycemia risks, especially when changing insulin regimens 4.
  • The efficacy and safety of Ryzodeg have been demonstrated in clinical trials, including a phase 3, randomized, open-label, treat-to-target non-inferiority trial in patients with type 1 diabetes 5.

Administration and Dosage

  • The typical starting dose for insulin-naïve type 2 diabetes patients is 10 units once daily with the main meal.
  • Patients switching from other insulin regimens should start with the same total daily insulin dose.
  • For type 1 diabetes, Ryzodeg should be used in combination with mealtime insulin for other meals, with dosing based on individual needs.
  • Dose adjustments should be made based on blood glucose measurements, with increases or decreases of 2-4 units at a time.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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