Insulin Pattern Management

Question 1

Insulin adjustment: when to do it

Answer 1

Address factors influencing consistency (physical activityy
Adjust hypoglycemia first (becuz it is more dangerous)
Hypoglycemia after 2 days (we should do something about it)
Hyperglycemia after 3 days
Adjust the insulin dose taken before the time of the pattern

Question 2

Adjusting dose for pts with type 1

Answer 2

TDI = wt (kg) x 0.55 units/kg
-50% basal and 50% bolus

CHO coverage:
-1 unit of rapid acting insulin covers 12-15 grams of CHO
CHO coverage ratio = 500/TDI
CHO insulin dose = total grams of CHO in meal/CHO coverage ratio

Hyperglycemia correction
-1 unit of insulin will drop BG by 50mg/dl
Correction factor = 1800/TDI
Hyperglycemia correction dose = (actual BG- target BG)/ correction factor