Bolus Insulin - NDR-UK

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CARBOHYDRATE COUNTING THE NEXT STEPS A practical workbook to make it work for you C o n t e n t s • Basal Insulin • Bolus Insulin • How Do I Check my ICR? • Correcting High Blood Glucose • H y p o s • Exercise and A c t i v i t y • Sick Day Rules • Adjusting Your Bolus with a Flexible Diet • Different food types and your bolus • S n a c k s • S l e e p o v e r s, p a r t i e s, and eating out - Sleepovers - Pa r t i e s - Eating out •Timing Your Bolus • Menus for a Flexible Life! p a g e 1 2 5 6 10 11 13 14 14 17 17 17 18 18 19 20 G e n e ral information CHO counting B a s a l Bolus and ICR Variable factors that affect bolus needs Trends and testing Adjustments and corrections Trends and ∑
Now that you are familiar with carbohydrate counting and your treatment plan, you are ready to think about different aspects of your routine and lifestyle in more detail Basal Insulin R e m e m b e r, your basal insulin is background insulin. You always need it to keep your glucose levels steady and to give you energy. Your diabetes team will work with you to agree your initial basal dose and help you check that it continues to be correct. If your basal insulin is correct, your blood glucose before you have anything to eat when you get up, should be similar to what it was when you went to bed. Monitor your results and look for patterns in your blood glucose increasing or decreasing overnight. You should also consider any other things that could affect your results such as: • the amount of activity you have done • eating dinner late • having a large bedtime snack without taking an extra bolus • having a bedtime snack later than normal. Look at David’s blood glucose results below and decide if the amount of basal insulin that he is taking is too little, too much or just right. Blood glucose (mmol/l) Day Before breakfast Before lunch Before evening meal Before bed During the night M o n 1 4 . 9 8 . 3 Tu e s 1 9 . 3 8 . 5 1 1 . 3 We d 1 5 . 7 9 . 6 T h u r s 1 4 . 5 1 0 . 5 Fr i 1 2 . 3 8 . 9 D a v i d ’s blood glucose results show his level is rising overnight. This may mean that he should increase his basal insulin. Fill in the table below and think about whether you are taking too little, too much or the right amount of basal insulin. Day M o n Tu e s We d T h u r s Fr i Blood glucose (mmol/l) Before breakfast Before lunch Before evening meal Before bed During the night Your diabetes team will work with you to agree your basal dose and to make any necessary a d j u s t m e n t s. 1
Page 1: A practical workbook to make it wor
Page 5 and 6: My breakfast C a l c u l a t i o n
Page 7 and 8: How Do I Check my ICR is Right? As
Page 9 and 10: C h a r l i e ’s target blood glu
Page 11 and 12: For example: • Amy’s CF is 2.0.
Page 13 and 14: Exercise and A c t i v i t y When y
Page 15 and 16: Sick Day Rules U n f o r t u n a t
Page 17 and 18: • Glycaemic index (GI) The glycae
Page 19 and 20: S n a c k s Your treatment plan giv
Page 21 and 22: Timing your Bolus You probably take
Page 23 and 24: A menu and diary for a sleepover at
Page 25 and 26: A menu and diary for your holiday r
Page 27 and 28: Are there any things that you do th

Bolus Insulin - NDR-UK

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