3614-BD Insulin Adjust Workbook

More documents

Recommendations

Info

MAKING BOLUS INSULIN CHANGES 9
MAKING BOLUS INSULIN CHANGES Your first step in learning how to make these adjustments should be to consult with your Diabetes Team. This section will give you the tools you need to adjust your bolus insulin effectively using flexible insulin therapy. Understanding How Insulin Works Different types of insulin work at different speeds. Their action can be described as basal (steady and longacting), bolus (rapid burst of action) or somewhere in between. They also act differently in how fast they start working, INSULIN ACTION CURVES when they are at their peak and the length of time they last. It is important to understand these differences in order to make the best decisions possible when adjusting your insulin dose. By knowing which insulin peaks and is active you will know which insulin to change if you are having hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar). View the chart(s) and graph(s) below to help you understand the actions of many different types of insulin including Humalog ®, Novolog ®, Regular, NPH, Ultralente, Lantus ®, etc. Insulin Action Type of Insulin Onset of Action Peak Action Duration RAPID ACTING Insulin lispro (Used for bolus (Humalog insulin – taken before eating and to correct for a high blood sugar) ® ), Insulin aspart (Novolog ® ), Insulin glulisine (Apidra ® 15 minutes 1/2 to 1-1/2 3 to 5 hours hours ) Blood Insulin Level SHORT ACTING Regular 1/2 hour 2 to 4 hours 6 to 8 hours 6AM 9AM Noon 3PM 6PM 9PM MidN 3AM 6AM 9AM Insulin Commonly Used in Flexible Insulin Therapy for a bolus dose: Rapid-acting insulin is the most common insulin used, but shortacting insulin is also used for this purpose. 10
Page 1 and 2: TARGET THERAPY Staying on Target TM
Page 3 and 4: INTERACTIVE TABLE OF CONTENTS To go
Page 5 and 6: WHAT IS BASAL-BOLUS? When you have
Page 7 and 8: TERMS TO LEARN FIRST 4
Page 9 and 10: NOTE: For an algorithm to work you
Page 11: EXAMPLE: Calculating Laurie’s Cor
Page 15 and 16: Blood Glucose Monitoring: When to T
Page 17 and 18: Q&A PRACTICE PROBLEMS Q - What is t
Page 19 and 20: ange without any insulin changes. A
Page 21 and 22: Ken’s Algorithm for Correction Me
Page 23 and 24: PRACTICE PROBLEMS: Blood glucose ta
Page 25 and 26: Fill in your pre-meal blood glucose
Page 27 and 28: If you had a “low blood glucose
Page 29 and 30: Method I: A Quick and Easy Way to S
Page 31 and 32: Method I - Insulin Dosing Based on
Page 33 and 34: PUTTING IT ALL TOGETHER 30
Page 35 and 36: Your Night Out - Using the Five Ste
Page 37 and 38: ADJUSTING THE BASAL INSULIN DOSE 34
Page 39 and 40: 7. Your graph should look like one
Page 41 and 42: Option II: See if your basal rises
Page 43 and 44: TROUBLESHOOTING Sometimes you may f
Page 45 and 46: Which Insulin is the Problem? 1. Ba
Page 47 and 48: PROBLEM SOLVING AND EXERCISES 44
Page 49 and 50: By lowering the 10 PM to 3 AM basal
Page 51 and 52: Juan Has Had a Change in His Blood
Page 53: SEE - YOU REALLY CAN DO IT! This wo

3614-BD Insulin Adjust Workbook

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?