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3614-BD Insulin Adjust Workbook

3614-BD Insulin Adjust Workbook

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If you had a “low blood glucose”<br />

yesterday, figure out your correction<br />

insulin dose.<br />

Subtract your target goal from your low<br />

pre-meal blood glucose.<br />

_______ – ________ mg/dl = _________<br />

Target Goal<br />

This will be a negative number. You will<br />

need to subtract insulin to make the<br />

correction.<br />

Divide your answer by your ISF and<br />

subtract answer from your usual insulin<br />

dose.<br />

(ISF)<br />

= ________<br />

Subtract the answer from your usual<br />

pre-meal dose.<br />

________ – _________ = _____________<br />

Fill in the table below with your<br />

calculations using your own<br />

information:<br />

Pre-Breakfast<br />

Pre-lunch<br />

Pre-dinner<br />

Usual <strong>Insulin</strong><br />

Dose<br />

<strong>Adjust</strong>ed<br />

<strong>Insulin</strong> Dose<br />

Every time you take a correction dose for<br />

an out of goal blood glucose you should<br />

note the effect on your blood glucose. If<br />

your glucose correction doses never bring<br />

you back to your goal range, you should<br />

lower your sensitivity number. If you<br />

are under-correcting you are not giving<br />

enough insulin. You will know this<br />

because your high blood glucose<br />

readings will remain high and the low<br />

blood glucose readings will stay low.<br />

This means you need a larger correction<br />

dose, so reduce your ISF by 5.<br />

If you are over-correcting you are taking<br />

to much insulin. You will know this<br />

because your high blood glucose values<br />

will become low and your lows may<br />

become high. This means you need<br />

to decrease your correction dose,<br />

raise the ISF by 5.<br />

24

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