3614-BD Insulin Adjust Workbook

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SEE – YOU REALLY CAN DO IT! 49
SEE – YOU REALLY CAN DO IT! This workbook is only a starting point and guideline in your move to flexible therapy with basal-bolus insulin adjustment. The best approach is to consult your Diabetes Team and work on this together. If things go out of control, refer back to this “how-to” guide and do some of the exercises. Written by: Marjorie Cypress, RN, MSN, C-ANP, CDE Albuquerque, NM Like anything new, basal-bolus therapy is not easy at first and you will need help in learning how to adjust your insulin for food, activity, sleeping and waking. However, once you have learned these skills, you should be able to get your diabetes under excellent control and live a more flexible, healthy life. We wish to acknowledge the following health professionals for reviewing this publication and providing their valuable insights: Jean E. Betschart Roemer, CPNP, MSN, MN, CDE Pittsburgh, PA Linda Urso, APRN, BC-ADM Warren, MI Kathleen C. Arnold, CS-ANP, BC-ADM, CDE Gulfport, MS BD and BD Logo are trademarks of Becton, Dickinson and Company. ©2005 BD. All other brands are trademarks of their respective owners. 50
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 and 12: EXAMPLE: Calculating Laurie’s Cor
Page 13 and 14: MAKING BOLUS INSULIN CHANGES Your f
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: Juan Has Had a Change in His Blood

3614-BD Insulin Adjust Workbook

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