{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

Correction factor 1700 rule correction 1700tdd 1700tdd

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: • Bolus: NovoLog or Humalog Bolus: – Insulin to carbohydrate ratio – Correction Correction BG – target BG Correction factor Basal/Bolus Basal/Bolus • I:CHO = 450/total daily insulin dose = I:CHO amount of carbs 1 units will cover amount • Correction Factor: “1700 rule” = Correction 1700/TDD 1700/TDD • Glargine can not be mixed with any other Glargine insulins insulins Basal/Bolus Basal/Bolus • Glargine dose limited by which blood Glargine sugar? – 2 AM and breakfast • Which blood sugar is affected by the Which I:CHO ratio? I:CHO – 2 hour post-prandial NPH and Regular NPH • Advantages – 2-3 shots per day – “Easier” – less carb counting and Easier” calculations calculations • Disadvantages – – – Strict dietary plan Less flexible Less physiologic Basal/Bolus Basal/Bolus • Advantages – More physiologic – More flexible – Less hypoglycemia • Disadvantages – More labor-intensive (CHO counting, insulin More calculations) calculations) – At least 4 injections per day Diet Diet • Healthy, balanced diet – 50-60% total calories from carbohydrate – <30% fat – 10-20% protein • • • Carbohydrate counting No forbidden foods - moderation Eating too much will not cause ketosis Exercise Exercise • • • • Increases sensitivity to insulin Increases Helps control blood sugar Lowers cardiovascular risk Blood sugar usually decreases but may Blood initially increase initially • Hypoglycemia may occur during, Hypoglycemia immediately after, or 8-24 hours later immediately Exercise Exercise • • • Check blood sugar before, during, after Always have snacks available May need extra snacks or decreased May insulin (learn from experience) insulin – Usually 15 gm CHO for every 30 min Usually vigorous exercise vigorous • Do not exercise if ketones are present Psychosocial Support Psychosocial • Every newly diagnosed family should Every meet with a psychologist meet • Guilt • Anger • Fear • Denial ...
View Full Document

{[ snackBarMessage ]}

Ask a homework question - tutors are online