Insulin_Dosage_Calculator_guideline v.1
Determines the total mealtime insulin dose, as well as carbohydrate coverage and insulin correction doses to help with monitoring blood sugar.
To determine the total mealtime insulin dose, as well as carbohydrate coverage and insulin correction doses to help with monitoring blood sugar.
Formula: - Carbohydrate Coverage Insulin Dose (units) = Meal carbohydrate content / Insulin to carb ratio (the X in 1:X) - Insulin to Carb Ratio (IC) = 500/TDID - Insulin Dose to Correct High Blood Sugar = (Current blood glucose – target blood glucose) / Insulin sensitivity (correction) factor - Insulin Sensitivity Factor (in mg/dL) = 1800/TDID - Total Mealtime Insulin Dose (units) = Carbohydrate Coverage Insulin Dose + High Blood Sugar Correction
Davidson PC, Hebblewhite HR, Steed RD, Bode BW. Analysis of guidelines for basal-bolus insulin dosing: basal insulin, correction factor, and carbohydrate-to-insulin ratio. Endocr Pract. 2008 Dec;14(9):1095-101. doi: 10.4158/EP.14.9.1095. PMID: 19158048. Johnston JA, Van Horn ER. The effects of correction insulin and basal insulin on inpatient glycemic control. Medsurg Nurs. 2011 Jul-Aug;20(4):187-93. PMID: 21941930. Bergenstal RM, Johnson M, Powers MA, Wynne A, Vlajnic A, Hollander P, Rendell M. Adjust to target in type 2 diabetes: comparison of a simple algorithm with carbohydrate counting for adjustment of mealtime insulin glulisine. Diabetes Care. 2008 Jul;31(7):1305-10. doi: 10.2337/dc07-2137. Epub 2008 Mar 25. PMID: 18364392; PMCID: PMC2453649.
OBSERVATION.insulin_dosage.v0, OBSERVATION.lab_test_glucose.v1, OBSERVATION.estimated_average_glucose.v1, OBSERVATION.body_weight.v2
