How are insulin pump doses calculated?

The initial bolus doses of insulin for meals are estimated using the ‘rule of 500’ where the number 500 is divided by the total daily injected dose of insulin in units to give an insulin-to-carbohydrate ratio.

How is insulin adjustment calculated?

The amount blood glucose is lowered by the injection of 1 unit of insulin is called the insulin sensitivity factor (also known as the correction factor) , and is calculated by dividing the constant 1700 by the Total Daily Dose (TDD) of rapid acting insulin or dividing the constant 1500 by the Total Daily Dose of …

How do you calculate basal insulin for pumping?

Basal/background insulin dose:

1. Basal/background Insulin Dose. = 40-50\% of Total Daily Insulin Dose.
2. 500 ÷ Total Daily Insulin Dose. = 1 unit insulin covers so many grams of carbohydrate.
3. Correction Factor = 1800 ÷Total Daily Insulin Dose = 1 unit of insulin will reduce the blood sugar so many mg/dl.

How do I calculate my daily insulin intake?

Example

1. Assume you weigh 160 pounds.
2. Your total daily insulin dose (TDI) = 160 lbs ÷ 4 = 40 units.

How many units of insulin per day is normal?

For most people, this is about 24 units in 24 hours. The amount of background insulin does not depend on what you eat, and the dose should be low enough to allow you to miss meals without the risk of low glucose (a hypo), whilst still keeping the glucose levels within the target range.

What is the insulin sliding scale?

The term “sliding scale” refers to the progressive increase in pre-meal or nighttime insulin doses. The term “sliding scale” refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. Sliding scale insulin regimens approximate daily insulin requirements.

How many units of Lantus is normal?

The usual starting dose of Lantus for people with type 2 diabetes is 0.2 units/kg. (There are about 2.2 lb/kg.) The maximum starting dose of Lantus is 10 units a day. Lantus is typically taken once a day, not twice a day.

What percentage of insulin should be basal?

Consider the norms (but don’t live by them). For most people, 40-50\% of the total insulin for the day is basal insulin.

What is maximum basal rate?

Did You Know: Maximum basal (Max basal) rate is a safety limit for the amount of basal insulin that is able to be delivered per hour. This safety feature will not allow you to program any basal rates, including patterns and temporary basal rates, that are greater than the Max basal rate.

How many mL is 35 units of insulin?

For example, 35 units in the morning and 10 units at night means you need a 0.3-mL syringe and a 0.5-mL syringe for each dose.

How to calculate basal rate for insulin pump?

Getting Started with an Insulin Pump. Divide the total dosage into 40-50\% for basal and 50-60\% for bolus insulin. Divide the basal portion by 24 to determine a beginning hourly basal rate. Then, adjust the hourly basal rate up or down for patterns of highs and lows, such as more insulin for dawn phenomenon and less for daily activity.

How to bolus on an insulin pump?

Bolus Dose of Insulin. When an insulin pump is used, the bolus is given, as basal rate continues to be infused, to cover food intake. The bolus dose allows your cells to take in the glucose produced in digesting food so you maintain appropriate blood glucose levels .

How do I use an insulin pump?

Setting up an insulin pump.

How do you calculate insulin sensitivity factor?

For example, if you take 30 units of regular insulin daily, divide 1500 by 30. This equals 50. This means your insulin sensitivity factor is 1:50, or that one unit of regular insulin will lower your blood sugar by about 50 mg/dL.