What is insulin algorithm?
The LOGIC-Insulin computerized algorithm has been developed to assist nurses in titrating insulin to maintain blood glucose levels at 80–110 mg/dL (normoglycemia) and to avoid severe hypoglycemia (<40 mg/dL). The objective was to validate clinically LOGIC-Insulin relative to TGC by experienced nurses.
How do you adjust insulin regimen?
Insulin regimens should be adjusted every three or four days until targets of self-monitored blood glucose levels are reached. A fasting and premeal blood glucose goal of 80 to 130 mg per dL and a two-hour postprandial goal of less than 180 mg per dL are recommended.
How is insulin usage calculated?
Divide the total carbohydrates by the insulin to carbohydrate ratio. The result is the amount of insulin units needed. Visit choa.org/diabetes for additional copies. Add the number of units needed for food to the number of units needed to correct blood sugar to get your total dose of insulin (Humalog/Novolog/Apidra).
When do you start insulin guidelines?
The American College of Endocrinology and the American Association of Clinical Endocrinologists recommend initiation of insulin therapy in patients with type 2 diabetes and an initial A1C level greater than 9 percent, or if the diabetes is uncontrolled despite optimal oral glycemic therapy.
How do you ATA titrate insulin?
The American Diabetes Association (ADA) recommends initiation of basal insulin at 10 units/day or 0.1–0.2 units/kg/day, adjusted by 10–15% or 2–4 units once or twice weekly to reach a target fasting plasma glucose (FPG) in patients whose A1C remains uncontrolled after >3 months of triple combination therapy, whose A1C …
What is the 1800 rule for diabetics?
For short-acting insulin, use the “1800 rule.” This tells you how much your blood sugar will drop for each unit of short-acting insulin. For example, if you take 30 units of short-acting insulin daily, divide 1800 by 30. This equals 60.
What is insulin correction factor?
A Correction Factor (sometimes called insulin sensitivity), is how much 1 unit of rapid acting insulin will generally lower your blood glucose over 2 to 4 hours when you are in a fasting or pre-meal state. However, you should keep in mind: this is an estimate.
What is bolus insulin?
Bolus insulin is the quick-acting delivery that you often take before mealtimes. Basal insulin is longer-acting and helps keep your glucose levels steady day and night. Generally, your total daily dosage of injected insulin is split between these short- and longer-acting kinds.
What is ICR insulin?
Insulin to Carb Ratio (ICR) equals the number of grams of carbohydrate that 1 unit of rapid-acting insulin will cover. Everyone is different. Your ratio could vary from meal to meal. You may want to learn to calculate your ICR to improve your blood sugars and have a more flexible lifestyle.