How much insulin for blood sugar 418

Insulin units table

You can use the table that herja has linked to you for the conversion.

Diabetics promote mental arithmetic: calculation of insulin units

The calculation of the insulin units is the first thing I looked at on the first day as it will probably be with me for a full year. But before the whole meal can be calculated correctly, the hospital or the doctor "sets" the correct number of multipliers for the food and also the correct basic insulin unit so that the sugar content does not fluctuate too much ....

With basic insulin it is still simple: The devices are usually determined by the body weight and, depending on the body weight, the morning and evening units of the respective medication are injected, which are then gradually distributed throughout the entire organism. The second is either regular insulin (you have to keep an injection-eating interval, but it works longer) or rapid insulin (inject and eat immediately).

I take NovoRapid (fast-acting) in stick form, which is then injected into the stomach before consumption ... For simplicity, we assume that the food and the sugar content of 4BE remain the same in all 3 dishes: these are any NovoRapid (fast-acting insulin) units of insulin that you inject just before you eat it.

The basic insulin is injected in the correct ratio (preferably just before breakfast and then in the evening before going to bed). The problem (which I still have to learn) is getting the food out .... Since I've been writing, I can't help but think about the face values ​​.... so I'm not a doctor or anything !

Ask a specialist!

The principle of intensive conventional insulin therapy>

Depending on the type of blood sugar and the food, different amounts of rapid insulin are injected with the main dishes. The basal insulin is used to cover the basic need for insulin that is independent of food. The great advantage of this is that insulin therapy adapts to everyday life. The disadvantage is the increased effort - usually four times as high as the measurement of blood sugar and four to five times as high as the daily blood sugar.

Intensive insulin treatment is now common for type 1 diabetics. Intensive insulin treatment is the cheaper alternative to conventional treatment (CT), which only occurs in rare cases in type 1 diabetics. Faster insulin into main courses, now standard therapy! People who inject insulin and are not ready to exercise run the risk of threatening themselves.

The BE unit, which can be exchanged for a BE, is used below. Various tables with bread units are also available on this website. How much insulin is injected at dinner? The insulin requirement for nutrition consists of the insulin dose required for the carbohydrates consumed and the insulin dose required to lower the blood sugar level to the respective target value.

In addition, the intended physical activity, the fat and protein content of the food as well as diseases, drugs such as cortisone or the hormonal cycle of women all have an effect on the need for insulin. The insulin consumption for BD varies from person to person. This is known as the "BE factor". The BEF value indicates how many insulin units are required for such a therapy.

It starts with a low BI factor to help prevent hypoglycemia. The individual B-factor is determined by the slow increase. If you have 4 B.E. for breakfast and have a B.E. factor of 0.5, you need two bets. With a factor of 2.0 there are 8 insulin units for 4 BD. The blood glucose test must be done before the injection.

If the amount is in the target area, exactly the size required to cover the BE is injected. If the measured value is significantly above the measuring range, some additional insulin units must be added in order to reach the measuring range (correction). It indicates by how many mg / dl (mmol / l) one unit of insulin decreased the sugar level.

In many cases, one insulin unit (E) reduces the sugar content by 30 mg / dl (1.6 mmol / l). If a target value of 120 mg / dl (6.6 mmol / l) and a correction rule of 1 EW (unit) per 30 mg / dl (1 EW / 30 mg / dl) or 1.6 mol / l (1 EW / 1.6 mmol / l) is used, 1 EW must be injected for a sugar content of 150 mg / dl (8.3 mmol / l) in order to achieve the target value of 120 mg / dl (6.6 mmol / l) again .

If the current blood sugar level is 210 mg / dl (11.6 mmol / l), 3 tablespoons of additional insulin must be added to return to 120 mg / dl (6.6 mmol / l). This is how the amount of insulin to be administered for food is calculated: Example: 1.5 insulin units are required for 1 BU, i.e. the BU factor is 1.5 The current blood sugar value is 180 mg / dl (10.0 mmol / l) .

The target is 120 mg / dL (6.6 mmol / L). Since the BE factor 1.5 and the food contain 4 BE, 6 BE insulin is required for meals (BE times BE factor equal to 4 1.5 = 6) ... The initial value is 80 mg / dl ( 10.0 mmol / l) and thus 60 mg / dl (3.3 mmol / l) above the target value:

It is 2 tablespoons of insulin (to reduce the sugar content by 30 mg / dl (1.6 mmol / l), 1 tablespoon of insulin is required for 60 mg / dl or 2 tablespoons). The insulin requirement during meals therefore amounts to a total of 8 A. How much basal insulin is required? We have various preparations of human insulin and insulin analogues of basal insulin.

Therefore, NPH insulins must be used two to three times a day to guarantee a 24-hour insulin supply. In addition to NPH insulin, analogues are also used. This results in a different duration of action of the insulins. The insulin glargine has a duration of action of more than 24 hours. For insulin detemir, the duration of action is up to 20 hours, depending on the dosage.

With the insulin detector, the delay is achieved not only through slower absorption from the subcutaneous adipose tissue, but also through the binding of the insulin in the blood to proteins. The need for diabetes increases in the early hours. They increase the resistance to insects. That is why the need for insulin is greatest in the morning. Insulin analogues ensure a better need for insulin in the morning.

However, some patients increase their blood sugar level so much from 4:00 a.m. onwards that a good fasting blood sugar level cannot be achieved even with insulin analogues. With a pronounced "dawn phenomenon", a good fasting blood sugar level cannot be achieved even with insulin analogues. A pronounced "twilight" is therefore an indication of the use of an island pump, since the release of basal insulin differs from time to time.