tdd diabetes - Patient on 60 units basal insulin diabetes pusdatin Total Daily Dose TDD is 60 units Correction Factor CF 1800 60 30 If premeal glucose 250 blood glucose is 150 mgdl above goal of 100 Correction is 15030 5 units Give 5 units in addition to prandial insulin dose being used to cover meal Example of carbohydrate ratio using 500 Rule7 The 1500 Rule for Regular Insulin 1500 TDD ISF mgdL per unit 4 Insulintocarbohydrate ratio ICR The ICR indicates how many grams of carbohydrates are covered by 1 unit of rapidacting insulin calculated as The 500 Rule for RapidActing Insulin 500 TDD grams of carbohydrates covered by 1 unit of insulin 5 Correction Dose Diabetes Tools Section Pump Dose Guidance Calculate total insulin daily dose switch from sliding scale dosing Calculating Total Daily Dose University of Iowa 2 Add up the insulin used in a patients home regimen Knowing a diabetic patients home regimen can be helpful when establishing a total daily dose Just add up the total amount of insulin a patient is taking then adjust that dose based on eating status severity of illness and steroid use as well as the patients level of control at Sliding Scale Insulin Therapy How To Calculate Benefits Total daily units basal total daily units all insulin x 100 of insulin as basal eg 45 units basal for the day 90 units TDD x 100 50 of insulin as basal For most people approximately 4060 of their total daily dose of insulin TDD is basal insulin This split varies for those on partialclosedloop insulin pumps due to algorithms PDF Insulin Algorithm for Type 2 Diabetes in Children and Adults Calculating Insulin Dose Diabetes Education Online A 6yearold nonobese 17kg prepubertal male presents in moderate DKA with an initial HbA1c of 11 If we use the algorithm in Figure 2 we find TDD range should be 0506 ukgday As he is presenting in DKA and has HbA1c 10 we will assume why is diabetes considered a disability he is a bit more insulin resistant so we will use the upper end of this range thus TDD of 06 ukgday An optimal TDD is your best guide to better average glucose and pump settings that work Everything depends on an accurate TDD which is essential for success on an AID device If you have frequent lows or mostly highs focus first on adjusting your TDD Smart Insulin Pens On multiple daily injections MDI a smart insulin pen like the Insulin Formulas Diabetes Educators Calgary TDD total insulin used per day all basal carb correction doses per day improved TDD iTDD the current TDD that is adjusted upward when the avg glucose is too high to derive a higher and more accurate TDD Pump Dose Guidance Software provided by opensourcediabetesorg and Ludi Billings PhD PE of Visionary Ventures Llc The total lunch insulin dose is 8 units of rapid acting insulin Example 4 Formulas commonly used to create insulin dose recommendations This example illustrates a method for calculating of your backgroundbasal and bolus doses and estimated daily insulin dose when you need full insulin replacement Bear in mind this may be too much TDD Total daily dose of insulin Treatment Naïve 3 A1c 10 or A1c 10 when considering early insulin initiation If ketoacidosis or recent rapid weight loss see Type 1 Diabetes algorithm Uncontrolled on noninsulin therapy A1c 1 above goal Continue oral agent therapy insulin secretagogue Stop GLP1 agonist prior to insulin The total lunch insulin dose is 8 units of rapid acting insulin Example 4 Formulas commonly used to create insulin dose recommendations This example illustrates a method for calculating of your backgroundbasal and bolus doses and estimated daily insulin dose when you need full insulin replacement Bear in mind this may be too much insulin First Step Your Total Daily Dose of Insulin Diabetesnetcom Calculating Insulin Dose Diabetes Teaching Center PDF TYPE 2 DIABETES ADULT OUTPATIENT obat hipertensi dengan diabetes INSULIN GUIDELINES Stanford Medicine
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