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Insulin Correction
May 23, 2011
•
Mark Morgan
categories:
Endocrine, Nutrition & Obesity
Correction dose of insulin
Summary: This calculator is intended to help calculate a corrected insulin dose for adults with hyperglycemia. Corrected doses calculated here are suggested based on the inputs you provide. Please temper administration of large doses of insulin with good clinical judgement.
<-- What is the current blood sugar? (mg/dL)
NOTE: Hyperglycemia may warrant monitoring and correction in an inpatient setting.
<-- What is the goal blood sugar? (mg/dL)
<-- What is the patient's usual total daily dose of insulin? (units)
Add up all the insulin the patient normal takes in a day. This includes long-, intermediate-, short-, and/or rapid-acting insulins. This value must be more than 0.
Regular
Rapid-acting
<-- What type of insulin will you use to correct the hyperglycemia?
Rapid-acting insulin includes aspart and lispro insulins. When Regular insulin is selected, the 1500 rule will be used. When Rapid-acting insulin is selected, the 1700 rule will be used.
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Insulin Sensitivity Factor (ISF) using
Insulin_Type
insulin:
score=((Insulin_Type)/(Variable_3));score>0?'':''
ISF
score1=score.toFixed(2)
The ISF means that one unit of
Insulin_Type
insulin would be expected to lower the blood sugar by
ISF
score1=score.toFixed(2)
mg/dL.
The suggested correction dose of
Insulin_Type
insulin:
score2=(((Variable_1)-(Variable_2))/(score));score>0?'':''
correction
score3=score2.toFixed(2)
units.
display/hide references
references:
The "Rule of 1500" and "Rule of 1700" which this is based on were developed by Dr. Paul C. Davidson at the Diabetes Center in Atlanta.
#1
Guthrie DW, Guthrie RA, Hinnen D, Childs BP. It’s time to abandon the sliding scale. J Fam Pract.
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