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Normo Glyco Bot Insulin Adjustment for Type 2 Diabetes Mellitus
Dec 21, 2024
•
Mark Morgan
categories:
pharmacology
endocrinology
This is an insulin adjustment tool.
Normo-Glyco-Bot
Note: The Normo-Glyco-Bot is designed to help adjust insulin for patients with Type 2 Diabetes Mellitus who take both long- and short-acting insulin. This is also called a 'Basal-Bolus' Plan. For Part One, it changes Basal (Long Acting) Insulin on the basis of morning/fasting blood sugars. For Part Two, it makes a mealtime correction sliding scale for Bolus (Short Acting) Insulin on the basis of your Insulin Sensitivity Factor calculated from the total dose of Basal (Long Acting) Insulin. An even better way to adjust insulin is to use Carb Counting
*more information*
, but this is better than nothing. Suggestion: Save and/or print out the result and use Normo-Glyco-Bot to adjust insulin once per week.
<-- What is your current dose of long-acting insulin (in units)
every morning
every evening
every morning and evening
<-- How often do you take long-acting insulin?
no
YES
<-- Have you checked blood sugars before breakfast on three (3) different days recently?
no
YES
<-- Were ALL three blood sugar tests above 130 mg/dL?
no
YES
<-- Were ANY of the three blood sugar tests less than 80 mg/dL?
Please skip down to 'Calculate Result' to generate dosing recommendations
------------------------------- PART ONE - RESULT - BELOW -------------------------------
PART ONE: ADJUSTING YOUR OWN INSULIN - BASAL/LONG-ACTING (Detemir, Glargine, or NPH Insulin)
SUGGESTION -->
New dose is
xxx
scoreA=(Variable_1)+(Variable_4)
units
time
(Dose is INCREASED because of three days ABOVE goal)
New dose is
xxx
scoreB=(Variable_1)+(Variable_5)
units
time
(Dose is DECREASED because of three days BELOW goal)
xxx
scoreC=(Variable_1)+(Variable_5)+(Variable_4)
units
time
(Dose is UNCHANGED because of three days AT goal)
Continue
xxx
(Variable_1)
units
time
(Dose is UNCHANGED because there were NO blood sugar checks)
------------------------------- PART ONE - RESULT - ABOVE -------------------------------
------------------------------- PART TWO - RESULT - BELOW -------------------------------
PART TWO: ADJUSTING YOUR OWN INSULIN - BOLUS/SHORT-ACTING CORRECTION SLIDING SCALE (Aspart Insulin)
This Sliding Scale uses your Insulin Sensitivity Factor (ISF):
score0=((1700)/((Variable_1)*(Variable_2)));score0>0?'':''
ISF
score1=score0.toFixed(2)
The ISF means that one unit of insulin would be expected to lower the blood sugar by
xxx
score2=score0.toFixed(2)
mg/dL.
CORRECTION ASPART INSULIN BEFORE A MEAL
BLOOD SUGAR....................... ACTION
GREATER THAN 400 mg/dL............ Give
score3a=((270)/(score0));score0>0?'':''
xxx
score3b=score3a.toFixed(0)
units and seek medical attention.
350 TO 399 mg/dL.................. Give
score4a=((220)/(score0));score0>0?'':''
xxx
score4b=score4a.toFixed(0)
units.
300 TO 349 mg/dL.................. Give
score5a=((170)/(score0));score0>0?'':''
xxx
score5b=score5a.toFixed(0)
units.
250 TO 299 mg/dL.................. Give
score6a=((120)/(score0));score0>0?'':''
xxx
score6b=score6a.toFixed(0)
units.
200 TO 249 mg/dL.................. Give
score7a=((70)/(score0));score0>0?'':''
xxx
score7b=score7a.toFixed(0)
units.
150 TO 199 mg/dL.................. Give
score8a=((20)/(score0));score0>0?'':''
xxx
score8b=score8a.toFixed(0)
units.
LESS THAN 60 mg/dL................ Take 6 ounces of juice and seek medical attention.
------------------------------- PART TWO - RESULT - ABOVE -------------------------------
display/hide references
references:
The "Rule of 1500" and "Rule of 1700" 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.
#2
Blonde L, Merilainen M, Karwe V, Raskin P; TITRATE Study Group. (2009) Diabetes Obes Metab. 11(6):623-31.
Calculate The Result!
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Result - Copy and paste this output:
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