Adjusting a once daily morning regimen:.Levels high/low before lunch and before evening meal → increase/decrease morning insulin.Levels high/low before bed and before breakfast → increase/decrease evening insulin.Adjusting a twice daily pre-mixed/intermediate regimen:.Levels high/low before lunch or dinner or bed → increase/decrease rapid-acting insulin given with meal before.Levels high/low before breakfast (or in night) → increase/decrease bedtime long-acting insulin.Use common sense – if a patient is eating less, the insulin dose will need to be reduced on the other hand, certain conditions may require it to be increased (see box).Review the capillary glucose monitoring chart and work out the pattern of variation in glucose levels in relation to meals (readings are usually taken before meals).Adjusting insulin regimens (in response to glucose levels)
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |