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Insulin dosage calculation
06:01, 1969-Dec-31
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How to calculate insulin dosage normal fasting blood glucose maintained at 3.3 ~ 6.1mmol / L (60 ~ 110mg/dl), postprandial between half an hour to 1 hour generally 10.0mmol / L (180mg/dl ) The following, most not more than 11.1mmol / L (200 mg / dl),Air Force One Shoes,How to judge whether the computer like poisoning, postprandial 2 hours back to 7.8mmol / L (140 mg / dl). How to calculate the amount of insulin
(1) how to estimate their initial dosage:
diabetic patients using insulin therapy, should be used short-acting insulin. Moreover, some relative stability in the diet and exercise, based on the initial amount estimated by the following methods, but then adjusted according to disease surveillance.
1, estimated by fasting plasma glucose:
daily insulin dosage (μ) = [fasting glucose (mg / dl) -100] x10x weight (kg) x0.6 ÷ 1000 ÷ 2
100 for the glucose normal;
x 10 conversion per liter higher than normal blood sugar levels in body fluids;
x 0.6 is the body fluid volume of 60%;
÷ 1000 mg glucose is converted into grams;
÷ 2 is 2 grams of glucose use 1μ insulin.
To avoid hypoglycemia, the actual volume with its 1/2--1/3.
2, estimated by 24-hour urine: mild disease, no diabetes, kidney disease, renal glucose threshold of normal persons, per 2 grams of urine to 1μ insulin.
3, according to body weight: high blood sugar, severe illness ,timberland boots uk,0.5 - 0 .8μ/kg; condition light ,0.4 - 0 .5μ/kg; severe illness, stress, should not exceed 1.0μ/kg.
4, urine sugar estimation by 4 times: no diabetic nephropathy, renal glucose threshold was normal, each fasting urine qualitative " " the number of estimates. Generally a " " need to 4μ insulin.
5, comprehensive estimates: effects of insulin in vivo the role of many factors, individual difference,Love is a commitment, the calculation may not be realistic, and should be integrated disease, blood sugar and urine sugar condition he give a certain amount of security, then changes in accordance with condition gradual adjustment.
(b) how to allocate the amount of insulin according to the estimate of the
three meals every day the first 15 - 30 min injection, to breakfast before> dinner before> the amount to be allocated before lunch. As the body before breakfast more antagonistic hormone insulin, so insulin dosage should larger; the role of the general short-acting insulin peak time for 2 - 4 hours, so the minimum amount before lunch; most of the patients no longer with bedtime insulin, to the times then on the morning of, so before dinner to use large off than before lunch. Such as bedtime also used once, then decrease before dinner, and bedtime consumption of less, to prevent nocturnal hypoglycemia.
(c) how to adjust insulin doses
observed in the initial estimated amount of 2 - 3 days, the condition of patients, blood sugar, urine sugar to further adjust the amount.
1, 4 urine,If I was your girlfriend, according to qualitative adjustments: only applies to the unconditional measure blood sugar and patients with normal renal glucose threshold. According to the former 3 - 4 days 4 urine qualitative adjustments: insulin dose before breakfast before lunch based on urine glucose, insulin dosage before lunch, before dinner based on urine, before dinner or bedtime insulin dosage based on the following day morning urine (including day morning urine).
2,nike air max, adjusted according to blood sugar: diabetes, especially type I diabetes and renal patients with abnormal glucose threshold should be based on three meals before bedtime blood glucose values to adjust the dosage of insulin, the table below:
blood glucose (mmol / l) mg / dl fasting insulin increment other treatments <2.8 <50 decreased 2 - 3μ immediately meal 2.8 - 3.9 50 - -70 reduced 1 - 2μ 3.9 - 7.2 70 - 130 of the original dose of 7.2 - 8.3 130 - 150 of 1μ 8.3 - 11.1 150 - -200 plus 2μ 11.1 - 13.9 200 - 250 plus 3μ 13.9 - 16.6 250 - 300 Canada 4 - 6μ 16.6 - 19.4 300 - 350 plus 8 - 10 μ fasting activities increase in number and add and subtract 1 - 2μ or snacks
increase the volume of activities to reduce fasting plus 1 - 2μ
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