Content Marketing InstituteContent directory

Health

2. Morning NPH and bolus, evening bolus, bedtime NPH (3)

Category: Management Topic: Health
2. Morning NPH and bolus, evening bolus, bedtime NPH (3)

Image: free stock via Unsplash · topic Health

<40 (<2.2): 17 g

Blood Sugar mg/dl

(mmol/l)

Weight : 101-160 (48-76)

80s (4.4, 5): 9 g

70s (3.9, 4.3): 11 g

60s (3.3, 3.8): 14 g

50s (2.8, 3.2): 16 g

40s (2.2, 2.7) : 19 g

<40 (<2.2): 21 g

Blood Sugar mg/dl

(mmol/l)

Weight : 161-220 (77-105)

80s (4.4, 5): 12 g

70s (3.9, 4.3): 15 g

60s (3.3, 3.8): 18 g

50s (2.8, 3.2): 22 g

40s (2.2, 2.7) : 25 g

<40 (<2.2): 28 g

Blood Sugar mg/dl

(mmol/l)

Weight : >220 (>105)

80s (4.4, 5): 18 g

70s (3.9, 4.3): 22 g

60s (3.3, 3.8): 28 g

50s (2.8, 3.2): 32 g

40s (2.2, 2.7) : 38 g

<40 (<2.2): 42 g

Table 9-3. Summary of After-Meal Blood Sugar Targets

Group/Age: Adults taking mealtime insulin

Postmeal Goal: <180 mg/dl (10 mmol/l)

Group/Age: Adolescents with type 1

Postmeal Goal: <200 mg/dl (11 mmol/l)

Group/Age: School-age children with type 1

Postmeal Goal: <225 mg/dl (12.5 mmol/l)

Group/Age: Preschoolers and toddlers with type 1

Postmeal Goal: <250 mg/dl (14 mmol/l)

Group/Age: During pregnancy

Postmeal Goal: <140 mg/dl (8 mmol/l)

Group/Age: Type 2s taking basal insulin only

Postmeal Goal: <160 mg/dl (9 mmol/l)

Table 9-4. Examples of Ways to Substitute Low-GI for High-GI Foods

Meal: Breakfast

High-GI Choices: • typical cereal

High-GI Choices: • bagel

High-GI Choices: • toast

High-GI Choices: • waffles

High-GI Choices: • pancakes

High-GI Choices: • corn muffins

High-GI Choices: • juice

High-GI Choices: • breakfast bars

Lower-GI Choices: • high-fiber cereal

Lower-GI Choices: • oatmeal

Lower-GI Choices: • yogurt

Lower-GI Choices: • whole fruit

Lower-GI Choices: • milk

Lower-GI Choices: • bran muffin

Lower-GI Choices: • full-fat granola

Lower-GI Choices: • nuts

Meal: Lunch

High-GI Choices: • sandwiches on white bread

High-GI Choices: • or rolls

High-GI Choices: • French fries

High-GI Choices: • tortillas

High-GI Choices: • canned pasta

High-GI Choices: • most microwave meals

Lower-GI Choices: • chili

Lower-GI Choices: • rye, pumpernickel, or sourdough bread

Lower-GI Choices: • corn

Lower-GI Choices: • carrots

Lower-GI Choices: • salad vegetables

Meal: Dinner

High-GI Choices: • rice

High-GI Choices: • couscous

High-GI Choices: • rolls

High-GI Choices: • white potato

High-GI Choices: • canned vegetables

Lower-GI Choices: • sweet potato

Lower-GI Choices: • pasta

Lower-GI Choices: • beans

Lower-GI Choices: • peas or lentils

Lower-GI Choices: • fresh steamed vegetables

Meal: Snacks

High-GI Choices: • pretzels

High-GI Choices: • chips

High-GI Choices: • crackers

High-GI Choices: • cake

High-GI Choices: • cookies

Lower-GI Choices: • popcorn

Lower-GI Choices: • fruit

Lower-GI Choices: • chocolate

Lower-GI Choices: • ice cream

Lower-GI Choices: • nuts

Manufacturer

Ascensia

Ascensia

Labstyle Innovations

Roche

Ascensia

Ascensia

Ascensia

Abbott

Roche

Roche

Livongo Health

Abbott

AgaMatrix

AgaMatrix

Abbott

Roche

Arkray

Lifescan

Arkray

Roche

Acon Labs

AgaMatrix

Arkray

Nova Biomedical

AgaMatrix

Lifescan

Lifescan

Bayer/Ascensia

Alternate Site (Arm) Checking

Abbott

Roche

Roche

AgaMatrix

Talking Meters

Omnis Health

Prodigy Diabetes Care

Diabetic Supply of Suncoast

Meter Brand(s)

Contour Next Link*

Contour Next*

Dario*

Accu-Chek Mobile**

Contour Next One*

Contour Next EZ*

Freestyle Lite*

Accu-Chek Guide*

Accu-Chek Nano*

Livongo*

Freestyle Freedom Lite*

Wavesense Presto, Target Up & Up, Kroger Basic, CVS Basic*

iBG Star*

Freestyle Insulinx*

Accu-Chek Compact Plus*

Reli-On Prime*

One Touch Verio, Verio Flex*

Reli-On Micro*

Accu-Chek Aviva Plus* Accu-Chek Connect* Accu-Chek Expert *

On Call Express*

BG Star**

Reli-On Confirm*

Nova Max, NovaMax Plus, Nova Max Link*

Wavesense Jazz, GoodSense Premium, Kroger Premium, Target Premium**

One Touch Verio Pro**

One Touch Ultra, One Touch Ultra Mini*

Contour**

Freestyle Lite*

Accu-Chek Guide*

Accu-Chek Aviva Plus*

iBG Star*

Embrace*

Prodigy AutoCode*

Advocate Redi-Code

BG <75 mg/dl (4.2 mmol/l)

How Often Within 15 mg/dl of Lab Value?

100%

100%

100%

98%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

93%

100%

100%

n/a

100%

100%

100%

100%

100%

n/a

How Often Within 10 mg/dl of Lab Value?

100%

99%

100%

98%

94%

100%

100%

100%

100%

100%

100%

100%

96%

100%

92%

100%

n/a

90%

100%

100%

100%

93%

67%

75%

75%

63%

85%

84%

n/a

100%

83%

100%

89%

85%

n/a

How Often Within 5 mg/dl of Lab Value?

100%

95%

81%

75%

82%

100%

86%

73%

67%

90%

67%

67%

64%

65%

85%

84%

n/a

51%

100%

85%

73%

83%

33%

11%

39%

20%

49%

61%

n/a

70%

50%

57%

68%

48%

n/a

BG 75 mg/dl (4.2 mmol/l)

How Often Within 20% of Lab Value?

100%

100%

99%

100%

100%

99%

100%

99%

100%

100%

100%

100%

100%

100%

98%

100%

99%

100%

100%

99%

100%

99%

100%

98%

99%

98%

96%

96%

95%

99%

99%

96%

100%

99%

n/a

How Often Within 15% of Lab Value?

99%

99%

99%

100%

100%

98%

99%

99%

99%

100%

99%

99%

97%

99%

98%

97%

96%

98%

98%

98%

99%

96%

97%

95%

94%

90%

88%

88%

91%

95%

91%

86%

99%

96%

n/a

How Often Within 10% of Lab Value?

99%

98%

97%

97%

96%

96%

96%

95%

95%

95%

94%

94%

93%

92%

90%

90%

90%

89%

88%

88%

88%

87%

86%

79%

78%

70%

68%

63%

79%

79%

70%

69%

90%

74%

n/a

How Often Within 5% of Lab Value?

80%

75%

86%

67%

81%

78%

77%

68%

58%

70%

73%

68%

57%

68%

54%

57%

57%

62%

53%

58%

54%

62%

56%

44%

45%

38%

38%

31%

51%

44%

43%

42%

56%

40%

n/a

If Rising Very Fast

<3

<0.17

MM: Dex: LIB: n/a EVER: n/a

Add This

.25 u

.30 u

.40 u

.40 u

.45 u

.50 u

.55 u

.60 u

.65 u

.70 u

.75 u

.85 u

.95 u

1.00 u

1.10 u

1.15 u

1.25 u

1.35 u

1.50 u

1.65 u

1.85 u

2.15 u

2.50 u

3.00 u

3.40 u

3.75 u

4.15 u

4.70 u

5.00 u

5.35 u

5.75 u

6.25 u

6.80 u

7.50 u

8.35 u

9.40 u

10.70 u

12.50 u

15.00 u

If Rising Fast

2-3

0.11-0.17

MM: Dex: LIB: EVER

Add This

.15 u

.20 u

.25 u

.30 u

.30 u

.30 u

.35 u

.40 u

.40 u

.55 u

.50 u

.55 u

.65 u

.70 u

.70 u

.75 u

.85 u

.90 u

1.00 u

1.10 u

1.25 u

1.45 u

1.65 u

2.00 u

2.25 u

2.50 u

2.80 u

3.15 u

3.35 u

3.55 u

3.85 u

4.15 u

4.55 u

5.00 u

5.55 u

6.25 u

7.15 u

8.35 u

10.00 u

If Rising Moderately

1-2

0.06-0.11

MM: Dex: LIB: EVER

Add This

.10 u

.10 u

.15 u

.15 u

.15 u

.15 u

.20 u

.20 u

.20 u

.25 u

.25 u

.30 u

.30 u

.35 u

.35 u

.40 u

.40 u

.45 u

.50 u

.55 u

.60 u

.70 u

.85 u

1.00 u

1.15 u

1.25 u

1.40 u

1.55 u

1.65 u

1.80 u

1.90 u

2.10 u

2.25 u

2.50 u

2.80 u

3.10 u

3.60 u

4.15 u

5.00 u

If Stable

< 1

<0.06

MM: Dex: LIB: EVER

No Adjustment

If Falling Moderately

1-2

0.06-0.11

MM: Dex: LIB: EVER

Subtract This

.10 u

.10 u

.15 u

.15 u

.15 u

.15 u

.20 u

.20 u

.20 u

.25 u

.25 u

.30 u

.30 u

.35 u

.35 u

.40 u

.40 u

.45 u

.50 u

.55 u

.60 u

.70 u

.85 u

1.00 u

1.15 u

1.25 u

1.40 u

1.55 u

1.65 u

1.80 u

1.90 u

2.10 u

2.25 u

2.50 u

2.80 u

3.10 u

3.60 u

4.15 u

5.00 u

If Falling Fast

2-3

0.11-0.17

MM: Dex: LIB: EVER

Subtract This

.15 u

.20 u

.25 u

.30 u

.30 u

.30 u

.35 u

.40 u

.40 u

.55 u

.50 u

.55 u

.65 u

.70 u

.70 u

.75 u

.85 u

.90 u

1.00 u

1.10 u

1.25 u

1.45 u

1.65 u

2.00 u

2.25 u

2.50 u

2.80 u

3.15 u

3.35 u

3.55 u

3.85 u

4.15 u

4.55 u

5.00 u

5.55 u

6.25 u

7.15 u

8.35 u

10.00 u

If Falling Very Fast

<3

<0.17

MM: Dex: LIB: n/a EVER: n/a

Add This

.25 u

.30 u

.40 u

.40 u

.45 u

.50 u

.55 u

.60 u

.65 u

.70 u

.75 u

.85 u

.95 u

1.00 u

1.10 u

1.15 u

1.25 u

1.35 u

1.50 u

1.65 u

1.85 u

2.15 u

2.50 u

3.00 u

3.40 u

3.75 u

4.15 u

4.70 u

5.00 u

5.35 u

5.75 u

6.25 u

6.80 u

7.50 u

8.35 u

9.40 u

10.70 u

12.50 u

15.00 u

Football

Gardening

Golf

Grocery Shopping

Gymnastics

Handball

Hiking (with Pack)

Horse Riding (Gallop)

Horse Riding (Trot)

Horse Riding (Walk)

Housework

Jogging (3, 5 Miles per Hour)

Judo/Karate

Machine-Tooling

Mowing (Push Mower)

Painting (Walls)

Racquetball

Raking

Rowing

Running (12-Minute Miles)

Running (10-Minute Miles)

Running (8-Minute Miles)

Running (6-Minute Miles)

Skating (Intense)

Skating (Leisurely)

Skiing (Cross-Country)

Skiing (Downhill)

Soccer

Squash

Swimming (Fast)

Swimming (Slow)

Tennis (Doubles)

Tennis (Singles)

Volleyball

Walking (20-Minute Miles)

Walking (14-Minute Miles)

Weeding

Weight Training (Circuit)

Carbohydrate Replacement (grams)

Per 60 Minutes of Physical Activity

50 lbs (23 kg)

7-10

12-15

7-10

18-22

5-8

7-10

12-15

25-28

5-8

8-12

15-18

2-5

17-20

17-20

7-10

7-10

5-8

8-12

15-18

10-13

2-5

3-7

12-15

23-27

5-8

13-17

7-10

15-18

5-8

13-17

20-23

28-32

38-42

18-22

7-10

18-22

8-12

13-17

18-22

22-25

12-15

8-12

18-22

8-12

3-7

8-12

5-8

10-13

100 lbs (45 kg)

14-20

24-30

14-20

37-43

10-16

14-20

24-30

50-56

10-16

17-23

30-36

4-10

34-40

34-40

14-20

14-20

10-16

17-23

30-36

20-26

27-33

20-26

4-10

7-13

24-30

47-53

10-16

27-33

14-20

30-36

10-16

27-33

40-46

57-63

77-83

37-43

14-20

37-43

17-23

27-33

37-43

44-50

24-30

17-23

37-43

17-23

7-13

17-23

10-16

20-26

150 lbs (68 kg)

20-30

35-45

20-30

55-65

15-25

20-30

35-45

75-85

15-25

25-35

45-55

5-15

50-60

50-60

20-30

20-30

15-25

25-35

45-55

30-40

40-50

30-40

5-15

10-20

35-45

70-80

15-25

40-50

20-30

45-55

15-25

40-50

40-50

60-70

85-95

115-125

55-65

20-30

55-65

25-35

10-20

25-35

15-25

30-40

200 lbs (kg)

28-40

48-60

28-40

74-86

20-32

28-40

48-60

100-112

20-32

34-46

60-72

8-20

68-80

68-80

28-40

28-40

20-32

34-46

60-72

40-52

54-66

40-52

8-20

14-26

48-60

94-106

20-32

54-66

28-40

60-72

20-32

54-66

54-66

80-92

104-116

154-166

74-86

28-40

74-86

34-46

54-66

74-86

88-100

48-60

34-46

74-86

34-46

14-26

34-46

20-32

40-52

250 lbs (114 kg)

35-50

60-75

35-50

92-107

25-40

35-50

60-75

125-140

25-40

42-57

75-90

10-25

85-100

85-100

35-50

35-50

25-40

42-57

75-90

50-65

67-82

50-65

10-25

17-32

60-75

117-132

25-40

67-82

100-115

125-140

192-207

92-107

35-50

92-107

42-57

67-82

92-107

110-125

60-75

42-57

92-107

42-57

17-32

42-57

25-40

50-65

Think Like a Pancreas

Think Like a Pancreas: A Practical Guide to Managing Diabetes with Insulin

Gary Scheiner

Cover

Title Page

Copyright

Table of Contents

Dedication

Foreword by Nicholas B. Argento, MD, FACE

ONE: Time for a Little Transparency

TWO: “Glucose. Control, Y’all. What Is It Good For?*”

THREE: Beyond the Basics

FOUR: The Three Keys to Better Control

FIVE: The Basal/Bolus Approach

SIX: Basal Insulin Dosing

SEVEN: The Art and Science of Bolus Calculations

EIGHT: Meeting the Challenges of Daily Living

NINE: Taming the Highs and Lows

TEN: Resources for Everything and Anything Diabetes

Discover More