Insulin Regimen Table

Correction Tables

Custom Correction Table

or

Simple Sliding Scale

Note: this table will not include negative correction or adding prandial base or custom max and increments

Correction Insulin Calculator



Input current glucose to obtain correction insulin dose


Note: can double click in tables to edit values


Usage: Factor represents insulin sensitivity (Units/Kg). Consider 0.3-0.5 for most starting regimens for T1DM,T2DM. 0.5-4 for resistant T2DM.

abbreviations: TDD=Total Daily Dose, TBD=Total Basal Dose, CF=Correction Factor, CIR=Carbohydrate to Insulin Ratio


Source for Formulas
AACE T2DM Guidelines Source
ADA Clinical Practice Guideline

Disclaimer

All information contained in this website and its associated web applications is provided for educational purposes only and should not be used for diagnosis or treatment of any illness. Use of these applications is not intended to guide patient care or to replace clinical judgement. The creator of this website is not responsible for errors or for any consequences from application of this website-- its content, calculators, and applications. The creator makes no warranty, expressed or implied, with respect to accuracy or currency of this website, its associated web applications , or its references. Application of these tools remains the responsibility of the practitioner.


Formulas

units of insulin to correct glucose=(Current Blood Glucose-Goal BG)/(Correction Factor)

units of insulin to cover a meal=(grams of carbs)/(carb to insulin ratio)

Bolus on Board (BOB) = Prior Bolus-[Prior Bolus X (time since last bolus/duration of insulin action)]

Carb Counting Resource
Another Carb Counting Resource

Pump Settings

Pump TDD Calculation:

Which TDD to use for pump settings?

If well controlled, use the average of the two methods. If hypoglycemic, use lower of the two methods. If hyperglycemic,elevated HbA1c, or pregnant--use higher of two methods

Pump Doses:


Formulas: Basal Rate=(TDD X 0.5)/24h, Carbohydrate Ratio = 450/TDD, Sensitivity Factor = 1700/TDD

Source: AACE Consensus Statement

Supplies

30 Day Supply

Basal Supplies:
Bolus Supplies:

90 Day Supply

Basal Supplies:
Bolus Supplies:

30 Day Supply Table

90 Day Supply Table

Reference Table

30 Day Supply

Result

Example Table

Modified Regimen:



U500 Regimen:

Percent change suggestions:

Some recommend 10% to 20% dose reductions for all patients when converting to U500

One suggestion

Another suggestion

70/30 Regimen:

N/R Regimen


N/R Regimen

Does not take into account %N/%R

Follows following split:

ACBreakfast R==TDD*0.2

AC Lunch R==TDD*0.1

AC Dinner R==TDD*0.1

NPH at HS==TDD*0.5

1. American Diabetes Association Professional Practice Committee. 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2022. Diabetes Care. 2022;45(Supplement_1):S125-S143. doi:10.2337/dc22-S009

Equation 1:Calculate CF following correction bolus

Equation 2:Calculate CIR following mealtime bolus if CF is known

Equation 3:Calculate CIR following mealtime bolus provided BG stays the same

Equation 4:Calculate carbs to cover insulin bolus


Formulas

Eq1: Correction Factor=(BG_Initial-BG_Final)/Units

Eq2: CIR if CF is known (does not require stable BG following insulin)=Carbs/[(Units+(BG_Initial-BG_Final)/CF]

Eq3: CIR if CF is not known (Assumes stable BG following insulin)=Carbs/Units

Eq4: Carbs to cover insulin=CIR*Units

ui.R


              
            

            

              
server.R