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Saturday, 19 May 2018

Calculating Insulin Dose. May 19, 2018

For those diabetics, type 2, type 1, or any other types, who inject insulin, the calculating dose of insulin is most complicated task. There are some sites where we can find how to do so. Also nurse and doctors will give some guidance. Still, calculating dose on Insulin is very difficult to do.
Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 15-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.
well, today my blood sugar, fasting, 135 mg/dl. I need 100 mg/dl. So 35mg/dl I have to correct, right?
If I take 1 unit of Insulin them my blood sugar would drop by 50 mg/dl, and so it would be less then 100 mg/dl. Perfect sugar.
So what? After sugar dropped down to the perfect number then what?  Would sugar stay in this  number? Would sugar go up? Would sugar getting down?
Now there is another question. If sugar drops fron 15 to 100 mg/dl, then what if it is not 50 mg/dl but 100 mg/dl? Just one unit of insulin, and sugar get down to the low blood sugar, 35 mg/dl. Just trust me, it is not the case. This never will happen with one unit of insulin. Usually no one, diabetic or not, will have any difference if one take from 1 to 10 units of insulin. It is not danger. Dr. Banting proved it on his own body.
     And this statement fake for one unit, is this possible to trust it will be true to 100 units? Not at all. It is simple logic. And even if one pretend that this statement can be true to 100 units, but still fake for one units, then what about 99 units and 101 units? Consistency is broken.
Generally, one unit of rapid-acting insulin will dispose of 12-15 grams of carbohydrate. This range can vary from 4-30 grams or more of carbohydrate depending on an individual’s sensitivity to insulin. Insulin sensitivity can vary according to the time of day, from person to person, and is affected by physical activity and stress.    
The difference between 4 and 30 is big. So, it is better to start with sensitivity to insulin, and how to find it.
The general calculation for the body’s daily insulin requirement is:
 Total Daily Insulin Requirement(in units of insulin)
= Weight in Pounds ÷ 4
So, if I am 400 Pounds then I need 100 units of Insulin Daily dose. I take 610 units daily.
 If your body is very resistant to insulin, you may require a higher dose. If your body is sensitive to insulin, you may require a lower insulin dose.
It is best place I found how to calculate dose of insulin. Finally, there is conclusion:
Please keep in mind, the estimated insulin regimen is an initial “best guess” and the dose may need to be modified to keep your blood sugar on target.
Also, there are many variations of insulin therapy. You will need to work out your specific insulin requirements and dose regimen with your medical provider and diabetes team.
 Regardless how hard I try to calculate the number units I am going to inject, I fail. What I did not fail is, to take my blood sugar under control. I dropped numbers down from A1c=9.4% down to 5.99% This is what I did not fail. Probably now numbers are lover. I have incoming visit to the Endo. I am no longer see 599 mg/dl on my meter. The matter of fact I do not see numbers higher then 200 mg/dl. In other words, numbers are perfect. If take a look at the numbers, just numbers, I am no longer diabetic. The same if take it into consideration that I have to inject dose of insulin according to numbers on my glucose meter. 
      So, am I diabetic or not? What dose of insulin I have to inject to keep my numbers under tight control? BTW, it was said, Tight Control is not possible, or it is danger for diabetics. Really? Yes, It is danger, but now for diabetics  but for Medical Care system. What they will do if there is no diabetics in their offices? I do have this Tight Control. With time my numbers would be perfect, no diabetes, even I have to live on Insulin Injections. 
       Now there is question, if one control blood sugar numbers with Insulin in injections, and only with Insulin in injections, does one diabetic or not? How to count dose of insulin for this diabetic?

https://dtc.ucsf.edu/types-of-diabetes/type2/treatment-of-type-2-diabetes/medications-and-therapies/type-2-insulin-rx/calculating-insulin-dose/


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