Correcting


(Kateski) #1

So we have been talking about ratios for eating.  I am curious about what kinds of formulas people have for correcting highs?  Like if I am in the 200 range, I generally give myself 2U of fast acting insulin.... How do you correct?


(ndstephanie) #2

I give myself 1 unit of insulin for every 50 I want it to go down... so if I was at 200, I'd do the same as you, give myself 2 units, hoping to drop to 100.   If I was at 250, 3 units.   I find that it is extremely confusing to explain the correction bolus to people.  Sometimes, I even confused myself when trying to figure it out.  Luckily now, I am on a pump and it figures it out for me!


(Drew21) #3

if im 200 to 250 i take 3, 250 to 300 i take 4 and then so on. and it usually works, but sometimes ill need more depending on what i ate.


(system) #4

my correction ratio is 2:2u over 6mmol/L

sorry its 2:1un. blah math!

so if i'm 18 i'd take 6units to get me back down to 6.

 


(DDrumminMan) #5

I don't correct very often.  I find that if I test at like 2:00 or 3:00 in the afternoon and am 250 or something, but the time dinner rolls around and I test again, I'm 125 or something.  If I had corrected, I would have gotten low.  Now if it's something crazy like 350 or 400, then yeah, I'll bang up 4 or 5 units or R.


(Kateski) #6

Thanks... Exercise of course always changes things as well... If I run 3 miles it cuts my insulin requirements pretty much in half....


(Rosemary5) #7

I give myself an extra unit of humalog for every 50 above 100. so if I'm 150 I get 1U and so on in increments of 50.


(joe) #8

wow I am feeling like a type 2...  I correct 1unit for 32 mg ...  plus (on a pump) so I'll correct for a 125 if i am between meals.


(kdewi) #9

My correction ratio on my pump is set to 1u per 45 mg/dl.

If I'm over 300, I use a syringe and inject directly into the muscle-- my shoulder works best.  This technique brings my BG level down much faster... it takes about an hour as opposed to the usual 2 - 3.


(system) #10

[quote user="Kirk"]

My correction ratio on my pump is set to 1u per 45 mg/dl.

If I'm over 300, I use a syringe and inject directly into the muscle-- my shoulder works best.  This technique brings my BG level down much faster... it takes about an hour as opposed to the usual 2 - 3.

[/quote]

where did you learn that trick?!?!


(Kateski) #11

I don't have a pump... But I pretty much always inject into the muscle as well for the same reason.   Which can prove troublesome if I worked out recently ...I usually go low...


(Anonymous) #12

I unit per 40 mg/dL over 120 mg/dL


(Anonymous) #13

Trying some new stuff these days. 1 unit for every 75 mg over 120


(Kateski) #14

I like these... The way you and Alyssa do it.  I think I will try it!


(ajax) #15

1 unit for every 66 over 110. I'm real glad my pump does the math for me.


(Kateski) #16

I will have to do the math myself... I will use a pencil and paper....


(Anonymous) #17

[quote user="Kate"]

I will have to do the math myself... I will use a pencil and paper....

[/quote]

me too and I have a pump...a very old one

 


(kdewi) #18

[quote user="Batts"]

[quote user="Kirk"]

My correction ratio on my pump is set to 1u per 45 mg/dl.

If I'm over 300, I use a syringe and inject directly into the muscle-- my shoulder works best.  This technique brings my BG level down much faster... it takes about an hour as opposed to the usual 2 - 3.

[/quote]

where did you learn that trick?!?!

[/quote]

It took me a while to find the article, but here it is...

http://www.dlife.com/dLife/do/ShowContent/daily_living/tips/079.Blood_Glucose.drop.in.high.blood.sugar.html

 


(Robbieduck) #19

[quote user="Kirk"]

 

[quote user="Kirk"]

My correction ratio on my pump is set to 1u per 45 mg/dl.

If I'm over 300, I use a syringe and inject directly into the muscle-- my shoulder works best.  This technique brings my BG level down much faster... it takes about an hour as opposed to the usual 2 - 3.

[/quote]

It took me a while to find the article, but here it is...

http://www.dlife.com/dLife/do/ShowContent/daily_living/tips/079.Blood_Glucose.drop.in.high.blood.sugar.html

 

[/quote]

Fascinating.  What kind of needle do you use to inject?  is it standard IM like they use for flu shots?  is the ratio still the same as you would use for a SQ injection?

BTW,every 30 mg/dl over 120 will get me 1 unit.  My doc doesn't like me getting too aggressive trying to get below 100.


(kdewi) #20

I use a .3cc 8mm insulin syringe, but then again I don't have much fat on my shoulder.  I would probably use a longer needle if I were injecting into my leg.  The technique is simple-- straight in as far as it will go.  And yes, I use the same correction ratio that I would use for a SQ injection.