# Carbohydrate Ratio Correction Target Correction Factor

Save this PDF as:

Size: px
Start display at page:

## Transcription

1

2 Information Needed to Get Started How many grams of carbs the child is eating Blood glucose (BG) taken before eating Important numbers from primary caregiver: Carbohydrate Ratio Correction Target Correction Factor

3 Insulin Dose Calculation Definitions Carbohydrate Ratio How many grams of carbohydrates will be covered by one unit of insulin Correction Target Target blood glucose value used for insulin dose calculations when the blood glucose is high Correction Factor How many points (mg/dl) one unit of insulin will lower the blood glucose over several hours

4 Bolus Insulin Calculation Worksheet Insulin for carbs Insulin for high blood glucose Add insulin for carbs to insulin for high blood glucose

5 Bolus Insulin Calculation Worksheet 15 Place the example numbers on the worksheet Carbohydrate Ratio: 15 Correction Target: 120 Correction Factor: 30

6 Bolus Insulin Calculation Worksheet 15 Place the example numbers on the worksheet Carbohydrate Ratio: 15 Correction Target: 120 Correction Factor: 30

7 Bolus Insulin Calculation Worksheet Place total carbs and blood glucose on the worksheet Carb Grams: 68 Blood Glucose: 214

8 Bolus Insulin Calculation Worksheet Calculate carb bolus: = Round answer to nearest tenths For example: rounds to rounds to 4.6

9 Bolus Insulin Calculation Worksheet Calculate Correction Bolus: = = Round answer to nearest tenths For example: rounds to rounds to 3.2

10 Bolus Insulin Calculation Worksheet Add the carb bolus to the correction bolus: = 7.6

11 Bolus Insulin Calculation Worksheet The final Rounded Total Insulin Bolus depends if the child uses half units or whole units. This example is done in half units ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

12 Bolus Insulin Calculation Worksheet The final rounded total Insulin Bolus depends if the child doses in half units or whole units. This example is done in whole units ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

13 Practice Problem #1 Scenario: Ryan s blood glucose before breakfast is 189 and he is about to eat 31 grams of carbs. Ryan uses a half unit insulin pen. Carb Ratio = 12 Correction Target = 120 Correction Factor = 25 Calculate how much insulin Ryan needs. ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

14 Practice Problem #1: Answers = 2.6 Scenario: Ryan s blood glucose before breakfast is 189 and he is about to eat 31 grams of carbs. Ryan uses a half unit insulin pen = 2.8 Carb Ratio = 12 Correction Target = 120 Correction Factor = 25 Calculate how much insulin Ryan needs ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

15 Practice Problem #2 Scenario: Annie s blood glucose before lunch is 142 and she is about to eat 68 grams of carbs. Annie uses a whole unit insulin pen. Carb Ratio = 9 Correction Target = 120 Correction Factor = 24 Calculate how much insulin Annie needs. ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

16 Practice Problem #2: Answers = 7.6 Scenario: Annie s blood glucose before lunch is 142 and she is about to eat 68 grams of carbs. Annie uses a whole unit insulin pen = 0.9 Carb Ratio = 9 Correction Target = 120 Correction Factor = Calculate how much insulin Annie needs. ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

17 Practice Problem #3 Scenario: Colton s blood glucose before a school birthday party at 2 pm is 214 and he is about to eat 30 grams of carbs from a cupcake. Colton uses half unit syringes. Carb Ratio = 45 Correction Target = 150 Correction Factor = 100 Calculate how much insulin Colton needs. ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

18 Practice Problem #3: Answers = = Scenario: Colton s blood glucose before a school birthday party at 2 pm is 214 and he is about to eat 30 grams of carbs from a cupcake. Colton uses half unit syringes. Carb Ratio = 45 Correction Target = 150 Correction Factor = 100 Calculate how much insulin Colton needs. ROUNDING RULE for ½ Unit: = Round down to whole unit = Round to ½ unit = Round up to whole unit ROUNDING RULES for Whole Unit: = Round down to whole unit = Round up to whole unit

19 There are times you will not calculate a Correction Bolus and will only calculate a Carbohydrate Bolus. Skip this step

20 Do not calculate a Correction Bolus: If blood glucose is less than the CORRECTION TARGET* If it has been less than three hours since the last carbohydrate bolus or correction bolus* If you have treated a low blood glucose in the past three hours* If it has been less than one hour since vigorous exercise* * These rules may vary depending on the diabetes prescriber. REFER TO THE MEDICAL ORDERS FOR DETAILS. Following these rules will help prevent giving too much insulin that can lead to a low blood glucose.

### Calculating Insulin Dose

Calculating Insulin Dose First, some basic things to know about insulin: Approximately 40-50% of the total daily insulin dose is to replace insulin overnight, when you are fasting and between meals. This

### University College Hospital. Sick day rules insulin pump therapy

University College Hospital Sick day rules insulin pump therapy Children and Young People s Diabetes Service Children whose diabetes is well controlled should not experience more illness or infections

### Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106

EMPOW ERING A COMMUNITY OF LEARNERS AND LEADERS Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106 Student DOB School Grade Doctor Phone School Year

### Diabetes Management and Treatment Plan for School (For the insulin pump student)

Lafayette School Corporation Health Services Diabetes Management and Treatment Plan for School (For the insulin pump student) Effective Dates: This plan should be complete by the student s personal health

### Diabetes Monitoring Diary

Diabetes Monitoring Diary For those Counting Diabetes Service My targets: Before breakfast Before other meals Before bed... mmol/l... mmol/l... mmol/l Correcting high blood glucose levels: Information

Your Road Map to Diabetes Medication dministration Record (Part 1) Ohio Revised ode (3313.713) is the education law that addresses prescriptive medication administration in Ohio schools. This OR lists

### ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan

ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan of Plan: School Year (must be current): This plan should be completed by the student s personal health care team and parents/guardian.

### Diabetes Medical Management Plan (DMMP)

Diabetes Medical Management Plan (DMMP) This plan should be completed by the student s personal diabetes health care team, including the parents/guardian. It should be reviewed with relevant school staff

### Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy

Insulin Dose Adjustment REAL-Time CGMS Guidelines for Subjects on Pump Therapy In addition to using the blood sugar logs to adjust your insulin doses every week, you should also use your continuous glucose

### Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction)

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) 4) activity and 5) other factors such as stress and

### Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control. Linda Macdonald, M.D. November 19, 2008

Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control Linda Macdonald, M.D. November 19, 2008 Objectives Understand the relationship between insulin, carbohydrate intake, and blood

### Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007)

Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007) The following is a system of insulin therapy, diet management, and blood glucose monitoring

### Equipment and Supplies Checklist for Parents Student: DOB: School: Grade: Equipment and Supplies to be Provided by Parent. Parent Signature Date

Equipment and Supplies Checklist for Parents Student: DOB: School: Grade: Equipment and Supplies to be Provided by Parent Parent Signature Date Daily Snacks (for AM/PM snack times): Specify: Extra Snacks

Adjusting Your Basal Rates On Insulin Pumps Now that you are on an insulin pump your basal insulin doses will still need to be adjusted just like when you received insulin injections. The reasons your

### Resident s Guide to Inpatient Diabetes

Resident s Guide to Inpatient Diabetes 1. All patients with diabetes of ANY TYPE, regardless of reason for admission, must have a Hemoglobin A1C documented in the medical record within 24 hours of admission

### School Year 20 / 20. Diabetes Health Care Plan for Southgate Schools

School Year 20 / 20 Diabetes Health Care Plan for Southgate Schools Diabetes Medical Management Plan, Initialized Healthcare Plan and Physician Orders Part A: Contact Information must be completed by the

### Do children with diabetes need a special diet?

Do children with diabetes need a special diet? No! The basic nutritional needs of a child or adolescent with diabetes is the same as their peers Healthy eating is important for all children Children with

### Riley Hospital for Children General Diabetes Medical Management Information- Injections

Riley Hospital for Children General Diabetes Medical Management Information- Injections 1. HEALTH CARE SUPERVISION All school support staff, including: secretaries, cafeteria staff, custodians and bus

### Diabetes Health Care Plan

The Public Schools of Brookline School Health Services of Plan: Diabetes Health Care Plan To be completed by the student s health care team and parents/guardian. Plan will be kept with the school nurse

### Young Marines Diabetes Care Plan

PO Box 70735, SW Station Washington, DC 20024-0735 800-717-0060 office / 202-889-0502 fax Young Marines Diabetes Care Plan Child s Name: Date of Birth: Age: Unit: Event: (Drill, Encampment, SPACES, NDSP,

### DIABETES PACKET. To ensure your child s well-being, please provide the school with the following supplies:

NSG-203A NORTH ROYALTON CITY SCHOOLS 6579 Royalton Road North Royalton, Ohio 44133 DIABETES PACKET Dear Parent/Guardian: You have indicated that your child has Diabetes. Please complete the attached SCHOOL

SAMPLE Diabetes Medical Management Plan/Individualized Healthcare Plan Part A: Contact Information must be completed by the parent/guardian. Part B: Diabetes Medical Management Plan (DMMP) must be completed

### 4/7/2015 CONFLICT OF INTEREST DISCLOSURE OBJECTIVES. Conflicts of Interest None Heather Rush. Heather M. Rush, APRN, CDE Louisville, KY

Heather M. Rush, APRN, CDE Louisville, KY CONFLICT OF INTEREST DISCLOSURE Conflicts of Interest None Heather Rush A conflict of interest exists when an individual is in a position to profit directly or

### Math. Rounding Decimals. Answers. 1) Round to the nearest tenth. 8.54 8.5. 2) Round to the nearest whole number. 99.59 100

1) Round to the nearest tenth. 8.54 8.5 2) Round to the nearest whole number. 99.59 100 3) Round to the nearest tenth. 310.286 310.3 4) Round to the nearest whole number. 6.4 6 5) Round to the nearest

### My Sick Day Plan for Type 1 Diabetes on an Insulin Pump

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump When you are sick, your blood sugar levels may be harder to keep under control. Your blood sugar may go too high or too low. Use this guide to help

### Anchor Bay School District Diabetic Medical Care Plan. Student Name Date Grade Teacher

Rev: 4/2009 Anchor Bay School District Diabetic Medical Care Plan Place Child s Picture Here Student Name Date Grade Teacher Emergency Contact information (Please list in order to be called) #1 Parent

Adjusting Insulin Pump Settings 9501183-011 1 Objective Introduce principles, tools and methodology for adjusting insulin pump settings Key Points Adjusting Pump Settings is a systematic, logical process

### Changing to Basal Bolus Insulin Regimen

Changing to Basal Bolus Insulin Regimen What is a basal bolus insulin regimen? Basal insulin (Lantus) is injected once per day and ensures there is insulin in the body at all times. Bolus insulin (NovoRapid/Humalog)

### Insulin/Diabetes Calculations

Insulin/Diabetes Calculations Dr. Aipoalani St Lukes Endocrinology Goals Describe various calculations for insulin dosing Understand importance of the total daily dose (TDD) of insulin Be able to calculate

### Diabetes. New Trends Presented by Barbara Obst RN MS August 2008

Diabetes New Trends Presented by Barbara Obst RN MS August 2008 What is Diabetes Diabetes is a condition characterized by high levels of glucose. The glucose circulates in your blood and serves as the

### BLOOD GLUCOSE MONITORING MEDICATION

DIABETES CARE FOR SCHOOL MEDICAL MANAGEMENT PLAN Most Recent A1C and Date: BLOOD GLUCOSE MONITORING Meter Type: Testing Independently: yes no Testing times: Before meals Two hours after insulin dosing

### Diabetes Medical Management Plan

Diabetes Medical Management Plan 1 School District: School: School Year: Grade: Student Name: DOB: Provider Name: Phone #: Fax #: Blood Glucose Monitoring at School Blood Glucose Target Range: - mg/dl

### Diabetes Medical Management Plan

Diabetes Medical Management Plan Student s Name: Grade: School: School Year: Diabetes Type 1: Diabetes Type 2: Date of Diagnosis: Blood Glucose Monitoring ~ Target blood glucose range: to mg/dl Usual times

### OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN

PART I OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN Student School Date of Birth Date of Diagnosis Grade/ Teacher Physical

### The Diabetes Self Management Insulin Pump Therapy Program

The Diabetes Self Management Insulin Pump Therapy Program Is part of a Nationally recognized program taught by CPT s Offers classes during the daytime in a three part series: PRE-PUMP CLASS SALINE START

### Jane Jeffrie Seley DNP, MPH, GNP, CDE, BC-ADM, CDTC Diabetes Nurse Practitioner Division of Endocrinology NewYork-Presbyterian Hospital Weill Cornell

Jane Jeffrie Seley DNP, MPH, GNP, CDE, BC-ADM, CDTC Diabetes Nurse Practitioner Division of Endocrinology NewYork-Presbyterian Hospital Weill Cornell Medical College Disclosures Advisory Board Member:

### Type 1 Diabetes - Managing a Critical Ratio

Objectives Students will learn about how ratios and proportions are a key part of managing Type 1 Diabetes Students will learn about the regulation of blood glucose through insulin (hormone) binding with

### Carbohydrate Counting

Carbohydrate Counting Carbohydrate When carbohydrates; sugars & starches are digested, they break down to form glucose in the blood stream. Your quick acting insulin dose can be based on how much carbohydrate

### Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors

Optimizing Insulin Therapy Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Introduction Diabetes management, and particularly self-management, has come a long way. Unfortunately,

### Using the Advanced mode to perform a mealtime insulin dose calculation

Using the Advanced mode to perform a mealtime insulin dose calculation Calculator Use Obtaining a mealtime insulin dose calculation for the Advanced setup option 1 2 3 4 Insert strip and apply blood sample

### Introduction to Pump Therapy Questionnaire

Introduction to Pump Therapy Questionnaire Please fill out this questionnaire and review it with your diabetes educator. This step is part of the process to be accepted into the Alberta Insulin Pump Therapy

### Risk For Unstable Blood Glucose NANDA 00179

Student Name/Number: Grade/School Year: IHP Completed By & Date: Nursing Assessment Completed By & Date: Scheduled IHP Review Date: Scheduled Nursing Assessment Review Dates: Student Outcome Goal: Student

### The Nursing Department of Central CUSD 301 provides nursing services that promote students ability to learn. Our goals are to:

Date Dear (Parent / Guardian), The Nursing Department of Central CUSD 301 provides nursing services that promote students ability to learn. Our goals are to: o Assist students in learning how to take care

S T AY I N G O N T A R G E T TARGET THERAPY Staying on Target TM Your Insulin Adjustment Workbook Yes, You Can Do It! YES, YOU CAN DO IT! Your How-To Guide for Adjusting Basal and Bolus Insulin This workbook

### Health Professional s. Guide to INSULIN PUMP THERAPY

Health Professional s Guide to INSULIN PUMP THERAPY Table of Contents Introduction Presenting Insulin Pump Therapy to Your Patients When Your Patient Chooses the Pump Estimates for Starting Insulin Pump

### Carbohydrate Counting and Insulin. Diabetes Care Group www.diabetescaregrp.com

Carbohydrate Counting and Insulin Diabetes Care Group www.diabetescaregrp.com 1 Objectives State carbohydrate grams in commonly eaten foods Determine total carbohydrate grams using a nutrition label or

### Diabetes means you have too much sugar in

WHAT IS DIABETES? Diabetes means you have too much sugar in your blood. The medical word for sugar in the blood or blood sugar is glucose, but most people just say sugar. Your body changes most of the

### Diabetes Numeracy Test

Diabetes Numeracy Test Last Revised: January 19, 2005 (Answers Revised 3/05, format revised 3/07) Time Started: Time Completed: Total Time: The Diabetic Numeracy Test Description The Diabetic Numeracy

Advanced Carbohydrate Counting Living Well with Your Health Conditions What is Carbohydrate Counting? Carbohydrate counting focuses on the amount of carbohydrate (carbs) in your diet. Carbohydrate is the

### Carbohydrate Counting

Carbohydrate Counting Goals of Nutrition Control of blood glucose Normal growth and development Healthy meals and snacks What Foods Can I Eat? Healthy, balanced meals and snacks Foods with sugar in moderation

### Riley Hospital for Children General Diabetes Medical Management Information- Pump Therapy

Riley Hospital for Children General Diabetes Medical Management Information- Pump Therapy 1. HEALTH CARE SUPERVISION All school support staff, including: secretaries, cafeteria staff, custodians and bus

### FHUSD Diabetic Management Plan

This plan should be completed by the student s personnel Physician or Licensed Healthcare Provider and parent/guardian. It should be reviewed with relevant school staff and copies should be kept in a place

### The Basics of Insulin Pump Therapy

The Basics of Insulin Pump Therapy Table of Contents The Basics of Insulin Pump Therapy Introduction Welcome... 3 Chapter 1 Balancing Glucose and Insulin............................. 10 Section 1: Glucose,

### BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS

CHAPTER 6: BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS WHAT IS BOLUS INSULIN? Bolus insulin dosages refer to the quick bursts of insulin given to cover the carbohydrates in meals or snacks

### Emma Jenkins BSc, RD, CEDT Diabetes Specialist Dietitian Royal Bournemouth Hospital Dorset, UK. Pens & calculators at the ready?!...

Emma Jenkins BSc, RD, CEDT Diabetes Specialist Dietitian Royal Bournemouth Hospital Dorset, UK Pens & calculators at the ready?!... Robert, age 42. Type 1 diabetes for 26yrs. HbA1c 76mmols/mol 2 recent

### Diabetes Resources. Tamara Meier, APRN-CNS, IBMC Diabetes Specialist. Call ANYTIME for questions! 397-5166

Diabetes Resources Diabetes Specialists Tamara Meier, APRN-CNS, IBMC Diabetes Specialist. Call ANYTIME for questions! 397-5166 Alicia Johnson, APRN-CNP, ISMC Diabetes Specialist. 405.227.4435 Annie L.

### For people with diabetes. A blood sugar diary

For people with diabetes A blood sugar diary A circle of help to live a healthy life YOU are at the center of a healthy life with diabetes. All the elements of good care begin and end with YOU. The importance

### A Reference Guide for School Nurses. with the Medtronic MiniMed Insulin Pump

A Reference Guide for School Nurses with the Medtronic MiniMed Insulin Pump Table Of Contents I Table of Contents The Medtronic MiniMed Insulin Pump A Reference Guide for School Nurses For the 522, 722,

### OP_PF_12087-AW Rev A_UG 3/17/06 11:25 AM Page 1. Data Management Software. User Guide

OP_PF_12087-AW Rev A_UG 3/17/06 11:25 AM Page 1 Data Management Software User Guide OP_PF_12087-AW Rev A_UG 3/17/06 11:25 AM Page 2 2006 Insulet Corporation. All rights reserved. OmniPod is a registered

### Taking Insulin Pumps to School. Rachel Calendo, MS, RN, CPNP, CDE, Martha Cuevas, RN, BSN, CPT

Taking Insulin Pumps to School Rachel Calendo, MS, RN, CPNP, CDE, Martha Cuevas, RN, BSN, CPT Insulin Pumps Today A micro-computer, about the size of a pager Programmed to deliver both a preset amount

### EDISON TOWNSHIP PUBLIC SCHOOLS DIVISION OF HEALTH SERVICES. Diabetes Medical Management Plan

EDISON TOWNSHIP PUBLIC SCHOOLS DIVISION OF HEALTH SERVICES HS Form # 31 Diabetes Medical Management Plan Part A: Contact Information must be completed by the parent/guardian Part B: Authorization for Services

Insulin Management System GETTING YOUR SETTINGS FOR YOUR NEW PDM Congratulations ON YOUR NEW PDM Your new PDM is designed to make your daily diabetes management even smoother. We are confident you will

### New Zealand Diabetes Management Plan Insulin pump therapy [to be used in conjunction with Action Plan]

New Zealand 2015-16 Diabetes Management Plan Insulin pump therapy [to be used in conjunction with Action Plan] Name of child: First name (please print) Family name (please print) Date of birth: Name of

### Func%onal insulin therapy: rela%onship to carbohydrate intake

Func%onal insulin therapy: rela%onship to carbohydrate intake Prof. Andrej Janež MD, PhD University Medical Centre Ljubljana, Slovenia Conflict of interests Merck Sharp&Dohme, Novo Nordisk, NovarEs, Boehringer

### Are you ready to pump?

The decision to use an insulin pump is not an easy one. There is a lot involved with managing diabetes using a pump. Take some time to make this decision. Talk about it with your family and your health

### Insulin Delivery System. Reference Guide

Insulin Delivery System Reference Guide Reference Guide As an important member of our family, we would like you to know we understand the importance of managing your diabetes. We care about your health

### Insulin Pumps. with Diabetes

Insulin Pumps with Diabetes Continuous subcutaneous insulin infusion (with an insulin pump) is an alternative to multiple daily injections for people with type 1 diabetes Streetwise What is an insulin

### Should I Eat This or This? Exchange List and Carbohydrate Counting to Manage Diabetes

Should I Eat This or This? Exchange List and Carbohydrate Counting to Manage Diabetes Faculty Linda Jennings, MS, RD, LD Nutrition Assistant Administrator Alabama Department of Public Health Satellite

### Carbohydrate Counting

Carbohydrate Counting What is Carbohydrate Counting? Carbohydrate counting is a meal-planning tool that many people use to manage their blood sugar. Carbohydrate counting, or carb counting, is done by

### SAMPLE SECTION 504 PLAN

SAMPLE SECTION 504 PLAN The attached sample Section 504 Plan was developed by the American Diabetes Association (ADA) and the Disability Rights Education and Defense Fund, Inc. (DREDF). 0 MODEL 504 PLAN

### Managing the U Managing the U--500 500 Patient as a Surg as a Sur ical Inpatient

Managing the U-500 Patient as a Surgical Inpatient Tyler Fischback Pharmacy Specialist St. Clare Hospital I have no conflicts of interest to disclose The Case DM is a 37 y.o.. developmentally delayed T2DM

### Using the Flip Chart to Teach

Using the Flip Chart to Teach Learning Objectives: At the conclusion of this presentation, you should be able to: State being familiar and comfortable with the Diabetes Survival Skills Flip-Chart teaching

### Name Date. Doctor. Usual times to test glucose at school Extra tests (check those that apply) before exercise after exercise other (explain)

Appendix A SAMPLE IHP Name Date Phone numbers Blood glucose Hypoglycemia Hyperglycemia Insulin Parent/guardian#1 Work Home Parent/guardian#2 Work Home Other emergency contact Doctor Usual times to test

### INSULIN PUMPS INFUSION SETS BRANDS OF PUMPS ADVANTAGES I INSULIN PUMP PHYSIOLOGIC INSULIN SECRETION. Daniel L. Metzger, MD, FAAP, FRCPC

INSULIN PUMPS PHYSIOLOGIC INSULIN SECRETION Daniel L. Metzger, MD, FAAP, FRCPC INSULIN PUMP INFUSION SETS BOLUS BASAL Breakfast Bed Dinner Snack Lunch Breakfast BRANDS OF PUMPS ADVANTAGES I ANIMAS MINIMED

### Dear Parent/Guardian and Physician of

DIABETIC MANAGEMENT PLAN Parent Consent and Physician Authorization POWAY UNIFIED SCHOOL DISTRICT HEALTH SERVICES 15250 Avenue of Science San Diego CA 92128 Dear Parent/Guardian and Physician of California

### For People With Diabetes Blood Sugar Diary

Time period: to This book belongs to Name Address For People With Diabetes Blood Sugar Diary Phone I have diabetes. In case of emergency, please notify: Name Address Phone Health Care Provider or Diabetes

### Introduction. We hope this guide will aide you and your staff in creating a safe and supportive environment for your students challenged by diabetes.

Introduction Diabetes is a chronic disease that affects the body s ability to metabolize food. The body converts much of the food we eat into glucose, the body s main source of energy. Glucose is carried

### Blood Sugar Log. Breakfast (daily) Before Lunch Before Dinner Bedtime

Blood Sugar Log Date Before Breakfast (daily) Before Lunch Before Dinner Bedtime DIABETES MANAGEMENT (HEMOGLOBIN A1c) Your Hemoglobin A1c is the blood test that tells your doctor how well you are managing

### BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS

BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS C O N T A C T D I A B E T E S S E R V I C E S F O R M O R E I N F O R M A T I O N 8 4 7-9 1 7-6 9 0 7 THIS SLIDE PRESENTATION WAS PREPARED BY SUE DROGOS,

### BLOOD GLUCOSE METER. Getting Started Guide for Single Patient Use Only

BLOOD GLUCOSE METER Getting Started Guide for Single Patient Use Only Before You Start Testing About the meter and test strips Carefully read and follow the instructions in the Getting Started Guide,

### Should We Count Fat and Protein in Bolus Insulin Dose Calculation: Does Carbohydrate Counting Work? Howard A. Wolpert, MD

Should We Count Fat and Protein in Bolus Insulin Dose Calculation: Does Carbohydrate Counting Work? Howard A. Wolpert, MD Carbohydrate to Insulin Ratio, circa 1935 Standard Insulin Replacement Regimen

### Type of Diabetes: Date Diagnosed: Last A1C result: A1C Goal: Mother/Guardian: Address: Telephone: Home ( ) Work ( ) Cell ( )

DEPARTMENT OF HEALTH SERVICES Division of Public Health F-43013 (Rev. 06/16) DIABETES MEDICAL MANAGEMENT PLAN STATE OF WISCONSIN (608) 261-6855 The student s healthcare provider and parents/guardians should

### Reducing the risk of patient harm: A focus on insulin

Reducing the risk of patient harm: A focus on insulin New York State Partnership for Patients (NYSPFP) Initiative Regional Educational Session November 2013 1 1 Disclosure Matt Fricker, Matt Grissinger,

### INSULIN PUMP THERAPY

INSULIN PUMP THERAPY Information Leaflet Your Health. Our Priority. Page 2 of 5 Insulin management plan for pregnant women using insulin pump therapy If at any point, you are not able to control your blood

### Insulin Initiation and Intensification

Insulin Initiation and Intensification ANDREW S. RHINEHART, MD, FACP, CDE MEDICAL DIRECTOR AND DIABETOLOGIST JOHNSTON MEMORIAL DIABETES CARE CENTER Objectives Understand the pharmacodynamics and pharmacokinetics

### The OmniPod Insulin Management System

Caregiver GUIDE The OmniPod Insulin Management System The OmniPod is an easy-to-use, two-part insulin delivery system. If you are a school nurse, daycare provider, or other secondary caregiver for someone

### Insulin pen start checklist

Insulin pen start checklist Topic Instruction Date & Initials 1. Cognitive Assessment 2. Insulin Delivery loading appropriate mixing priming shot dialing up dose delivery of insulin 3. Insulin type/action

### Green Brook Township School District DIABETES- Insulin Pump IHP/IEHP

Green Brook Township School District DIABETES- Insulin Pump IHP/IEHP 1. Personal Information: I. STUDENT INFORMATION NAME: Grade HR.- Teacher: Address Home Phone #: Birth date Bus: # N/A Gender Male Female

### Insulin Pump Management and Continuous Glucose Monitoring Systems (CGMS)

Insulin Pump Management and Continuous Glucose Monitoring Systems (CGMS) Faith Daily, RN, BSN, CDE, CPT Certified Diabetes Educator/Insulin Pump Trainer August 16, 2014 Why Pump Therapy? Mimics normal

### A Guide to Starting. Humalog Mix25

A Guide to Starting Humalog Mix25 This booklet is intended only for those individuals who have been prescribed Humalog Mix 25. It is intended to be used in addition to the Patient Information Leaflet (PIL)

### Math. Rounding to Tens & Hundreds. Answers. 1) Round to the nearest Hundred ) Round to the nearest Hundred. 829

1) Round to the nearest Hundred. 455 2) Round to the nearest Hundred. 829 3) Round to the nearest Hundred. 7,444 4) Round to the nearest Ten. 23,349 5) Round to the nearest Hundred. 759 6) Round to the

### Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES. Historical Perspective. Insulin Pumps in Pregnancy. Insulin Pumps in the US

Objectives PERINATAL INSULIN PUMPS: BASICS FOR NURSES Jo M. Kendrick, APN BC, CDE jkendric@utmck.edu Describe indications and contraindications for insulin pump use in hospitalized patients Differentiate

### Form Diabetes Care Plan

Form 504.1.5 Diabetes Care Plan Diabetes Care Plan Diabetes Care Plan For: School: Effective Dates: Date of Birth: Grade: Homeroom Teacher: Place photo of student here. Contact Information Parents/Guardians

### DAFNE Session Learning Outcome (SLO) Form: Session content

DAFNE Session Learning Outcome (SLO) Form: Session content Session No: 7 Session Title: Insulin action and injection technique Expected minimum timing for session: 75 minutes Insulin Regimen Day: Time

### VA/DoD Clinical Practice Guideline for Management of Diabetes TOOLKIT

VA/DoD Clinical Practice Guideline for Management of Diabetes TOOLKIT VA/DoD Clinical Practice Guideline for Management of Diabetes TOOLKIT For the Provider/Educator Teaching Tips Consider patient readiness

### Diabetes Medical Management Plan

WEST WINDSOR-PLAINSBORO REGIONAL SCHOOL DISTRICT of Plan: Diabetes Medical Management Plan This plan should be completed by the student s personal health care team and parents/guardian. It should be reviewed

### Adjusting Insulin Pump Settings with Confidence. Mary Wright, RN, CDE, NP

Adjusting Insulin Pump Settings with Confidence Mary Wright, RN, CDE, NP We have come a long way Current Insulin Pumps Animas Omnipod Medtronic MiniMed Objectives: Review what, when, and how much insulin

### Linda Young, RN, MS, FRE, BC Nursing Program Specialist South Dakota Board of Nursing

Linda Young, RN, MS, FRE, BC Nursing Program Specialist South Dakota Board of Nursing Ø Background Ø Purpose Ø Methodology Ø Study Results Ø Policy Considerations Inspiration behind study: 1. Access to