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  1. What Is An Insulin-to- Carb Ratio? An insulin-to-carb ratio helps you dose how much rapid-acting insulin you need to “cover” the carbohydrate you will eat at a meal or snack. For example, some people might take 1.5 units for every carb choice, or others might take 1 unit for every 10 grams of carb.

  2. Follow the following steps to calculate insulin to carbohydrate ratio (CHO): Calculate your average total units of injected insulin over 24 hours. You can do this by combining your total bolus insulin injections and your basal insulin injections over a 24 hour period.

  3. Patient on 50 units basal insulin daily. Total Daily Dose (TDD) is 50 units. Insulin to Carbohydrate Ratio (I:C Ratio): 500/50 = 1:10 units. For a 60 gm carbohydrate meal = 60/10 = take 6 units. Example of Insulin with prandial starting dose of 4 units and correction factor of 1:50 Pre-meal Glucose Level Prandial Insulin Dose 70-150 4 units

  4. What is an insulin to carbohydrate ratio? The insulin to carbohydrate ratio tells you how many grams of carbohydrates are covered by one unit of insulin. CORRECTION FACTOR. What is correction factor (CF)? CF is how many points the blood sugar will drop with 1 unit of insulin. USING THE CORRECTION FACTOR.

  5. Calculating a meal or snack dose becomes simple when you know your I:C ratio: Simply divide your carbs by your ratio. If each unit covers 10g and you have a modest 20g meal, you will need only 2 units of insulin (20 ÷ 10 = 2). If you devour 120g, you will need 12 units (120 ÷ 10 = 12).

  6. figure out the carbohydrates in your diet. • The number of units of rapid-acting insulin you took at that meal. • Any extra activity or exercise. It’s best to do about the same amount of exercise every day when figuring out your ICR ratio. Choose a meal where your blood sugar is in target. If the ratio is

  7. Insulin Dose Calculations Worksheet. What are you eating? How much are you having? How many carbs in that amount? What is your blood sugar? If it has been less than 3 hours since last Humalog/NovoLog injection do not give insulin for high blood sugar.

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