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  1. 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.

  2. 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

  3. 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. Give insulin for carbohydrates only.

  4. 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).

  5. 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.

  6. This insulin to carb ratio calculator determines how many carbohydrate grams are disposed of by one unit of insulin from the diabetes treatment.

  7. Insulin to Carbohydrate Ratio (ICR) Insulin to Carb Ratio (ICR) equals the number of grams of carbohydrate that 1 unit of rapid-acting insulin will cover. Everyone is different. Your ratio could vary from meal to meal. You may want to learn to calculate your ICR to improve your blood sugars and have a more flexible lifestyle.

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