Chelsea McCarty, Professor Salt Lake Community College Fall 2010

DIABETES: Calculating an Insulin Dose

2 Types: TYPE 2 “Adult Onset” or “Non-Insulin Dependent” 3 main things go wrong…

1: Insulin Resistance Skinny Insulin… Plus coffee = Happy Insulin!

2: Insulin Deficiency Asleep pancreas + “wake up”- = Pancreas insulin factory Most Common-Diet and Exercise can treat this

HYPERGLYCEMIA

HYPOGLYCEMIA “INSULIN REACTION”

Insulin Right Amount, Right Time, Right Concentration

Jason was 975 mg/dl Normal= mg/dl 975/120=8 times normal, or 800% of normal

No anorexia… that’s ½ tsp in the blood steam constantly… not 1.2 tsp a day!

HbA1c of “normal” is considered to be 4.5 to 5.5

To convert HbA1c to the average glucose value this represents: Glucose Value = (HbA1c x 35.6) – 77.3 Jason ( x 35.5) – 77.3 = 975 Fat red blood cell

IV’s (I poke) 1,000 liters x 6 =6000 liters “Finger stick” blood tests 6/hr x 18 hours = 108 Vein draws 18 hrs / every 3 hrs = 6 That’s 169 owies!

Carb Counting 16 grams per 1 unit insulin 4-10 shots a day for 26 years This averages 6 shots a day For 365 days a year x 26= 56,940 shots