Question

The doctor asks his patient to keep accurate and detailed food, insulin and blood glucose records...

The doctor asks his patient to keep accurate and detailed food, insulin and blood glucose records to determine an ideal insulin to CHO ratio for lunch.  Round to nearest whole number.

Based on the logs below what ratio would you recommend the patient to use?

Day 1

Pre meal blood glucose:  98mg/dI

10 units rapid acting insulin

2 slices whole what bread

4 ounces turkey

1 tbsp mayo

2 Oreo cookies

8 oz whole milk

2 hour post meal BG 143mg/dI

Day 2

pre meal BG 109mg/dI

12 units rapid acting insulin

Big Mac

Small fries

Diet Coke

2 hour post meal BG 146mg/dI

Day 3

pre meal BG 101mg/dl

12 units rapid acting insulin

Panera bread Asian sesame chicken salad

Baked Lays potato chips, 1 oz

2 hour post meal BG 113mg/dI

Day 4

pre meal BG 102mg/dI

9 units rapid acting insulin

grilled chicken, 4 ounces

1.5 cups rice

2 tbsp butter

1 small orange

2 hour post meal BG 173 mg/dI

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Answer #1

Day 3 ratio is provided to the patient. As patient's pre meal blood sugar and post meal blood sugar level is under control with insulin injection.so this should be given to the patient.

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