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
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.
The doctor asks his patient to keep accurate and detailed food, insulin and blood glucose records...
Mike's ISF is 40 and his insulin to CHO ratio is 1:12. What is the correct pre-meal rapid acting insulin dose for Mike based on the following. Round to nearest whole number. Pre meal - BG 102 mg/dI Meal - 4 ounces grilled chicken 1.5 cups rice 1 teaspoon butter
Mike's insulin sensitivity factor is 40 and his insulin to CHO ratio is 1 to 12. What is the correct pre meal rapid acting insulin dose for Mike to take based on the following? Round to nearest whole # : Pre meal blood glucose: 67 mg/dl Lunch : 2 starch exchanges, 5 meat exchanges, 2 fat exchanges, 1 fruit exchange
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The patient is a 73 years old man diagnosed one year ago with type 2 diabetes mellitus. He has a history of coronary heart disease s\p angioplasty 5 years prior, hypertension, retinopathy, and left foot neuropathy. He makes every attempt to follow a healthy diet, and has been avoiding table sugar for the past year on his physician’s advice. He comes to see the registered dietitian due to a persistently elevated hemoglobin A1c and hypoglycemia during the night. His weight...
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