Using his current weight of 165 lbs, determine the discharge dose of glargine as well as an appropriate ICR for Matias to start with
What will be an ideal response?
• Glargine is the basal insulin, so half of the total daily insulin dose (TDD) should be from glargine. He should receive 0.3-0.5 units insulin/kg of body weight. To start, I took an average and used 0.4 units/kg body weight.
165 lbs / 2.2 = 75 kg x 0.4 units/kg = 30 units of insulin (TDD).
50% is glargine: 30 / 2 = 15 units from glargine (basal insulin).
• Algorithm for patient that has T1DM with small amount of ketones (use 0.3-0.5 units/kg).
• Insulin: carbohydrate ratio:
500 / TDD = 500 / 30 units =16.7 or ~17.
This means that for every 17 g of carbohydrates ingested, Matias will need 1 unit of insulin.
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