Most people take
three injections of insulin daily:
A.M. - A mix
of NPH and Regular or Humalog
Dinner - Regular
or Humalog
Bedtime - NPH
There are times when
the usual amount of insulin prescribed is not enough, and blood sugars
may become too high. If blood sugar is checked before eating or going
to bed and it is higher than 100, the physician or diabetic educator may
recommend additional insulin.
· Do not skip snacks even if your blood sugar is high!!
Key Facts
Extra insulin
is always REGULAR (fast-acting) or HUMALOG® (ultra fast-acting)
insulin. Insulin needs are determined by your physician or diabetic
educator.
If it is time
for the usual insulin dose, the extra insulin would be added to this
dose.
If it is not
time for the usual insulin dose, (e.g. before lunch) the extra insulin
is taken alone.
If REGULAR is
given wait wait 30 minutes after the injection before eating.
If HUMALOG®
is given, eat right away.
Keep track of
how much extra insulin is taken in the blood sugar log book.
Supplemental Insulin Chart
Before
Meals
Blood
Sugar Level
Additional
Insulin/Units
100-140
2
141-160
3
161-180
4
181-200
5
201-250
6
251-300
8
>301
10
Before Bed
If the blood sugar
level is >100 at bedtime, extra fast-acting insulin should be taken.
The dosage is reduced by 1/2 because the next meal will not be eaten
until morning.
Before
Bed
Blood
Sugar Level
Additional
Insulin/Units
100-160
1
161-200
2
201-250
3
251-300
4
>301
5
*The physician
may double or otherwise modify this scale. These data are for educational
information only.
This
information is not intended to substitute or replace the professional
medical advice you receive from your physician. The content provided
on this page is for informational purposes only, and was not designed
to diagnose or treat a health problem or disease. Please consult your
physician with any questions or concerns you may have regarding a medical
condition.