# Readers ask: Type 1 Diabetes Determine How Much Insulin Per Day?

## How do I calculate my daily insulin requirement?

Calculating Insulin Dosing: A general rule of thumb

1. General rule of thumb = total daily dose (TDD) of insulin = Weight in pounds / 4.
2. If the patient requires both basal and prandial insulin, then of the TDD, 50% should be basal (given overnight) and 50% given for carbohydrate (CHO) coverage with meals (bolus insulin)

## How much insulin should I take if my sugar is 500?

Thus: 500 ÷ total daily dose = the number of grams of carbs covered by 1 unit of rapid-acting insulin. If your total daily dose was 50, this would give you the following calculation: 500 ÷ 50 = 10. This would mean that 10 grams of carbs would require 1 unit of insulin, giving you the ratio of 1:10.

## How much does 1 unit of insulin bring down blood sugar?

One unit of insulin should cause your blood sugar level to drop 30 to 50 mg per dL, but you may need more insulin to get the same effect.

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## What is the max amount of insulin per day?

Uses: To improve glycemic control in patients with diabetes mellitus; U-500 insulin is for use in patients requiring more than 200 units of insulin per day.

## What is the 500 rule in diabetes?

Use the 500 Rule to estimate insulin-to-carb ratio: 500/TDD = number of carb grams covered by a unit of insulin. Example: 500/50=10; 1unit of insulin will cover about 10 grams of carbohydrate.

## Why won’t my blood sugar go down with insulin?

If the insulin dose you take isn’t enough to lower high blood sugar, your doctor may change how much you take and how you take it. For instance, they may ask you to: Increase your dose. Take a fast-acting type before meals to help with swings in blood sugar after you eat.

## How many units of insulin should I take if my blood sugar is 400?

70-139 mg/dL – 0 units 140-180 mg/dL – 3 units subcut 181-240 mg/dL – 4 units subcut 241-300 mg/dL – 6 units subcut 301-350 mg/dL – 8 units subcut 351-400 mg/dL – 10 units subcut If blood glucose is greater than 400 mg/dL, administer 12 units subcut, notify provider, and repeat POC blood sugar check in 1 hour.

## How do you adjust the sliding scale for insulin?

Points To Remember!

1. Sliding scale regimens may include a bedtime high blood sugar correction.
2. When using a sliding scale, eat the same amount of carbohydrate at each meal.
3. Engage in an equivalent level of activity from day to day.
4. The sliding scale method may seem easier, because there are fewer calculations.
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## What’s the sliding scale for insulin?

The most common method to treat hospitalised people with diabetes is sliding scale insulin therapy. The term ‘sliding scale’ refers to the increasing administration of the pre-meal insulin dose based on the blood sugar level before the meal.

## Is 10 units of insulin a lot?

Another option is simply to start with 10 units of insulin, a large enough dose to decrease blood glucose levels for most people but not so large that it is likely to cause hypoglycemia. The dose can then be increased every 3–7 days based on fasting blood glucose values.

## How many units of insulin should I take a day type 1?

How much insulin do you need? In type 1 diabetes, most people need a total of 0.5 – 0.8 units of insulin per kilogram of body weight each day. Roughly half this insulin is needed for food intake, and half is the basal rate.

## How long do you have to wait between shots of insulin?

An increase in delay between insulin injection and eating to 45 minutes would be a simple and safe way of improving blood glucose control in at least the 37% of the diabetic population surveyed in this study who currently allow less than 15 minutes.

## Can taking too much insulin raise your blood sugar?

Excess insulin in the bloodstream causes cells in your body to absorb too much glucose (sugar) from your blood. It also causes the liver to release less glucose. These two effects together create dangerously low glucose levels in your blood. This condition is called hypoglycemia.