Adjusting insulin dose with snacks

adjusting insulin dose pages from DAFNE

Introduction Metabolic control   Insulin QA = quick-acting insulin long-acting insulin injection sites, absorption food and insulin dose carbohydrate count & portion = CP     snacks step-wise approach hyperglycaemia Physical exercise links         Illness (link)   hypos       Hypos (link) alcohol     Driving (link)   abbreviations     simulations

 

 

 

 

 

 

 

 

 

 

 

 

Snacks containing more than 1 CP need to be covered by quick-acting insulin. This should be taken with the snack, but may be planned in advance. This diagram may help.

QA = quick-acting insulin     CP = carbohydrate portion   ratio of 1:1

having a snack
does the snack contain more than 1 CP
yes		no
if eaten before an hour of the next meal	if eaten more than 2 hours before the next meal	no action needed
Take QA insulin at time of the snack or at the start of the next meal. Start with a ratio of 1:1	Take QA insulin at time of the snack. Start with a ratio of 1:1
If you decide not to inject for a snack eaten before a meal ...do not correct for it...just adjust for the meal   (correct for snacks in future)