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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Diabetes, Endocrine

Your Diabetes Plan with Carbohydrate Counting (7505)

Your Diabetes Plan with Carbohydrate Counting (7505) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Diabetes, Endocrine

7505





Your Diabetes Plan with Carbohydrate Counting

Blood Sugar Goals: Before meals _____________ At bedtime _____________

Testing Times:  Before meals  Bedtime  2:00 am  Before/During/After Exercise

Insulin Plan: Start Date _____________________

When Type of Insulin How Much Insulin to Take
Everyday Long-acting:
glargine (Lantus®)
Take ____ units at _______.
Meals Rapid-acting:
aspart (Novolog®) or
lispro (Humalog®)
Use Insulin to Carb Ratio: _____ unit per _____ grams and

Correction insulin if blood sugar is more than _____.
Snacks Rapid-acting:
aspart (Novolog®) or
lispro (Humalog®)
If snack is over ___ grams, give insulin using Insulin to Carb Ratio.

Do not give correction insulin with snack.
Bedtime Rapid-acting:
aspart (Novolog®) or
lispro (Humalog®)
Use Correction insulin if blood sugar is more than ______.


Insulin to Carb Ratio
Insulin used to make use of carbs.
___units of _________insulin per ___
grams of carbohydrates

Carbohydrates Insulin
0 - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units
____ - ____ grams ____ units





Correction Factor
Insulin used to correct high blood sugars.
___units of __________insulin per ___mg/dl of blood sugar


Before Meals Bedtime
Blood Sugar Insulin to Add Blood Sugar Insulin to Add
____ or Less 0 units ____ or Less 0 units
____ - ____ ___ units ____ - ____ ___ units
____ - ____ ___ units ____ - ____ ___ units
____ - ____ ___ units ____ - ____ ___ units
____ - ____ ___ units ____ - ____ ___ units
____ - ____ ___ units ____ - ____ ___ units
____ - ____ ___ units ____ - ____ ___ units
____ - ____
Over 500
___ units
Call
____ - ____
Over 500
___ units
Call


Types of Insulin

There are many types of insulin. You may need more than one kind to keep your blood sugars in your
goal range. The chart below tells you more about each kind of insulin.

Onset means how long it takes to start to work.
Peak means when it works at its best.
Duration means how long it affects your blood sugars.









The Spanish version of this Health Facts for You is #7822





Your health care team may have given you this information as part of your care. If so, please use it and call if you have any
questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical
advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are
different, you should talk with your doctor or others on your health care team when using this information. If you have an
emergency, please call 911. Copyright ©10/2016. University of Wisconsin Hospitals and Clinics Authority. All rights
reserved. Produced by the Department of Nursing. HF#7505
Insulin Name Onset Peak Duration Key Points
Novolog® (aspart)
Humalog® (lispro)
Apidra® (glulisine)
5-15 minutes 1-2 hours 4-6 hours
Take within 10 minutes
before or after eating.
Regular 30-60 minutes 2-4 hours 6-10 hours Take within 30 minutes
before eating.
NPH 1-2 hours 4-8 hours 10-20 hours
This insulin is cloudy.
Always roll the bottle before
using it.
Lantus® (glargine) 1-2 hours None 24 + hours
Never mix in the same
syringe with any other
insulin.
Levemir® (detemir) 1-2 hours 8-12 hours 12-24 hours
Never mix in the same
syringe with any other
insulin.
The Date that Insulin in Vials is Old or Expired
ξ Check your vials for an expiration date. Use this date if the vial has never been opened.
ξ Mark the date you start to use a vial. Use this date if the vial has been opened.
ξ Detemir expires 42 days after opening the vial.
ξ All other insulin types expire 28 days after opening the vial.
ξ Insulin gets old and expires, even if you keep it in the refrigerator.