胰岛素用量计算（Insulin dosage calculation）.docVIP

胰岛素用量计算（Insulin dosage calculation） Patients with diabetes should be treated with short acting insulin at the start of insulin use. In addition, the initial dosage should be estimated according to the following methods on the basis of relative stability of diet and exercise, and then adjusted according to the condition monitoring result. 1, according to fasting blood sugar estimation: The daily dosage of insulin (U N) fasting blood glucose (mmol/L) *18-100]*10* weight (kg) *0.6 / 1000 / 2 100 for normal blood glucose (mg/dl); *18 is the coefficient of mmol to mg/dl; X 10 is higher than normal blood sugar in every liter of body fluid; X 0.6 is the total body fluid volume of 60%; 1000 will be converted to Mg grams of sugar; 2 / 2 grams of glucose using 1 insulin. In order to avoid hypoglycemia, the actual amount of 1/2--1/3 is used. 2, according to 24 hour urine estimation: no light condition, diabetic nephropathy, renal glucose threshold of normal, per 2 grams of glucose to 1 mu insulin. 3, according to weight calculation: blood sugar is high, the condition is heavy, 0.5--0.8 mu /kg; the condition is light, 0.4--0.5 mu /kg; the condition is heavy, stress state should not exceed 1 mu /kg. 4, according to 4 estimates: no glycosuria diabetic nephropathy, renal glucose threshold is basically normal, according to the qualitative urine before each meal + estimated. Generally, a + requires 4 insulin. 5, comprehensive estimation: there are many factors in vivo effects of insulin action, individual differences, the calculation may not be consistent with the actual condition, it should be comprehensive, blood glucose and urine glucose, first to a certain amount, and then according to the condition changes gradually adjust. (two) how to allocate insulin dosage? According to the above estimate, take the 15--30 minutes before meals, and distribute it before breakfast before dinner before lunch. Due to the hormone before breakfast in antagonizing insulin secretion is more, so th