Medtronic Revel Podręcznik Użytkownika Pobierz pdf (Strona 100)

Example 4: Blood glucose above target (high blood glucose) with active insulin

Michael is at school and wants to eat a snack in the late morning. He tests his blood glucose with his

meter and finds it at 200 mg/dL (11.1 mmol/L), which is above his target of 120 mg/dL (6.6 mmol/L).

He estimates that his snack contains 60 grams of carbohydrate, so he enters 60 into the pump when

prompted by the Bolus Wizard feature. Based on his settings, and as a result of 1.5 units of active

insulin, his pump will suggest that he take 4.5 units.

Food estimate:

Carb grams ÷ Carb ratio = Units of insulin

60 g ÷ 15 g/u = 4 units

Correction estimate:

(Current BG - High BG Target) ÷ Insulin sensitivity - Active insulin = Units of insulin

(200 mg/dL - 120 mg/dL) ÷ 40 mg/dL/u - 1.5 units = 0.5 units, or

(11.1 mmol/L - 6.6 mmol/L) ÷ 2.2 mmol/L/u - 1.5 units = 0.5 units

Total bolus estimate:

Food estimate + Correction estimate = Units of insulin

4 units + 0.5 units = 4.5 units

Using the Bolus Wizard feature 79

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Medtronic Revel Podręcznik Użytkownika Strona 100