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 Insulin: Intensive Multiple Daily Injections (MDI)  -BETA

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Insulin may be given by Multiple Daily Injections (MDI) or by Continuous Subcutaneous Insulin Infusion (CSII) (insulin pump). MDI requires at least four injections of insulin per day: At bedtime, before breakfast, lunch, and dinner. ).

The calculator below will estimate the basal insulin , meal related insulin doses (boluses),and the insulin to carbohydrate ratio (I:CR) also known as the carbohydrate-to-insulin ratio (CIR).
 required based on the woman's current weight , gestational age, and type of diabetes as recommended by the 2012 California Diabetes and Pregnancy Program Sweet Success Guidelines [1] .To use the calculator  enter the patient's weight, select the units /kg of insulin to give using the table below and press the 'calculate' button.

Current Weight    Insulin dose     
Total Daily carbohydrates grams
           


Weeks of Gestation

 Insulin U/kg  actual body weight

Type 1 *

Type 1* with BMI > 30 , Type 2**, or
uncontrolled GDM***

Week 1 to 17 0.3 to 0.5 0.7 to 0.8
Weeks 18 to 24 0.6 to 0.7 0.8 to 1.0
Weeks 25 to 32 0.8 to 0.9 0.9 to 1.2
Weeks 33 to 38 0.9 to 1 1.2 to 2.0
Postpartum 0.3 to 0.5 0.5 to 0.7

*Type 1 diabetes, the body does not produce insulin.
**Type 2 diabetes the body is resistant to insulin
***GDM Gestational diabetes
^ The I:CR is the number of grams of carbohydrate that are covered by 1 unit of insulin. The I:CR = Total daily carbohydrates grams divided by total daily dose of insulin. A typical Sweet Success diet provides 225 grams of carbohydrate daily.

REFERENCES

1 . Shields, L and Tsay, GS. Editors, California Diabetes and Pregnancy Program Sweet Success Guidelines for Care. Developed with California Department of Public Health; Maternal, Child and Adolescent Health Division; revised edition, July, 2012. Guidelines for Care, California Diabetes and Pregnancy Program,2012. p 48  

 

All calculations must be confirmed before use. The suggested results are not a substitute for clinical judgment. Neither Perinatology.com nor any other party involved in the preparation or publication of this site shall be liable for any special, consequential, or exemplary

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