Correction doses

[spiritfree]

I am sorry not to have been on here for a while. Had loads of problems, but ok now. Please can someone tell me how to calculate corrections. I am a high insulin user. I have a Metronic 640 pump.My average insulin, daily, use is 110 units. What would you work that out for a correction dose. Please could someone tell me my correction dose and how they worked it out. TIA.

 

[Kaylz]

Unfortunately we aren't allowed to give dosing advice as it can put members in danger, I'm sure there are things online about a way to try and work it out but I'd highly suggest calling your team as it should've been established by now
Everyone's correction factor is different and can even vary for 1 person given time of day etc
Take care
xx

 

[Robin]

If you google 'insulin correction doses' results come up like this one, which I'd be inclined to trust as it’s a well known UK children’s hospital.

https://www.alderhey.nhs.uk/application/files/5315/1731/2400/High_blood_glucose_levels_without_ketones.pdf

They give a basic formula for you to follow, which is a starting point, but you will need to keep testing and checking to see if it works for you.

 

[Inka]

Hi @spiritfree There is a rule but it’s also important to look at your overall diabetes. The rule just gives a rough idea but looking at the individual gives a figure that’s more likely to be accurate.

I think this would be especially relevant in your case as you’re on a reasonably high TDD of insulin so that would probably be taken into account in case the Rule to calculate didn’t work for you. That is, they’d look at your insulin resistance, whether your TDD was mainly basal or bolus, etc.

The Rule only goes so far and my correction factor differs from what the Rule suggests.

 

[pippaandben]

I have found that I have to halve my correction dose at bedtime to ensure I do not have a night hypo. Whilst I know everyone is different and it depends on how the diabetes fairy is feeling at any given time - does this seem ok or should I consider basal testing again?

 

[SB2015]

Good to hear from you @spiritfree

The link that @Robin has given you could be a good starting point. You then need to test and adjust to see if it works. One thing I found helped me to check mine was to avoid confusing the correction with carbs, by doing a fasting test on it.

If I am high and concerned about checking my sensitivity, if the meal can be left (eg a salad) I will leave out the meal (no bad thing if I am high anyway) , do the correction and test to see how it works. There are still other factors that could impact it but at least taking out the carbs and Bolus it removes another variable that is in my control (ish)

I hope that helps