Insulin Tutorial 2-12

This modification chart is intended to help patients on intensive conventional insulin therapy to vary the booster rate dose.

You should discuss with your doctor how the booster rate injections should be changed, depending on the blood glucose readings.

The patient in this example normally eats

in the morning:	60 grams of carbohydrate
at midday:	48 grams of carbohydrate
in the evening:	60 grams of carbohydrate

The corresponding standard booster rate doses are

morning:	12 units	regular insulin
midday:	8 units
evening:	12 units

Depending on the blood glucose reading before the main meal, the booster rate injection is increased or decreased. If the value is below 80 mg/dl (4.4 mmol/l) the dose is reduced; if the value is above 160 mg/dl (8.8 mmol/l) the dose is raised, and if it is over 240 mg/dl (13.3 mmol/l) the dose is raised still more. Of course the booster rate injection will also have to be changed whenever the patient wants to eat more or less.