胰岛素剂量设定与调整课件.ppt

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1、每日胰岛素总量TDD1800 法则(速效胰岛素)1500 法则(常规胰岛素)2090 mg/dl75 mg/dl2572 mg/dl60 mg/dl3060 mg/dl50 mg/dl3551 mg/dl43 mg/dl4045 mg/dl38 mg/dl5036 mg/dl30 mg/dl6030 mg/dl25 mg/dl7524 mg/dl20 mg/dl10018 mg/dl15 mg/dlAdapted from Insulin Pump Therapy Handbook,Copyright c 1992 John Walsh,P.A.,C.D.E.and Ruth Roberts,

2、M.A.Bed TimeNocturnalPre-BPost-BTimeBGCarbs-Meal Bolus-Corr.Bolus-1st DayBed TimeNocturnalPre-BPost-BTimeBGCarbsMeal BolusCorr.BolusDate:2nd DayBed TimeNocturnalPre-BPost-BTimeBGCarbsDateNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime3:007:00BG12290Carbs-Meal Bolus-Corr.Bolus-DateNocturnalPre-BPost-B

3、Pre-LPost-LPre-DPost-DTimeBGCarbsMeal BolusCorr.BolusDate1st DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime3:007:009:15BG12290Carbs-60 gmsMeal Bolus-4.0 uCorr.Bolus-Date2nd DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTimeBGCarbsMeal BolusCorr.BolusDate1st DayNocturnalPre-BPost-BPre-LPost-LPre-DP

4、ost-DTime3:007:009:15BG1229066Carbs-60 gmsMeal Bolus-4.0 uCorr.Bolus-Date2nd DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTimeBGCarbsMeal BolusCorr.Bolus血糖达标给予bolus后30分钟进餐血糖过低给予bolus后立即进餐,并首先吃食物中碳水化合物的部分血糖过高150mg/dl,给予bolus后45分钟进餐200mg/dl,给予bolus后60分钟进餐,并后吃食物中碳水化合物部分Date1st DayNocturnalPre-BPost-BPr

5、e-LPost-LPre-DPost-DTime3:007:009:1513:0015:2518:00BG1221101365012862Carbs-60 gms-45gmMeal Bolus_4.0 u_3.0 uCorr.Bolus_Date2nd DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime3:oo7:009:1513:0015:2518:0020:30BGCarbsMeal BolusCorr.BolusDate1st DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime3:007:00

6、9:1513:0015:2518:00BG122110136188128172Carbs-60 gms-45gmMeal Bolus_4.0 u_3.0 uCorr.Bolus_Date2nd DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime3:007:009:1513:0015:2518:0020:30BG122991369012888125CarbsMeal BolusCorr.BolusDate1st DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime5:007:009:1513:0015:

7、2518:00BG2501101367912888Carbs-60 gms-45gm60gmMeal Bolus_6.0 u_4.5 u6.0Corr.Bolus3.0 u_Date2nd DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DTime3:007:009:1513:0015:2518:0020:10BG12090136132128188Carbs60 gms45gmMeal Bolus6.0 u3.0 u7.5 uCorr.BolusDate1st DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DHS

8、Time12:00 14:15 17:55 18:3023:15BG 72 131 56 112 88Carbs 37 gm-0-60 gm-0-12 gmMeal Bolus3.0 u-0-5.0 u-0-1.0uCorr.Bolus-0-0-1.1 u+3.9 u-0-Date2nd DayNocturnalPre-BPost-BPre-LPost-LPre-DPost-DHSTime 3:107:15 9:3612:30 14:44 18:35 20:5523:30BG 90 68 125 55 142 61 106 92Carbs -0 54 gm-0-75 gm-0-66 gm-0-0-Meal Bolus 4.5 u 6.2 u 5.5 uCorr.Bolus-0.8 u 3.7 u-1.1-5.1

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