Advanced carb counting involving equations which help in better understanding of insulin-to-carbohydrate ratio
and insulin dose adjustment are also included in this review.
The FIDs are then added up and put into the patient's pump, which is programmed to create an insulin-to-FID ratio, just as it does an insulin-to-carbohydrate ratio
We have shown that the consumption of an increasing carbohydrate load leads to an exponential increase in postprandial glucose exposure when using a linear algorithm to determine the insulin-to-carbohydrate ratio after subcutaneous insulin injection, and increases the risk for delayed postprandial hyper- and hypoglycaemia.
We have shown that the glucose excursion after ingesting up to 4C (60g carbohydrate) can be limited by preprandial subcutaneous insulin using fixed insulin-to-carbohydrate ratios and that the slope of the curve is more linear in this range.
After data collection, the provider can estimate the patient's insulin-to-carbohydrate ratio.
Once the appropriate insulin-to-carbohydrate ratio is calculated, the patient can use specific functions of the insulin pump to promote glycemic control further.
This system used an algorithm based on the current glucose level and its gradient, the remaining effect of already-infused insulin, the amount of carbohydrate intake, and patient-specific factors such as basal insulin requirement and insulin-to-carbohydrate ratio
This system utilized an empirical glucose-control algorithm based on a calculation of the current glucose concentration and its gradient, the remaining effect of already-infused insulin, the amount of carbohydrate intake, and patient-specific factors such as basal insulin requirement and insulin-to-carbohydrate ratio