Diabetology & Metabolic Syndrome

Table 3 Insulin dose adjustments based on trend arrows recommendations for adults with T1DM proposed by Ziegler et al

From: Using trend arrows in continuous glucose monitoring systems for insulin adjustment in clinical practice: Brazilian Diabetes Society Position Statement

Rate if change			Glucose levels
			< 70	70–180				180–250				>250
				Correction factor
Abbott/Roche	Dexcom	Medtronic		< 25	25– < 50	50– < 75	> 75	< 25	25– < 50	50– < 75	> 75	< 25	25– < 50	50– < 75	> 75
				Recommended changes
	↑↑	↑↑↑	CU	+ 3.5 U	+ 2.5 U	+ 1.5 U	+ 1 U	+ 4.5 U	+ 3.5 U	+ 2.5 U	+ 1.5 U	+ 5 U	+ 4 U	+ 3 U	+ 2 U
↑	↑	↑↑		+ 2.5 U	+ 2 U	+ 1 U	+ 0.5 U	+ 3.5 U	+ 2.5 U	+ 1.5 U	+ 1 U	+ 4 U	+ 3 U	+ 2 U	+ 1.5 U
↗	↗	↑		+ 1.5 U	+ 1 U	+ 0.5 U	+ 0 U	+ 2.5 U	+ 1.5 U	+ 1 U	+ 0.5 U	+ 3 U	+ 2 U	+ 1.5 U	+ 1 U
→	→		1 fast-acting CU	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U	+ 0 U
↘	↘	↓	2 fast-acting CU	− 2.5 U	− 1.5 U	− 1 U	− 0.5 U	− 2 U	− 1 U	− 0.5 U	− 0.5 U	− 2.5 U	− 1 U	− 0.5 U	− 0 U
↓	↓	↓↓		− 3.5 U	− 2.5 U	− 1.5 U	− 1 U	− 3 U	− 2 U	− 1 U	− 1 U	− 3.5 U	− 2 U	− 1 U	− 0.5 U
	↓↓	↓↓↓		− 4.5 U	− 3.5 U	− 2.5 U	− 1.5 U	− 4 U	− 3 U	− 1.5 U	− 1.5 U	− 4 U	− 2.5 U	− 1 U	− 0.5 U

Adapted from Ziegler et al. [10]. For individuals with T2D, 0.5 units should be added. For children, 0.5 units should be reduced. Recommendations for SF between 125 and 200 mg/dL and > 200 mg/dL are provided for children [10]

Back to article page

ISSN: 1758-5996

Contact us

Submission enquiries: journalsubmissions@springernature.com