Long-Acting Insulin Self-Adjustment Calculator

Long-Acting Insulin Self-Adjustment Calculator [link url="//www.soapnote.org/endocrine-metabolic/long-acting-insulin-self-3-3/" memo="See also the printable version.  "]
Note:  This calculator is designed to help you adjust your own insulin. It applies to long-acting insulins like Lantus or Levemir and does not apply to NPH, Insulin 70/30, or short-acting insulins like Regular or Humalog.

ADJUSTING YOUR OWN INSULIN
[text name="dose" default="0" size=2] <-- What is your current dose of long-acting insulin (in units)
[select name="times_you_entered_above" value="every morning|every evening|every morning and evening"] <-- How often do you take long-acting insulin?

[select name="Q1" value="no=0|YES=1"] <-- Have you checked blood sugars before breakfast on three (3) different days recently?
[conditional field="Q1" condition="(Q1).is('YES=1')"][select name="Q2" value="no=0|YES=3"] <-- Were ALL three blood sugar tests above 130 mg/dL?[/conditional]
[conditional field="Q1|Q2" condition="(Q2).is('no=0')&&(Q1).is('YES=1')"][select name="Q3" value="no=0|YES=-3"] <-- Were ANY of the three blood sugar tests less than 80 mg/dL?[/conditional]

[conditional field="Q1|Q2" condition="(Q2).is('YES=3')&&(Q1).is('YES=1')"]SUGGESTION --> New dose is [calc value="(dose)+(Q2)" memo="click Submit for new dose"] units [var name="times_you_entered_above"].  Repeat this calculator after 3 more days of testing.  Bring your meter, diary, or log of your blood sugars to every office visit.  Tell you're provider your current dose.[/conditional][conditional field="Q1|Q3" condition="(Q3).is('YES=-3')&&(Q1).is('YES=1')"]SUGGESTION --> New dose is [calc value="(dose)+(Q3)" memo="click Submit for new dose"] units [var name="time_you_entered_above"].  Repeat this calculator after 3 more days of testing.  Bring your meter, diary, or log of your blood sugars to every office visit.  Tell you're provider your current dose.[/conditional][conditional field="Q1|Q2|Q3" condition="(Q1).is('YES=1')&&(Q3).is('no=0')&&(Q2).is('no=0')"]SUGGESTION --> [calc value="(dose)+(Q3)+(Q2)" memo="click Submit for dose"] units [var name="time_you_entered_above"].  Repeat this calculator after 3 more days of testing.  Bring your meter, diary, or log of your blood sugars to every office visit.  Tell you're provider your current dose.[/conditional][conditional field="Q1" condition="(Q1).is('no=0')"]SUGGESTION --> Continue [calc value="(dose)" memo="dose"] units [var name="time_you_entered_above" memo=""].  Repeat this calculator after 3 more days of testing.  Bring your meter, diary, or log of your blood sugars to every office visit.  Tell you're provider your current dose.[/conditional]
[checkbox memo="References (Hide/Show)" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"]
[link url="https://www.ncbi.nlm.nih.gov/pubmed/19515182" memo="Blonde L, Merilainen M, Karwe V, Raskin P; TITRATE Study Group. (2009) Diabetes Obes Metab. 11(6):623-31."][/conditional]