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Insulin Travel Adjustment Guide

Jun 10, 2004
 

Insulin Adjustment Traveling EAST Across Multiple Time Zones

  Day of Departure First Morning at Destination 10 Hours after Morning Dose Second Day at Destination
Single dose schedule usual dose 2/3 usual dose N/L plus usual R/H,if appropriate remainig 1/3 of morning dose N/L, if blood glucose over 240 plus R/H if appropriate usual dose
Two doses schedule usual morning and evening doses 2/3 usual morning N/L dose plus usual R/H if appropriate usual evening dose plus remaining 1/3 of morning dose N/L is blood glucose over 240 usual two doses
Multiple daily doses schedule usual morning & evening UL dose plus R/H with meals 2/3 usual morning UL dose plus R/H with meals usual evening UL dose plus remaining 1/3 or morning UL if blood glucose over 240 usual doses

Insulin Adjustment Traveling WEST Across Multiple Time Zones

 

  Day of Departure 18 Hours after Morning Dose First Morning at Destination
Single dose schedule usual dose 1/3 usual dose N/L followed by meal or snack if blood glucose over 240 and usual R/H dose if appropriate usual dose
Two doses usual morning and evening doses 1/3 usual morning dose N/L if blood glucose over 240 plus usual dose R/H if appropriate usual two doses
Multiple daily doses usual morning and evening doses followed by meal or snack 1/3 usual morning dose UL if blood glucose over 240 plus R/H as appropriate usual doses

*Note: On return journey, people traveling west use eastbound schedule (Table 2)

Reprinted with permission of: EDWARD A. BENSON, MD