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Insulin Travel Adjustment Guide

Jun 21, 2015
 

Insulin Travel Adjustment GuideTABLE 2: Insulin Adjustment Traveling EAST Across Multiple Time Zones

 

 

 

 

 

Insulin Travel Adjustment Guide

 

TABLE 2: 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

TABLE 3: 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