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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
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