Insulin Travel Adjustment Guide

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

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