Adjustment of Insulin Dose for Travel Between Several Time Zones

Purpose: To adjust the total daily insulin dose on the day of travel for a diabetic traveling between different time zones.

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Evaluation

Do you need to adjust a daily insulin dose to take into account travel between time zones?

Yes

Usual daily dose of insulin

units

Current hour in starting city expressed in military time (HH)

Current hour in destination city expressed in military time (HH)

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of time zones

Daily insulin dose for the day of departure

Daily insulin dose for the day of the return trip

Caution: A qualified health practitioner should verify all results.
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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Drugs Capable of Causing Hypoglycemia
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus
Criteria For Diagnosis
Severity, Prognosis, Stage
- Indian Diabetes Risk Score (IDRS)
Complications
Failure Handling, When To Refer
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus

Therapy

Options
- Diabetes Mellitus | Guidelines for Hospital Admission
- Recommendations for Managing a Diabetic in the Hospital
Selection
Drug Interactions
- Drugs Capable of Causing Hypoglycemia
Dosage Calculations
- Glycemic Penalty Index (GPI)
Dosage Adjustments
Administration
Failure Handling And Therapy Escalation
- Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c
- Patient Management | Type 2 Diabetes Poorly Controlled | Single Oral Hypoglycemic Agent
Prevention

Monitoring

Response To Therapy
- Diabetes Mellitus Performance Measures for Evaluating Outpatient Management
Adverse Effects
Overdose And Reversal
- Prolonged Hypoglycemia | Use of Sulfonylurea and Its Treatment with Octreotide
Disease Progression
Complication Detection
- Risk Factors for Failing to Recognize Hypoglycemia in a Diabetic
- Screening Patients for Drug-Induced Hyperglycemia

Patient Concerns

Travel
- Glycemic Penalty Index (GPI)

Specialty

Endocrinology
Clinical Laboratory

Objective

dosage adjustments

ICD-10

E10 - Insulin-dependent diabetes mellitus
T38.3 - Poisoning, insulin and oral hypoglycaemic [antidiabetic] drugs

Info

Purpose: To adjust the total daily insulin dose on the day of travel for a diabetic traveling between different time zones.

Specialty: Endocrinology, Clinical Laboratory

Objective: dosage adjustments

ICD-10: E10, T38.3,

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