Błazik Marlena, Pańkowska Ewa
2nd Department of Pediatrics, Medical University of Warsaw, Poland.
Pediatr Endocrinol Diabetes Metab. 2010;16(4):301-5.
The metabolic effect of insulin pump therapy depends on precise adjustments of insulin to food intake ratio. Calculation of prandial insulin dose is a complex process employing many variant factors such as pre-prandial glucose and carbohydrate (CHO) levels, glucose index, insulin to CHO ratio (ICR) and active insulin. Bolus calculators are very effective in controlling blood glucose level in patients treated with continuous subcutaneous insulin infusion (CSII). Most of modern bolus calculators are built into the insulin pump unit and are only accessible to pump users. In addition, some models offer nutrition database. Patients' education is an essential step in proper interpretation and application of bolus calculators' various algorithms.
胰岛素泵治疗的代谢效果取决于胰岛素与食物摄入量比例的精确调整。餐时胰岛素剂量的计算是一个复杂的过程，涉及许多可变因素，如餐前血糖和碳水化合物（CHO）水平、血糖指数、胰岛素与CHO比例（ICR）以及活性胰岛素。大剂量计算器在控制接受持续皮下胰岛素输注（CSII）治疗的患者的血糖水平方面非常有效。大多数现代大剂量计算器内置于胰岛素泵装置中，只有泵使用者才能使用。此外，一些型号还提供营养数据库。患者教育是正确解读和应用大剂量计算器各种算法的关键步骤。
