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# Mike's ISF is 40 and his insulin to CHO ratio is 1 to 12. What is...

Mike's ISF is 40 and his insulin to CHO ratio is 1 to 12. What is the correct pre-meal rapid acting insulin dose for Mike to take based on the following? (round to nearest whole number) :

Pre meal blood glucose: 189 mg/dl

Dinner: Big Mac, Small Fries, Large Diet Coke

Big Mac contain 100 gm of cho, small fries contain 29 gm of cho and no choice from large diet Coke. So total cho intake is 129 gm.and blood sugar level is189 mg/do. So if we consider insulin cho ratio is 10 than 129/10 = 12.9=13 unit insulin is needed for above patient.

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