Creating Your Book of Adjustments

“Essential Chapters” for all insulin users:

• Sick day diabetes management
• Strategies for correcting elevated BGs
• Matching mealtime insulin to food intake
• Adjustments for physical activity
• Proper timing of insulin doses

“As-Needed Sections,” adjustments for:

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• Stress
• Pump site changes
• Traveling
• Menstrual cycles
• Altitude changes
• Weather changes
• Steroid medications
• Shift work
• Days off vs. work/school days
• Caffeine
• Hypoglycemia
• Surgical procedures
• Mental effort
• Alcohol
• Fasting