Rule of 450 for Carbohydrate-to-Insulin Ratio:
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The Carbohydrate to Insulin Ratio (CIR) represents how many grams of carbohydrates are covered by one unit of insulin. The Rule of 450 is a commonly used method to estimate this ratio based on total daily insulin dose.
The calculator uses the Rule of 450 equation:
Where:
Explanation: This formula provides an estimate of how many grams of carbohydrates one unit of rapid-acting insulin will cover for meal boluses.
Details: Accurate CIR calculation is essential for proper diabetes management, helping to determine correct insulin doses for meals and maintain stable blood glucose levels.
Tips: Enter your total daily insulin dose in units. This should include both basal (long-acting) and bolus (meal-time) insulin. The value must be greater than zero.
Q1: What is the Rule of 450?
A: The Rule of 450 is a formula used to estimate carbohydrate-to-insulin ratio by dividing 450 by the total daily insulin dose.
Q2: What are typical CIR values?
A: Typical CIR values range from 1:10 to 1:20 (1 unit covers 10-20 grams of carbs), but individual needs vary based on insulin sensitivity.
Q3: When should CIR be adjusted?
A: CIR should be adjusted when blood glucose patterns show consistent highs or lows after meals, or when significant changes in weight, activity, or insulin sensitivity occur.
Q4: Are there limitations to this calculation?
A: This is an estimation tool. Individual insulin sensitivity, activity levels, stress, and other factors may require personalized adjustments.
Q5: How accurate is the Rule of 450?
A: It provides a good starting point, but most people need to fine-tune their ratio based on actual blood glucose responses to meals.