Mathematics of Insulin by Dr. Om J Lakhani

Mathematics of Insulin Dosing: A Comprehensive Guide
In this video, we delve deep into the mathematics behind insulin dosing, a critical aspect of diabetes management. From the early days of insulin discovery by Banting and Best to modern-day practices, the question remains: "How much to give?"
🔍 Topics Covered:
1 Insulin use in Outpatient Type 2 diabetes
2 Insulin use in Outpatient Type 1 Diabetes
3 Insulin use in Inpatient Diabetes in ICU
4 Insulin use in Inpatient diabetes in Ward
📝 Key Formulas Discussed:
1 Determining which insulin to use based on FPG and HbA1c.
2 Calculating basal insulin doses using weight-based methods and the0 Holman-Turner formula.
3 Bolus insulin calculations for post-meal glucose management.
4 Total insulin dosing for Type 1 diabetes using the AIM study/Davidson formula.
5 Basal and bolus dosing cycles for Type 1 diabetes.
6 Insulin infusion dosing and transitioning from infusion to basal-bolus insulin in inpatient settings.
7 The Lakhani-Kumar formula for inpatient diabetes in wards.
By the end of this video, you'll have a comprehensive understanding of the mathematical principles behind insulin dosing, empowering you to make informed decisions in diabetes care.
🔗 Resources & Further Reading:
Cheat sheet for all the formula discussed in the video: www.craft.me/s/LCOuv4fnvvzYZF
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Correction: 13:22 One of the formulas for ICR (ICR = 500 / TDD) or the rule of 500 is not applicable for children or those with low body weight. Hence the example given here is incorrect. It is only valid for adults.
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[@ngrobert5054]

Helpful for my Diabetes machine learning research

[@nadamostafa2608]

Many thanks 💐

[@holistichealthcare713]

Excellent video sir. Very Helpful video in enriching the knowledge in Insulin. Thank you 🙏🏼

[@Vwm93]

Sir, I am working as a diabetes educator.Its helpful to understand the dosing system.Thank you.❤❤❤❤

[@EndocrinologyIndia]

Thank you

[@parshotamassudani]

Good Informative lecture 👍👌

[@naveenkumarsharma2716]

Excellent presentation 👍👍

[@EndocrinologyIndia]

Thank you

[@millennialspharmacology2627]

Very informative video sir 🙏
Please make a video on fixed dose combinations of OHA which are commonly used in India

[@EndocrinologyIndia]

Sure

[@AkhileshJha-vh6xh]

❤❤❤

[@sejalsanghani4079]

How to count carbohydrate in food which pt. Eats in outpatient scenario

[@hemantpatel1118]

calculation is different for ICR by both formula one is 50 and weight base is 12. so which one is correct, you have taken wt based 12 for calculation why so?

[@holistichealthcare713]

Sir can you please make a similar video on Mathematics of Oral drugs. Which drugs to use when and what combinations should be used.

[@EndocrinologyIndia]

Check out Diabetology.co.in

[@sejalsanghani4079]

What about post dinner blood glucose in basal plus bolus formula

[@sejalsanghani4079]

Hello sir. Can u just teach perioperative hyperglycemia.

[@drsaidjavidhassan4048]

hello Dr Lakhani ! ! just amazing quality !
one doubt... can i use the same calculations in pregnant lady ??
thanks in advance

[@EndocrinologyIndia]

You technically can but these formulae were not designed or tested in pregnant women

[@vijaychaitanyabadimela6854]

Sir, is there any study or standard reference for these formulas sir

[@EndocrinologyIndia]

Yes
References are given the attached document in the description

[@vijaychaitanyabadimela6854]

Sir 500/TDD and 6.2 x wt/TDD …both are giving different values sir….which formula is to be used for ICR…kindly clarify

[@EndocrinologyIndia]

Yes there is an error. Clarified this in the accompanying document

[@dromlakhani]

The correction is given in the video description. Please have a look

[@vijaychaitanyabadimela6854]

Thank you sir

[@tapasmondal3998]

Please sir, insulin human mixterd formula?

[@EndocrinologyIndia]

Please see the video on premixed insulin on the channel

[@tapasmondal3998]

Thank you sir

[@sejalsanghani4079]

How to count carbohydrate in food which pt. Eats in outpatient scenario