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Insulin / Carb Ratio

Insulin-to-Carb Ratio (ICR): how many grams of carbs 1 unit covers. Insulin Sensitivity Factor (ISF / correction factor): how many mg/dL 1 unit drops your sugar. Both derived from your Total Daily Dose.

40 U/day

Sum of all insulin (basal + bolus) per day.

Insulin-to-Carb Ratio
1 unit : 12.5 g carbs
Insulin Sensitivity Factor
1 unit drops 45 mg/dL

Always confirm with your endocrinologist before adjusting doses. Individual ratios vary by time-of-day, exercise, illness.

FAQ

Why does ICR change throughout the day?

Insulin sensitivity drops in the morning (dawn phenomenon — cortisol surge). Most type-1 diabetics need 1:8 in morning, 1:12 lunch, 1:15 evening. Adjust by meal.

Should I use 500 rule or 450 / 550?

500 is the most common starting point. Actual ratio comes from CGM data + carb logs over 1-2 weeks. Endocrinologists tweak from there.

Type 2 — does this apply to me?

Only if you're on intensive insulin therapy (basal + bolus). Most type-2 diabetics on metformin / SGLT2i don't need ICR — diet management is primary.