Insulin Adjustment Guide - Print and keep in your wallet or purse.

Reprinted with permission of: EDWARD A. BENSON, MD
TABLE 2: Insulin Adjustment Traveling EAST Across Multiple Time Zones

	Day of Departure	First Morning at Destination	10 Hours after Morning Dose	Second Day at Destination
Single dose schedule	usual dose	2/3 usual dose N/L plus usual R/H,if appropriate	remainig 1/3 of morning dose N/L, if blood glucose over 240 plus R/H if appropriate	usual dose
Two doses schedule	usual morning and evening doses	2/3 usual morning N/L dose plus usual R/H if appropriate	usual evening dose plus remaining 1/3 of morning dose N/L is blood glucose over 240	usual two doses
Multiple daily doses schedule	usual morning & evening UL dose plus R/H with meals	2/3 usual morning UL dose plus R/H with meals	usual evening UL dose plus remaining 1/3 or morning UL if blood glucose over 240	usual doses

TABLE 3: Insulin Adjustment Traveling WEST Across Multiple Time Zones

	Day of Departure	18 Hours after Morning Dose	First Morning at Destination
Single dose schedule	usual dose	1/3 usual dose N/L followed by meal or snack if blood glucose over 240 and usual R/H dose if appropriate	usual dose
Two doses	usual morning and evening doses	1/3 usual morning dose N/L if blood glucose over 240 plus usual dose R/H if appropriate	usual two doses
Multiple daily doses	usual morning and evening doses followed by meal or snack	1/3 usual morning dose UL if blood glucose over 240 plus R/H as appropriate	usual doses

*Note: On return journey, people traveling west use eastbound schedule (Table 2)