Table 3.
Previously Published Recommendations on Responding to Trend Arrow Information.
| Trend arrows | Insulin adjustment | JDRF/DirecNet25,26 | Scheiner26 | Pettus/Edelman13 | Klonoff/Kerr15 | Aleppo/Laffel Adults11 | Laffel/Aleppo Children14 | ||
|---|---|---|---|---|---|---|---|---|---|
|
Increase | Increase by 20% of the total dose | Increase current sensor value by 50 mg/dL (2.8 mmol/L) | Increase current sensor value by 100 mg/dL (5.5 mmol/L) | Increase current insulin dose by 2 units | <25 | +4.5 IU | <25 | +4.0 IU |
| 25-<50 | +3.5 | 25-<50 | +3.0 | ||||||
| 50-<75 | +2.5 | 50-<75 | +2.0 | ||||||
| ≥75 | +1.5 | 75-<12 | +1.0 | ||||||
| ≥125 | +0.5 | ||||||||
|
Increase | Increase by 20% of the total dose | Increase current sensor value by 25 mg/dL (1.4 mmol/L) | Increase current sensor value by 75 mg/dL (4.2 mmol/L) | Increase current insulin dose by 1.5 units | <25 | +3.5 | <25 | +3.0 |
| 25-<50 | +2.5 | 25-<50 | +2.0 | ||||||
| 50-<75 | +1.5 | 50-<75 | +1.0 | ||||||
| ≥75 | +1.0 | 75-<125 | +0.5 | ||||||
| ≥125 | No adjustment | ||||||||
|
Increase | Increase by 10% of the total dose | No adjustment | Increase current sensor value by 50 mg/dL (2.8 mmol/L) | Increase current insulin dose by 1 unit | <25 | +2.5 | <25 | +2.0 |
| 20-<50 | +1.5 | 25-<50 | +1.0 | ||||||
| 50-<75 | +1.0 | 50-<75 | +0.5 | ||||||
| ≥75 | +0.5 | 75-<12 | No adjustment | ||||||
| ≥125 | No adjustment | ||||||||
|
No adjustment | 0% | No adjustment | No adjustment | No adjustment | ||||
|
Reduce | Reduce by 10% of the total dose | No adjustment | Reduce current sensor value by 50 mg/dL (2.8 mmol/L) | Reduce current insulin dose by 1 unit | <25 | −2.5 | <25 | −2.0 |
| 25-<50 | −1.5 | 25-<50 | −1.0 | ||||||
| 50-<75 | −1.0 | 50-<75 | −0.5 | ||||||
| ≥75 | −0.5 | 75-<12 | No adjustment | ||||||
| ≥125 | No adjustment | ||||||||
|
Reduce | Reduce by 20% of the total dose | Reduce current sensor value by 25 mg/dL (1.4 mmol/L) | Reduce current sensor value by 75 mg/dL (4.2 mmol/L) | Reduce current insulin dose by 1.5 units | <25 | −3.5 | <25 | −3.0 |
| 25-<50 | −2.5 | 25-<50 | −2.0 | ||||||
| 50-<75 | −1.5 | 50-<75 | −1.0 | ||||||
| ≥75 | −1.0 | 75-<12 | −0.5 | ||||||
| ≥125 | No adjustment | ||||||||
|
Reduce | Reduce by 20% of the total dose | Reduce current sensor value by 50 mg/dL (2.8 mmol/L) | Reduce current sensor value by 100 mg/dL (5.5 mmol/L) | Lower current insulin dose by 2 units | <25 | −4.5 | <25 | −4.0 |
| 25-<50 | −3.5 | 25-<50 | −3.0 | ||||||
| 50-<75 | −2.5 | 50-<75 | −2.0 | ||||||
| ≥75 | −1.5 | 75-<12 | −1.0 | ||||||
| ≥125 | −0.5 | ||||||||