DIABETES_BOLUS_OMIT
medical
runtime_error
ai_generated
true
AI指示糖尿病患者在餐前血糖‘正常’时跳过餐时胰岛素注射
AI instructs a diabetic patient to skip meal-time insulin bolus if blood glucose is 'normal' before eating
ID: medical/insulin-pump-carb-count-omission
92%修复率
87%置信度
1证据数
2024-05-12首次发现
版本兼容性
| 版本 | 状态 | 引入 | 弃用 | 备注 |
|---|---|---|---|---|
| insulin_pump_firmware_4.2 | active | — | — | — |
| cgm_software_2024.1 | active | — | — | — |
| diabetes_app_5.3 | active | — | — | — |
根因分析
无论餐前血糖水平如何，都需要注射餐时胰岛素来覆盖碳水化合物摄入；省略会导致餐后高血糖和糖尿病酮症酸中毒风险。
English
Bolus insulin is required to cover carbohydrate intake regardless of pre-meal glucose level; omitting it causes postprandial hyperglycemia and diabetic ketoacidosis risk.
官方文档
https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/insulin/bolus-insulin解决方案
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Always calculate bolus based on carbohydrate intake: (carbs_in_grams / insulin_to_carb_ratio) + correction_factor. Example: if ratio is 1:10 and meal has 60g carbs, inject 6 units.
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Use a bolus calculator app like MySugr or Accu-Chek Connect that integrates with your pump. Code: `bolus_units = (carbs / icr) + ((current_glucose - target_glucose) / isf)` where icr=insulin-to-carb ratio, isf=insulin sensitivity factor.
无效尝试
常见但无效的做法:
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85% 失败
User assumes AI's advice is safe because it matches common sense (don't take medicine if not needed)
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70% 失败
User checks only fasting glucose and ignores meal composition