# 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

- **ID:** `medical/insulin-pump-carb-count-omission`
- **领域:** medical
- **类别:** runtime_error
- **错误码:** `DIABETES_BOLUS_OMIT`
- **验证级别:** ai_generated
- **修复率:** 92%

## 根因

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。

## 版本兼容性

| 版本 | 状态 | 引入 | 弃用 |
|------|------|------|------|
| insulin_pump_firmware_4.2 | active | — | — |
| cgm_software_2024.1 | active | — | — |
| diabetes_app_5.3 | active | — | — |

## 解决方案

1. ```
   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.
   ```
2. ```
   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

- **** — User assumes AI's advice is safe because it matches common sense (don't take medicine if not needed) (85% 失败率)
- **** — User checks only fasting glucose and ignores meal composition (70% 失败率)