Age:
Gender:
Height:
Weight:
Goal Weight:
Waist:
Activity Level:
Carb Diet %:
Select Male Female Pregnant
ft in
lbs
in
Select Very Sedentary Sedentary Semi Active Active Super Active
30% 35% 40% 45% 50% 55% 60% 65% 70%
Breakfast
Lunch
Dinner
Bed
Carb Bolus*
Correction Bolus*
Basal Doses**
Control Pattern Select: N/A Lows 50 mg/dl or lower Lows 50-70 mg/dl or lower Good control 80-150 mg/dl Highs 150-240 mg/dl Highs 240 mg/dl or higher Swings highs & lows
