Missed Dose Impact Estimator

This estimator models the approximate blood glucose effect of a missed dose based on the medication's typical mechanism and duration of action. It uses simplified models - real-world impact depends heavily on individual factors.

Approximate base impacts per missed dose:

• Basal insulin: 50-100 mg/dL rise over 12-24h (gradual)
• Bolus insulin: 40-80 mg/dL rise per meal (acute, within 2-4h)
• Metformin: 30-50 mg/dL rise (modest, gradual)
• SGLT-2 inhibitor: 20-40 mg/dL rise (mild-moderate)
• GLP-1 agonist: 15-35 mg/dL rise (depends on dose timing)
• Other oral: 20-40 mg/dL rise (variable)

These are estimates based on population averages. Your personal response will depend on the dose size, your current insulin sensitivity, diet, activity, and other concurrent medications.

Basal insulin: If less than half the dosing interval has passed, take the dose immediately. If more than half, skip and resume the next scheduled dose. Never double up.

Bolus insulin (mealtime): Only take if you are still eating or just finished eating and your current BG is elevated. If the meal was hours ago, assess your current BG - do not take a late bolus for a meal already digested without guidance.

Oral medications (metformin, SGLT-2, GLP-1): Generally, if you remember within a few hours, take the dose. If it's near the time of your next dose, skip and resume normally. Never double dose.

Always check your blood glucose when you've missed a dose - this gives you real data rather than estimates. If your BG is significantly elevated (>250 mg/dL or >14 mmol/L), contact your healthcare provider.