Your Shift Pattern
Shift Start
Shift End
Your Medications Up to 4
Medication name
Usual time
Type
Medication name
Usual time
Type
Medication name
Usual time
Type
Medication name
Usual time
Type
Your Adjustment Plan
Shift Work Risk Level
* Low
* Moderate
* High
Adjusted Medication Schedule
Medication Day Shift Time -> Adjusted Time Note
Suggested Meal Times
    24-Hour Medication Timeline

    Visual overview of your adjusted medication times across a 24-hour day - orange markers show your adjusted shift schedule.

    How This Works

    The adjustment aligns medication timing to your new wake/sleep anchor points. The core principle: medication times should follow your biological day, not the clock.

    Risk scoring: Rotating shifts (+2), night shift (+1), irregular meals (+1), poor sleep (+1). Scores of 3-4 indicate high management complexity.

    Timing rules applied:

    • Metformin: keep with main meals, shift to new meal times
    • Basal insulin: shift to new wake time or 8-10 hours before sleep
    • Rapid insulin: keep with meals regardless of clock time
    • Sulfonylureas: shift to align with first main meal of the day
    • DPP-4 / GLP-1: generally flexible - shift to new morning equivalent

    Important: These are guidance adjustments only. Always review any medication timing changes with your healthcare provider before implementing.

    ! Medical Disclaimer
    Medication timing suggestions provided by this calculator are for educational reference only. Any changes to your medication schedule must be reviewed and approved by your prescribing healthcare provider. Never independently adjust insulin doses or stop medications without medical guidance.