Source: https://guthlabs.ai/docs/instruments/basal-insulin-carb-ratio-reference-education/

instrument / verified-clean

# Basal Insulin / Carb Ratio Reference (education)

The current ledger marks this instrument verified clean within the source-bound verification corpus.

Status: **VERIFIED_CLEAN**Lifecycle: **verified-clean**

## Inspectable records

[01**Overview**Purpose and lifecycle](<https://guthlabs.ai/docs/instruments/basal-insulin-carb-ratio-reference-education/>)[02**Mechanism**Method and assumptions](<https://guthlabs.ai/docs/instruments/basal-insulin-carb-ratio-reference-education/mechanism/>)[03**Implementation**Binding and validation](<https://guthlabs.ai/docs/instruments/basal-insulin-carb-ratio-reference-education/implementation/>)[04**Qualification**Evidence and errata](<https://guthlabs.ai/docs/instruments/basal-insulin-carb-ratio-reference-education/qualification/>)

## Ledger state

The current ledger marks this instrument verified clean within the source-bound verification corpus.

**Area**: Biology, Medicine & Pharmacology (educational estimates only — every panel labeled not-medical-advice)

**Tranche**: tranche-5

**Evidence ID**: t5-078

**Ledger rows**: 1

No ledger note is attached.

## Review findings

The arithmetic formula passes dimensional review only under the stated unit and positivity assumptions. Because glucose units, validation constraints, negative-dose behavior, rounding, and the basal-versus-bolus naming issue are not fully specified, the catalog entry needs review before release.

### Formula and scope findings

- The formula is standard for an illustrative rapid-acting insulin bolus estimate when carbs are in grams, InsulinCarbRatio is grams per unit, and CorrectionFactor is glucose units per unit of insulin; it does not calculate basal insulin despite the instrument name.

- The specification does not define glucose units. BG, Target, and CorrectionFactor must all use the same scale, such as mg/dL and mg/dL per unit or mmol/L and mmol/L per unit.

- The formula does not specify handling for negative calculated boluses, rounding, minimum doses, or whether a negative correction should be omitted or reduced under clinical instructions.

### Unit assumptions

- carbs is grams of carbohydrate.

- InsulinCarbRatio is grams of carbohydrate per insulin unit and must be greater than zero.

- Current BG and Target BG use the same glucose unit.

- CorrectionFactor is glucose units per insulin unit and must be greater than zero.

- The resulting Bolus is in insulin units.

- Example glucose values use either mg/dL with mg/dL per unit or mmol/L with mmol/L per unit; the two systems must not be mixed.

## Boundary hardening

**BREAK_CLAIMED** · SELF_FLAGGED

A zero insulin-to-carbohydrate ratio produces division by zero and an undefined bolus. The instrument should reject this input explicitly; returning a numeric result would be a safety-relevant failure of input validation.

## Errata and corrections

No applied erratum is attached to this unique-name record.

## Inspectable example

4 review vectors are recorded. One source-bound sample is shown below.

````
{
  "inputs": {
    "carbs_g": 60,
    "insulin_carb_ratio_g_per_unit": 10,
    "current_bg_mg_per_dL": 180,
    "target_bg_mg_per_dL": 100,
    "correction_factor_mg_per_dL_per_unit": 50
  },
  "expected_outputs": {
    "illustrative_bolus_units": 7.6
  },
  "working": "Carb component = 60 / 10 = 6 units. Correction component = (180 - 100) / 50 = 80 / 50 = 1.6 units. Total = 6 + 1.6 = 7.6 units."
}
````

## Related workflows

No source-defined multi-instrument workflow membership is recorded.

## Sources and evidence

These pointers bind the page to evidence. They do not grant authority or collapse verification into deployment.

- `VERIFIED_LEDGER.json · VERIFIED_CLEAN`

- `evidence-tranche5/tranche5-results.json`

- `BOUNDARY_HAZARD_CATALOG.json`