Our Endocrinologists are advocating to allow some hospitalized patients to manage their prandial insulin dosing based on carb counting and carb ratio. I am familiar with nursing-driven carb counting protocols, but not patient-driven. I would appreciate your responses to the below questions:

1) Does anyone have an example of a patient-driven carb counting protocol?
2) Does your policy allow to incorporate patient preference for insulin dosing (e.g. give a lower dose of a prescribed medication per patient preference)
3) Outside of patient's own insulin pumps, do you allow patient self-administration of insulin?

Thank you,
Daniel