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“Rapid-acting” insulin taking hours to work…
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<blockquote data-quote="Finnlee" data-source="post: 2578760" data-attributes="member: 557648"><p>[USER=565464]@plantae[/USER] You quoted a bit of my post where I was talking about splitting my <em>meal</em>, rather than a split <em>dose</em>. They're very different.</p><p></p><p>I find that at breakfast I'm very insulin resistant. What I've found works for me is to take my full dose of insulin when I get up, eat half my carbs once I'm around 5.5, then eat the other half of my carbs once I'm back below 5.5, or 2 hours after my first round of carbs. Eating everything in one go would give me a big spike, but level off at my target. Splitting my breakfast dampens the spike and I still level off at my target.</p><p></p><p>This is different that a split dose, an approach some people use for bolusing for high-fat or high-protein meals. That involves taking part of your insulin before eating and the rest later. Fat and protein can delay the absorption of carbs, so they can often cause a initial dip in your blood sugar, then a second wave of increased blood sugar later. Splitting the bolus can help counteract this initial dip and later wave.</p><p></p><p>It's probably something worth talking to your diabetes team about as it can be a useful tool, but you need to know how to use it and do it cautiously until you know how your body reacts. I'd avoid testing out new bolusing tactics until talking things through with your team. It sounds like you've had a rough time recently with some epic lows and now is not the time to start experimenting.</p></blockquote><p></p>
[QUOTE="Finnlee, post: 2578760, member: 557648"] [USER=565464]@plantae[/USER] You quoted a bit of my post where I was talking about splitting my [I]meal[/I], rather than a split [I]dose[/I]. They're very different. I find that at breakfast I'm very insulin resistant. What I've found works for me is to take my full dose of insulin when I get up, eat half my carbs once I'm around 5.5, then eat the other half of my carbs once I'm back below 5.5, or 2 hours after my first round of carbs. Eating everything in one go would give me a big spike, but level off at my target. Splitting my breakfast dampens the spike and I still level off at my target. This is different that a split dose, an approach some people use for bolusing for high-fat or high-protein meals. That involves taking part of your insulin before eating and the rest later. Fat and protein can delay the absorption of carbs, so they can often cause a initial dip in your blood sugar, then a second wave of increased blood sugar later. Splitting the bolus can help counteract this initial dip and later wave. It's probably something worth talking to your diabetes team about as it can be a useful tool, but you need to know how to use it and do it cautiously until you know how your body reacts. I'd avoid testing out new bolusing tactics until talking things through with your team. It sounds like you've had a rough time recently with some epic lows and now is not the time to start experimenting. [/QUOTE]
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“Rapid-acting” insulin taking hours to work…
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