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<blockquote data-quote="noblehead" data-source="post: 652797" data-attributes="member: 11028"><p>If it's only another hour or two before I next ate then I wouldn't take a correction dose, I'd wait until you next ate then include the correction dose in the meal calculation, if the same pattern happens the following day then I'd be looking at my previous meal insulin-to-carb ratio or checking that my basal insulin is running out or set at the wrong dose, for an explanation on basal testing have a look at the following:</p><p></p><p><a href="http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007" target="_blank">http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007</a></p><p></p><p>As for injecting ahead of your food, I do this most of the time and noticed a big improvement in the reduction of postprandial spikes, I did so after reading Scheiners book as he mentions this in what he refers to as <strong>Strike the Spike. </strong>He says QA insulins like Novo & Apidra take 15 mins to work and as food begins to digest after 10 of eating it makes sense to give your insulin a head start, but you do have to be careful and much depends on the gi value of the meal and whether the meal is high in fat, injecting ahead of a high-fat meal will result in hypo's.</p><p></p><p>I usually inject around 15 mins before, if the meal is high-fat then I inject just before eating and sometimes split-dose (depending on what the meal consists of).</p></blockquote><p></p>
[QUOTE="noblehead, post: 652797, member: 11028"] If it's only another hour or two before I next ate then I wouldn't take a correction dose, I'd wait until you next ate then include the correction dose in the meal calculation, if the same pattern happens the following day then I'd be looking at my previous meal insulin-to-carb ratio or checking that my basal insulin is running out or set at the wrong dose, for an explanation on basal testing have a look at the following: [url]http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007[/url] As for injecting ahead of your food, I do this most of the time and noticed a big improvement in the reduction of postprandial spikes, I did so after reading Scheiners book as he mentions this in what he refers to as [B]Strike the Spike. [/B]He says QA insulins like Novo & Apidra take 15 mins to work and as food begins to digest after 10 of eating it makes sense to give your insulin a head start, but you do have to be careful and much depends on the gi value of the meal and whether the meal is high in fat, injecting ahead of a high-fat meal will result in hypo's. I usually inject around 15 mins before, if the meal is high-fat then I inject just before eating and sometimes split-dose (depending on what the meal consists of). [/QUOTE]
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