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<blockquote data-quote="Scott-C" data-source="post: 1429029" data-attributes="member: 374531"><p>That advice is ridiculous. The makers of humalog say that the onset of action takes 15 minutes, see graph below. Pre-bolusing makes a huge difference - I'm not a low carber, regularly eat relatively high carb meals, and my cgm trace barely shifts when I get the timing right.</p><p></p><p>If you inject at the same time as a meal, the food will be glucose in the bloodstream long before the insulin gets anywhere near it, so it will be fighting an uphill battle.</p><p></p><p>[ATTACH=full]22409[/ATTACH] </p><p></p><p>The medical profession is inately conservative: they don't want to be sued over causing hypos. It's up to you and your kid to decide whether you want to experiment with pre-bolusing.</p><p></p><p>Ask the dietician whether or not he/she is T1. If the answer is no, nod politely, and feel free to ignore advice. Non-T1 advisers are "book" diabetics. Although they mean well, they really don't have a clue about the 24/7 realities of it, so you've got free rein to experiment.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 1429029, member: 374531"] That advice is ridiculous. The makers of humalog say that the onset of action takes 15 minutes, see graph below. Pre-bolusing makes a huge difference - I'm not a low carber, regularly eat relatively high carb meals, and my cgm trace barely shifts when I get the timing right. If you inject at the same time as a meal, the food will be glucose in the bloodstream long before the insulin gets anywhere near it, so it will be fighting an uphill battle. [ATTACH=full]22409[/ATTACH] The medical profession is inately conservative: they don't want to be sued over causing hypos. It's up to you and your kid to decide whether you want to experiment with pre-bolusing. Ask the dietician whether or not he/she is T1. If the answer is no, nod politely, and feel free to ignore advice. Non-T1 advisers are "book" diabetics. Although they mean well, they really don't have a clue about the 24/7 realities of it, so you've got free rein to experiment. [/QUOTE]
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