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<blockquote data-quote="donnellysdogs" data-source="post: 1991534" data-attributes="member: 17713"><p>The very basic principle of injecting a background and fast acting insulin...</p><p></p><p>1) if you go low over night then you need to lower your basal injection.</p><p></p><p>2) if you go high or low 2-3 hours after eating and having your fast injection then you need to adjust the fast acting insulin...</p><p></p><p>That is the basics.. everybody is individual... so a high or low level time of 2-3 hours is an average. </p><p></p><p>Ideally on a basal/bolus regime you would try to have a fast of one meal and monitor your bloods hourly. This would mean: eat breakfast.. providing you do not go low (when you would have to eat) then you eat nothing else for 10 hours. That means you watch your reaction to your breakfast... the food and injection effects will have stopped working by 5 hours then you starve for 5 hours to see how your basal/background insulin is working. Then you would then have breakfast and lunch one day but not eat for a further 10 hours after.</p><p></p><p>You also have other meds working in the background as well, so you really need to check in with your nurse and get their advice as they may well say change a different med dosage..</p><p></p><p>This is only the basics on changing basal/bolus doses and how to check if you background dose is correct.</p><p></p><p>It may well be that your doses for novorapid need attention. You should have gone on a dafne course to instruct you how to alter your insulin. This is quite often only offered to type 1’s though.. depending upon where you live and the postcode lottery we have.</p><p></p><p>I am a T1 so am limited with knowledge on your other drugs. They may well decide to alter them rather than the insulin so you must speak to a nurse.</p><p></p><p>Not being a medic I have tried to generalise the basics without telling you how much to adjust by. All persons on insulin must be given the basic knowledge.</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 1991534, member: 17713"] The very basic principle of injecting a background and fast acting insulin... 1) if you go low over night then you need to lower your basal injection. 2) if you go high or low 2-3 hours after eating and having your fast injection then you need to adjust the fast acting insulin... That is the basics.. everybody is individual... so a high or low level time of 2-3 hours is an average. Ideally on a basal/bolus regime you would try to have a fast of one meal and monitor your bloods hourly. This would mean: eat breakfast.. providing you do not go low (when you would have to eat) then you eat nothing else for 10 hours. That means you watch your reaction to your breakfast... the food and injection effects will have stopped working by 5 hours then you starve for 5 hours to see how your basal/background insulin is working. Then you would then have breakfast and lunch one day but not eat for a further 10 hours after. You also have other meds working in the background as well, so you really need to check in with your nurse and get their advice as they may well say change a different med dosage.. This is only the basics on changing basal/bolus doses and how to check if you background dose is correct. It may well be that your doses for novorapid need attention. You should have gone on a dafne course to instruct you how to alter your insulin. This is quite often only offered to type 1’s though.. depending upon where you live and the postcode lottery we have. I am a T1 so am limited with knowledge on your other drugs. They may well decide to alter them rather than the insulin so you must speak to a nurse. Not being a medic I have tried to generalise the basics without telling you how much to adjust by. All persons on insulin must be given the basic knowledge. [/QUOTE]
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