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Message: <blockquote data-quote="Draco16" data-source="post: 1716187" data-attributes="member: 467776">Hi there, taking Novarapid after a meal is almost certainly not ideal. It takes time to start working and if you’ve already eaten it’ll be chasing rapidly rising sugars. The advice I got was to take it just before my first mouthful of food of the meal. However, i subsequently learnt about pre bolusing (injecting before the meal) which for me on Novarapid was generally 40 mins before breakfast and 15-20 mins before other meals. This led to a massive improvement in my bs control. Doctors are fine with pre bolusing and many on here do it. Please search on pre bolusing as it will dramatically improve your numbers. However, I’m conscious you’re trying to get your Tresiba settled, you’re switching to low carb... adding a third change is added complexity. You’ll really need to keep on top of testing as if you pre bolus too early you risk hypo. So experiment with the meal start, 2 mins before, 4 mins before etc. But out of Tresiba, low carb and pre bolusing I’d get the pre bolus sorted most urgently. Or at least immediately switch to injecting with your first mouthful of the meal. But test test test as this will lead to a big change in your numbers versus injecting after the meal has finished.</blockquote>

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