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Beginning fasting
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<blockquote data-quote="LooperCat" data-source="post: 2190489" data-attributes="member: 468055"><p>But it doesn’t last the time span published whether you’re eating or not. That’s why the shorter acting basals like Lantus/Levemir tend to be be split, so there isn’t the hole in cover. And you’d soon notice that hole if you weren’t eating and taking bolus insulin, because your levels would rise, thats the basis of basal testing, after all. Presumably the OP would be watching their BG levels closely when beginning to fast, so that would be quickly noticed, and dealt with by either correcting with a bolus dose, or tweaking basal doses and timings. To start with they’d be much more likely to have too much insulin in their body that too little, and need to use glucose tablets as they titrations down to the appropriate dose. </p><p></p><p>You don’t have to eat if you don’t want to, provided yourself glucose levels are where you want them. One of the worst things about diabetes was forcing myself to eat when I’m simply not hungry - I don’t do that now. One of the things they taught us on the DAFNE course was that you can eat as little or as often as you want to - just take insulin appropriately. So if you only want to eat once a day, that’s just fine. </p><p></p><p>Fasting doesn’t mean not taking insulin. If I’m not eating, my basal is running, and I still give small corrections if my levels go out of range. Can’t see an issue with that. Neither do my diabetes team.</p></blockquote><p></p>
[QUOTE="LooperCat, post: 2190489, member: 468055"] But it doesn’t last the time span published whether you’re eating or not. That’s why the shorter acting basals like Lantus/Levemir tend to be be split, so there isn’t the hole in cover. And you’d soon notice that hole if you weren’t eating and taking bolus insulin, because your levels would rise, thats the basis of basal testing, after all. Presumably the OP would be watching their BG levels closely when beginning to fast, so that would be quickly noticed, and dealt with by either correcting with a bolus dose, or tweaking basal doses and timings. To start with they’d be much more likely to have too much insulin in their body that too little, and need to use glucose tablets as they titrations down to the appropriate dose. You don’t have to eat if you don’t want to, provided yourself glucose levels are where you want them. One of the worst things about diabetes was forcing myself to eat when I’m simply not hungry - I don’t do that now. One of the things they taught us on the DAFNE course was that you can eat as little or as often as you want to - just take insulin appropriately. So if you only want to eat once a day, that’s just fine. Fasting doesn’t mean not taking insulin. If I’m not eating, my basal is running, and I still give small corrections if my levels go out of range. Can’t see an issue with that. Neither do my diabetes team. [/QUOTE]
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