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Correcting highs with extra insulin

Ihatehypos

Member
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6
Hiya, I just wanted to know what other people's approaches to high blood sugar is. Do you correct high blood sugar (i.e. two hours after meals or during the night)) by taking extra insulin or would you wait until the next meal to correct it - or perhaps you wouldn't correct it all?? How high would it have to be for you to correct it? Thanks.
 
Hi Ihatehypos,
If you do that you'll be chasing your tail all day, and i'm going to sound like a stuck record but it sounds like the lantus is the problem. I was taking units of humalog here there and everywhere to sort things out, it was crazy. Try and sort your basal(long-acting)amount out, but I suspect that is the problem for you as I have said before. Humalog is rapid acting and since I have come off lantus, I only need to use it before meals, I don't have the rollercoaster ride i was having before. But of course for the occasional unexpected highs it's useful to get down quick just be careful.
Jus
 
I use less top ups now as i get better at choosing my bolus doses. Also, if the meal was high fat (ie curry) or very low gi with high carbs (pulses) then i use a top up as my novorapid doesn't last long enough. I am much more aggressive with bolus dosing. Dosing is for me a constant experiment.
 
if my BS is over 10, two - three hours or more hours after eating ,I correct it by injecting 1 unit for every 2 mmol over 7.0 so if I read 14.0 I inject 3 units (if it's odd number I always round down) which brings my reading down to roughly 7.0 Please note that This works for me,and other people will require different amounts .I had to find out what worked by adjusting gradually .I also now do this at night as, now I have been doing this for some time I know I am safe, and have not as yet expierienced a hypo at night. Though I wouldn't recomend doing this at night until you know exacly what amount you know is safe for you. I had to set my alarm every couple of hours to test during the night when first starting this regime. I generally only go high when I have to guess the amount of carbs in my food and miscalculate, as I normally inject 1 unit for every 8g of carb, so if its high its because I guessed wrong, I do try to correct my bg ,as I myself do not see the point of testing unless I am going to do something about it if it is too high. but what works for me might not for others so it's up to you whether you decide to try and correct them, if you do just be careful and do it in small amounts until you know the correct amount for you. I only increase my Levimir if high in the morning. if high 2 to 3 hours after eating it is because you did not have enough fast acting insulin at your last meal, but remember these can work up to 5 hours so if only slightly high then leave it.
 
Best to correct at the next meal or bedtime (cautiously) unless you're very high or you suddenly realise you over-ate/underdosed (or forgot :oops: ) at last meal, and are confident about the carbs and dose needed.

Two hours after a meal is too soon otherwise. Although short-acting insulin has its most intense effect in the first 2 hours, it doesn' t suddenly switch off after that, so correcting at 2 hours is likely to cause a sudden drop and hypo before the next meal.

Frustrating yes, but correcting at next meal is still way better than the traditional advice of 'wait 2-3 days to see a pattern'.

Sue
 
Hi all, thank you for replies. I've suspected for a long long time that correcting highs as relentlessly as I do is causing more problems than it solves but I just wanted to know what other people did. Having hit a total rock bottom with my diabetes over the past two weeks and having read posts here I think I've come to the conclusion that it's time for me to let go a little actually! I think I'm going to try to foster a little more tolerance to high blood sugar and stop changing my doses constantly and see if it will level out on it's own. I'm going to start fixed doses (I eat the same amount of carbs more or less at every meal anyway) and I'm going to stop taking my blood sugar all the time and in three month's time, (if I can keep it up that long!) I will have my HBc1A done and see if it has improved on it's own with no influence from me. Apart from the fact that I have tried and failed to control it by being a control freak, I also need a holiday from the constant frustration and depression of failure! Will report back in three months to tell you how my experiment worked! Thanks again. :mrgreen:
 
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