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Correction doses

cara147m

cara147m

Well-Known Member
Messages
47
Type of diabetes
Type 1
Treatment type
Insulin
Sorry for bombarding the forum with questions at the moment - I am new to it and have a lot to ask fellow T1's now that I have discovered you all!! It's only taken me 26 years!!

At what b/g do you correct? And what b/g do you aim your correction dose to?

I was told to correct at 10mmol/l and aim for 10mmol/l.

I have been on a bit of a mission to sort my diabetes control out this week so still having to correct a little bit but 10 is starting to feel a bit high for me now even though it was my average before!!! x
 
When I was on injections I aimed for 6-7mmol and 1 unit corrected 2.5mmol. now on a pump is a bit different.

What do you mean saying 'I was told to correct at 10mmol/l and aim for 10mmol/l'?
 
My target to achieve is 6.0.

My pump will correct for any levels over 7.0.

However, on mdi this is different. We have programmed our pumps to do our thinking.

If you are on MDI you must not over correct.

If you do a correction then you should aim to be at your target level by 5 hours. Our pumps (if set up to our individual needs) may well give another correction if necessary according to the pumps algorythms and settings.

With MDI the user must calculate for any insulin still on board and how long insulin takes to act in your body and how soon it is out of your system.

If your levels have generally been higher than 10 or you have experienced unrecognised hypo's this may be the reason for your nurse asking initially for 10 to be your target for now.
 
If I was 10, I would be correcting to bring me down to 8.

I am insulin sensitive so my target (6-8) is higher than I'd like, to avoid hypos.

I used to use two different correction doses, 1u to bring me down by 3, in the morning, and 1u to bring me down by 4, in the evening. This has varied over the years.

Have you spoken to your DSN about your target? There's presumably a reason you were given a target of 10.
 
1 unit of NovoRapid drops me by about 2.5 to 3mmol assuming I am inactive (it's much more if I'm moving about). Therefore, I generally correct at about 8mmol and above. You have to be careful, though. You can quite easily be 8mmol after eating and it will gradually reduce by itself so if you couple that with a correction dose it's easy to go hypo.
 
If you are on MDI you should look at the Freestyle Insulinx meter, you can program it just like a pump so it tracks your IOB, and knows your sensitivity to insulin so when you check your sugars and are high it knows how much insulin you already have working in you, what your target level is, and how much insulin you should inject - exactly like an insulin pump does. It has been fantastically helpful for me when on MDI.
 
Thank you :)

I'm quite insulin sensitive with good hypo awareness luckily!

I will ask my team next week why 10!! I think I sounded like a generic number rather than individually suited to me.

At the moment I use 1 unit for 2mmol drop but think I need to adjust this for time of day - not something I have down before - good advice thank you. And thank you @donnellysdogs for your advice about doses overlapping - I have recently started putting pencil marks on my record sheet for when my insulin was taken, peak and duration just to help see some patterns.

I think I might start aiming for 8mmols as a start and see how it goes.

Thank you all again x
 
ewelina said:
When I was on injections I aimed for 6-7mmol and 1 unit corrected 2.5mmol. now on a pump is a bit different.

What do you mean saying 'I was told to correct at 10mmol/l and aim for 10mmol/l'?
Click to expand...

Sorry not very clear - I meant if my b/g was over 10 then I should correct and aim for 10mmols …… so if I was 12 - give 1 unit to drop it to 10 x
 
Diamattic said:
If you are on MDI you should look at the Freestyle Insulinx meter, you can program it just like a pump so it tracks your IOB, and knows your sensitivity to insulin so when you check your sugars and are high it knows how much insulin you already have working in you, what your target level is, and how much insulin you should inject - exactly like an insulin pump does. It has been fantastically helpful for me when on MDI.
Click to expand...

I haven't heard of this meter before - sounds great - I'll look into it x
 
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cara147m said:
I haven't heard of this meter before - sounds great - I'll look into it x
Click to expand...
Oh yes, Its an Abbot Meter, and no more costly then any other meter out there. Abbot also makes the Libre, so they are really on the ball.

I was talking to a couple other diabetics about blousing and corrections the other day and just started realizing that most meters DON'T do what the Insulinx does, and it blew my mind. Why would anyone use a meter that ONLY tells you your BG when it has the potential to do SO MUCH more?

Look into the Abbott Freestyle Insulinx meter, i have used mine for over a year and just recently started trying other meters for comparison and can't believe some people don't this thing!
 
Diamattic said:
If you are on MDI you should look at the Freestyle Insulinx meter, you can program it just like a pump so it tracks your IOB, and knows your sensitivity to insulin so when you check your sugars and are high it knows how much insulin you already have working in you, what your target level is, and how much insulin you should inject - exactly like an insulin pump does. It has been fantastically helpful for me when on MDI.
Click to expand...

I have used the Insulinx but found the Accuchek Expert to be much better as a bolus wizard as with the Insulinx, a bg test will always need to be done to enter the wizard, whereas on the Expert, it doesnt.
 
I use the Insulinx and that resonates with me @iHs - about having to test each time you want to access the wizard. Does the Accuchek provide good information on things like averages and standard deviations? Currently I have to transfer all my data over to an app on my phone which is a bit of a bore.

Thanks

Dillinger
 
Dillinger said:
I use the Insulinx and that resonates with me @iHs - about having to test each time you want to access the wizard. Does the Accuchek provide good information on things like averages and standard deviations? Currently I have to transfer all my data over to an app on my phone which is a bit of a bore.

Thanks

Dillinger
Click to expand...

Excellent info on data providing you ipres button for pre meal, bedtime etc
 
iHs said:
I have used the Insulinx but found the Accuchek Expert to be much better as a bolus wizard as with the Insulinx, a bg test will always need to be done to enter the wizard, whereas on the Expert, it doesnt.
Click to expand...

That does sound like a plus - But what use is that information if you don't have a BG reading ?
 
cara147m said:
I haven't heard of this meter before - sounds great - I'll look into it x
Click to expand...


I have 2 of these meters and think it is the best since sliced bread lol. Better for hubby as well as it has a light so dont need to wake him when i check bg during the night.
 
I have 1 unit novorapid to bring down 1 mmol, if I am at 8mmol or more I take action.
 
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