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Correction dosing - more needed per mmol/L drop for higher BG?
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<blockquote data-quote="KK123" data-source="post: 2458597" data-attributes="member: 451727"><p>Hi there, this was a question posed at a course I went on. I don't know if this applies to you but they said, when you do a correction you must give it time to work and not panic if it doesn't seem to be working 'immediately'. So, if you do a correction, it can take 2/3 or even 4 hours to bring your levels down, so if you decide to take a 2nd correction at the 2 hour level you will go low later on. It's tempting to over correct as you sit there thinking 'I don't want to sit here in the teens' but you are better off being patient. If you end up low later on because of over correcting, then you end up correcting that low and up it goes again, the medical term I believe is the yo yo effect! Many people seem to think a correction should work instantly almost but it doesn't and I don't think injected insulin is designed to work like that (or simply can't). When you think that bolus insulin for mealtimes takes up to 5 hours to work to lower glucose then you can see why a correction takes a while too (it should be a bit quicker of course because it's not got the food to contend with) but as I said, it ain't immediate.</p></blockquote><p></p>
[QUOTE="KK123, post: 2458597, member: 451727"] Hi there, this was a question posed at a course I went on. I don't know if this applies to you but they said, when you do a correction you must give it time to work and not panic if it doesn't seem to be working 'immediately'. So, if you do a correction, it can take 2/3 or even 4 hours to bring your levels down, so if you decide to take a 2nd correction at the 2 hour level you will go low later on. It's tempting to over correct as you sit there thinking 'I don't want to sit here in the teens' but you are better off being patient. If you end up low later on because of over correcting, then you end up correcting that low and up it goes again, the medical term I believe is the yo yo effect! Many people seem to think a correction should work instantly almost but it doesn't and I don't think injected insulin is designed to work like that (or simply can't). When you think that bolus insulin for mealtimes takes up to 5 hours to work to lower glucose then you can see why a correction takes a while too (it should be a bit quicker of course because it's not got the food to contend with) but as I said, it ain't immediate. [/QUOTE]
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Correction dosing - more needed per mmol/L drop for higher BG?
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