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Do i have to eat at certain times??

jayseven

Member
Messages
15
Hi

Just got some great info from Russ last nite :)
Was wondering if i am able to take my apidra according to what i eat, is it ok for me to take my breakfast at what ever time i want? as long as i take my insulin shortly after?

and is this the case for every meal??

Thanks
 
Hi Jayseven,

no problem :D

Usually people are recommended to leave four hours between meals, as the Apidra stays in your system for about that length of time. The advantage of basal / bolus is that it is more flexible. You can eat at different times, as long as you take your Apidra between 20 minutes before to 20 minutes after eating. People on two injections of mixed insulin have to eat at set times, but multiple daily injections (MDI - i.e. basal / bolus) is much more flexible with regards to timing.

I tend to inject just after I've finished eating as a rule of thumb.
 
Hey Russ :)

Thanks again for your reply. its just that sometimes when i wake up i dont feel hungry for a couple of hours ! i have been kind of forcing myself to eat breakfast so i can take my apidra !
now i know i can wait a while until i am ready to eat then take apidra accordingly :)
youve been a great help.

Thanks

Jay
 
Jayseven,

The advantage of MDI over twice daily injections is the flexibility to eat when you want and not have a set time each day, make sure you leave at least four hours between meals so you don't get a overlap of insulin (stacking effect) which can lead to unexplained hypo's.

Nigel
 
Hi Nigel :)

Thanks for your reply, cant believe i didnt know all of this earlier !
Thank you so much for all your help guys, this site has been my only hope, would be lost without it

Jay x
 
I've actually asked my DSN if i can go on basal/bolus for exactly this reason. At the moment i'm on twice daily mixed insulin and have to eat at the same time each day. I'm finding it really impractical and difficult to do.
 
Hi Claire

well after advice from Russ, Nigel, snodger and some others I have only realised i can eat when i want.
You should defo ask about this again, it should not be so much of a burden on us to eat at certain times etc.
I hope you get things sorted :)

Jay x
 
jayseven said:
Thank you so much for all your help guys, this site has been my only hope, would be lost without it

That's the good thing about diabetes forums such as this, you just never stop learning by reading other peoples experiences! :)

Nigel
 
I was told if delaying a meal (eg when we go out to eat we usually eat an hour or more after our normal meal time) that it's best to test around the time you would eat and that I may need a small snack.

If I'm having a late breakfast I try and make sure I test at my usual time rather than when I sitting down to eat. I've had a couple of nice lazy Sunday mornings turn out not so great when I get up and find I'm hypo.
 
Hi LaughingHyena,

Are you on multiple daily injections or on twice a day mixed insulin? If you're on MDI, you can generally eat when you like (within reason) but if you’re on mixed twice a day insulins then yes you need to be fixed about the times you eat.
 
Hiya!

I think your basal plays a role in this as well. I take Insuman Basal in the morning and eat no carbs at breakfast and a very low-carb lunch. By lunchtime my Insuman is at its peak so I get away without jabbing at work. This does mean, though, that i if I fail to eat something around the two-hour lunchtime slot I could end up with a mild hypo. I know Insuman Basal is an intermediate acting insulin, so doesn't have the flat profile of the long acting ones. I then take my Apidra immediately after my evening meal (where I do eat a small amount of carb). I'm LADA and still producing quite a lot of my own basal insulin, so it's a bit different for me, but I think you just have to try different types of insulin and different regimes until you find one that suits your lifestyle.

Smidge
 
I think it's a bit different on intermediate insulin as you say.
jayseven's on lantus and apidra I think - aren't you? so in that case the basal should be quietly handling the background sugars. If all is working smoothly, jayseven could eat nothing all day and the basal would keep bg steady. But any carbs at lunch would need apidra; the basal wouldn't/shouldn't be able to cope with that.

I'm really interested in all those of you on apidra here and in other threads saying you inject after your meal. Do you do that because then you know for definite how much you've eaten? Do you ever alter it, eg if you know you are going to eat something pretty sugary that will get into the bloodstream fast, do you inject earlier?
I'm on humalog and inject as soon as I see the carbs. I know apidra is faster but am impressed how much faster, from the sound of what you apidra-niks are saying.
 
I'm on MDI so I know I should be able to eat whenever, but set (ish) mealtimes seem to suit me better.

I'm pretty new to it all (well 11 months) and still trying to get all the doses right which probably doesn't help.
 
I agree with Snodger, the basal should keep the glucose the body naturally releases at a good level between meals and overnight. the bolus insulin is to tacke the spike that meals cause.

If you find your are having to snack between meals to keep your BG up, your background is too high, same as if you are having to correct high BG's.

Obviously exercise and other factors can affect this so it's always best to build a good set of results to spot any patterns.

I can comfortably leave meals a few hours late without any harm, indicating my basal is good.

About injecting times;

Some people bolus before, some after. I bolus before meals, but for one reason, i am TERRIBLE at remembering i have diabetes, if i tell myself 'oh ill bolus after' i wont do it, i just simply forget.

The advantage to injecting after is that if you don't tend to eat the whole meal or snack then you can reduce your insulin, like the whole 'eyes to big for your belly thing'

i pretty much eat all of what i prepare, so i'm not very often caught out having too much insulin and too little food.

I've only ever used novorapid, which so they say kicks in after 20 mins, Most carbs won't kick in that early at all anyway, unless your meal is hypo treatment! especially when often teamed with other food groups that can slow down absorption.

the basal bolus regime, is more flexible enabling you to eat how much you like and whenever (of course reasonably) but as laughing hyena says, it doesn't mean you can stick to a routine on it too, i still always have my lunch at 12 at work, and breakfast roughly at the same time. I think the point is to be flexible WHEN you need it.

Routine is very good for figuring out doses and tweaking things, like they say 'the defination of insanity is doing the same thing over and over and expecting a different result' i'm actually not sure who said that haha! but im pretty sure it means if you keep failing, change something!

Trial and error peeps, by all means ask what other people do, but at the end of it, it's all individual, you can use the exact same insulin as another and have the same meal, but your body will process it at a different speed or need more insulin to tackle it.

What works for one, doesn't for another.
 
I wasn't clear if jayseven was snacking due to low BG or just wanting to eat more. I know I go through phases where I just feel hungrier. If low BGs then yes, either basal or too much bolus are probably to blame. Sometimes though, you just gotta eat!

As for apidra timing, well it depends for me. For most meals at home, I inject just after the meal. I've found that's the safest regarding how much and doses etc. If I'm eating out, and I know for sure what I'm going to eat and it's going to be quick acting, I'll inject at about five minutes before it arrives (say a sandwich in a cafe). If I'm unsure how much I'll eat, I'll usually wait until after I've finished the main course. If I think I'm having a big meal for a special occasion, I'll sometimes split the dose and have enough to cover most of the starter and main in between the two and top up, especially if I've decided to have a pudding after that. As lots of people have said, it's trial and error and working out what works for you.
 
ebony321 said:
Routine is very good for figuring out doses and tweaking things, like they say 'the defination of insanity is doing the same thing over and over and expecting a different result' i'm actually not sure who said that haha! but im pretty sure it means if you keep failing, change something!
I think it was Einstein. So you are in good company! :D
 
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