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Diabetes Discussion
Type 1.5/LADA Diabetes
Fast acting insulin
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<blockquote data-quote="EllieM" data-source="post: 2704208" data-attributes="member: 372717"><p>Hi [USER=570784]@purrpleness[/USER] </p><p></p><p>Most long term T1s need to inject fast acting insulin before each meal (or snack). They sometimes prebolus (inject early) so as to have the insulin acting when the food starts hitting their system. If you have something which has slowly digesting carbs (hello pizza) you sometimes need to split your bolus (inject before and after). If you don't produce any insulin of your own, the long acting insulin covers your needs when you aren't eating (eg overnight) while the short acting is meant to cover your food intake.</p><p></p><p>If you don't need to inject before your evening meal that suggests that you are still producing some of your own insulin (honeymoon period?) but in the long term your insulin production should reduce and I'd expect that you'll need to inject more.</p><p></p><p>Have you been on a DAFNE course yet? That could help you learn to adjust your ratios. (They can vary by time of day, weather and also time.) I would expect that yours will change quite a bit as you move out of the hoenymoon period. You can also give correction doses if you find your bg is high before a meal....</p><p></p><p>Learning how to adjust your doses takes time, but makes a massive difference to managing levels. (Well, it does for me.)</p><p></p><p>I second the suggestion to keep records and contact your diabetic team.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2704208, member: 372717"] Hi [USER=570784]@purrpleness[/USER] Most long term T1s need to inject fast acting insulin before each meal (or snack). They sometimes prebolus (inject early) so as to have the insulin acting when the food starts hitting their system. If you have something which has slowly digesting carbs (hello pizza) you sometimes need to split your bolus (inject before and after). If you don't produce any insulin of your own, the long acting insulin covers your needs when you aren't eating (eg overnight) while the short acting is meant to cover your food intake. If you don't need to inject before your evening meal that suggests that you are still producing some of your own insulin (honeymoon period?) but in the long term your insulin production should reduce and I'd expect that you'll need to inject more. Have you been on a DAFNE course yet? That could help you learn to adjust your ratios. (They can vary by time of day, weather and also time.) I would expect that yours will change quite a bit as you move out of the hoenymoon period. You can also give correction doses if you find your bg is high before a meal.... Learning how to adjust your doses takes time, but makes a massive difference to managing levels. (Well, it does for me.) I second the suggestion to keep records and contact your diabetic team. [/QUOTE]
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Fast acting insulin
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