fasting?

[james1980]

how do i fast for 12hr? i inject 5 times daily do i not inject and not eat?

 

[noblehead]

That's correct, eat a non fatty meal and take your quick-acting insulin as normal then start testing 4 hours after eating (the previous bolus dose is all but exhausted at this point) then miss your next meal and insulin dose, in theory your bg should go up or down by no more than 1-2 mmol if your basal dose is correct.

Just one other thing, try and avoid stressful situations and exercise too.

 

[AMBrennan]

how do i fast for 12hr? i inject 5 times daily do i not inject and not eat?

Never stop taking your basal insulin.

 

[james1980]

i know this will sound a bit thick but which is basal and which is bolus?

 

[katto]

Basal- long acting one mine is lantus
Bolus- short acting one and the insulin that you inject before a meal. Mine is novo rapid.


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[james1980]

thankyou, i'm on levemir and novorapid

 

[noblehead]

i know this will sound a bit thick but which is basal and which is bolus?

As katto says it's your levemir which is the basal in your case. Obviously you still need to take your levemir when conducting a fasting test

 

[james1980]

i'm new on here i didn't mean to post question twice, sorry katto i don't want u to think i'm not taking your answers on board. i've got loads of questions i need answering like do i need to eat when injecting basal?

 

[katto]

That's quite alright James1980 ask away...... And will endeavour to help you find answers!


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[SamJB]

The way I remember it is that long acting acts as the base of control so is called basal.

 

[donnellysdogs]

James1980

If you are wanting to test your basal rate... Do you know what you are trying to achieve by testing?

First off tou should only test your basal rate when you are starting from a good blood level reading.. Between 5 and 8 ideally. You must not have had any correction injections or food or hypo's within the 4-5 hours prior to testing your basal rates.

You MUST stop testing basal rates if your tests go too low or too high... And you must treat appropriately.

In an ideal world with loads of strips you would test every hour, however every 2 hours is ok.

So an example is.... You wake up at 6.7... You havent ate all night or had a hypo.. So you can ideally skip breakfast and your bolus injection. You ideally test every hour or two.. Or if you feel levels are changing too much. You could carry this on past lunch time if you wanted.. Providing your levels stay in limits...
I will allow mine on odd, rare occasions to go up to 12 before I correct with a bolus....I then don't eat for 5 hours to check that my correction bolus brings me down to 6.5 at the end of 5 hours. If I get down to normal levels before 5 hours then I know I have given too much correction insulin and I would end up hypo within 5 hours.

This works for MDI and pumps... but, you must be able to monitor closely, and stop and eat or stop and correct if necessary.

Then you must be able to react and adjust as necessary according to your results.

 

[james1980]

that's wicked, thankyou.