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Diabetes Discussion
Type 1 Diabetes
Fear of injecting to much insulin
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<blockquote data-quote="AndyS" data-source="post: 538432" data-attributes="member: 20775"><p>Hi Pota,</p><p></p><p>One thing you need to bear in mind is that most insulin analogs tend to remain effective to some degree for around 5 hours.</p><p>If you are putting small doses on top of each other at relatively short intervals you can get something called "stacking" occurring where all the small amounts in your system build up against each other and result in much higher amounts of active insulin in your system in the short term.</p><p></p><p>Doing a correction as soon as 1.5 hours after eating is a bit too soon.</p><p>It sounds almost like you are chasing your sugars which is where you may be coming up with problems.</p><p></p><p>Unless you are sick and therefore following sick day rules the best rule of thumb the rest of the time is:</p><p>Test before a meal, if your levels are high then add the correction onto the inulin you give for the meal.</p><p>If you test after a meal, wait at least 2 hours, even then if your levels are only a little bight high give it a couple more hours or test at the next meal.</p><p></p><p>Keep a log of the above, if you consistently find, for example, that your levels are good at lunch, then before dinner they are high and you consistently have to add a correction then you need to look at your Carb to Insulin ratio at lunch.</p><p>I find that I aim to have a good BG just before each meal and before I go to bed.</p><p>I only correct for high either when I am having a meal or I'm heading to bed and my sugars are especially high.</p><p></p><p>Hope that helps you a little.</p></blockquote><p></p>
[QUOTE="AndyS, post: 538432, member: 20775"] Hi Pota, One thing you need to bear in mind is that most insulin analogs tend to remain effective to some degree for around 5 hours. If you are putting small doses on top of each other at relatively short intervals you can get something called "stacking" occurring where all the small amounts in your system build up against each other and result in much higher amounts of active insulin in your system in the short term. Doing a correction as soon as 1.5 hours after eating is a bit too soon. It sounds almost like you are chasing your sugars which is where you may be coming up with problems. Unless you are sick and therefore following sick day rules the best rule of thumb the rest of the time is: Test before a meal, if your levels are high then add the correction onto the inulin you give for the meal. If you test after a meal, wait at least 2 hours, even then if your levels are only a little bight high give it a couple more hours or test at the next meal. Keep a log of the above, if you consistently find, for example, that your levels are good at lunch, then before dinner they are high and you consistently have to add a correction then you need to look at your Carb to Insulin ratio at lunch. I find that I aim to have a good BG just before each meal and before I go to bed. I only correct for high either when I am having a meal or I'm heading to bed and my sugars are especially high. Hope that helps you a little. [/QUOTE]
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Fear of injecting to much insulin
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