-
Guest, the forum is undergoing some upgrades and so the usual themes will be unavailable for a few days. In the meantime, you can use the forum like normal. We'd love to know what you think about the forum! Take the 2025 Survey »
Given the wrong insulin need advice
- Thread starter lelow
- Start Date
-
- Tags
- wrong insulin given
Hello @lelwo - What are your numbers like now? If you're high, please contact 111.
By virtue of your carb:insulin ratio, do you have any idea of how much glucose you need to keep your numbers up, or how much you could expect to drop?
Any concerns whatsoever, please contact emergency services - 111 or 999.
OK, many of us have done this (I've done it with lantus and humalog.) Your issue here is that you risk a severe hypo. How much would you normally eat to counteract 40 units of novo rapid? You'll possibly find that your blood sugar plummets - you need to keep testing till it normalises - and eat as necessary. I personally wouldn't add any levemir to the mix till I was confident my blood sugar had stopped going down - a temporary high won't kill you but a severe hypo could. Have you got someone at home to stay up with you while you wait for the novo rapid to leave your system? If you haven't then that's another reason to call 999 or 111.
Hi everyone thanks for your advice. So I ate two bagels and had a few tablespoons on sugar. I didn’t give any levemir, my bs dropped to 3 at 12am then stayed within 5-8 all night (I have the sensor so can see the overnight trend), now it is at 12. I’ve never given more that 15 units of novo rapid, so very lucky I noticed it as soon as I done it and corrected straight away!
DunePlodder
Well-Known Member
Really well done for salvaging that Lelo! I would bet the time it takes you to inject will increase for a few days, whilst you check, check the checking, then check the checked checking!
Hello @lelow Glad your ok.
In future if this ever happens again take your levemir as normal, the action of levemir is entirely different to that of novorapid and is to cover your background needs over 24 hours, you may find today you run high as a result which of course you can correct with novo but it's a pain to manage the day afterwards otherwise.
In future if this ever happens again take your levemir as normal, the action of levemir is entirely different to that of novorapid and is to cover your background needs over 24 hours, you may find today you run high as a result which of course you can correct with novo but it's a pain to manage the day afterwards otherwise.
Agree with all the above, we have all done it - or will do it.
Novo rapid lasts 4-5 hrs however I would check it for 6hrs to make certain correcting with preferably
Jelly beans Sugar honey etc for the first hour or so, introduce nuts and cheese, nuts etc for the first few hours then moving to things like orange juice for the last hour or so. It can give a kick, just before it exhausts itself.
Novo rapid lasts 4-5 hrs however I would check it for 6hrs to make certain correcting with preferably
Jelly beans Sugar honey etc for the first hour or so, introduce nuts and cheese, nuts etc for the first few hours then moving to things like orange juice for the last hour or so. It can give a kick, just before it exhausts itself.
Circuspony
Well-Known Member
Had 3 crunchie bars when I did this!!
Dark Horse
Well-Known Member
This leaflet was produced to give advice to parents if a child injected the wrong insulin, but the principle still applies:- http://www.uhnm.nhs.uk/OurServices/...scent Diabetes/Injection-of-wrong-insulin.pdf
The advice is to delay the administration of long-acting insulin until the effects of the bolus insulin has peaked, and then give a reduced dose:-
The advice is to delay the administration of long-acting insulin until the effects of the bolus insulin has peaked, and then give a reduced dose:-
The effect of rapid-acting insulin diminishes after 4-5 hours (a little later if taken a dose larger than 10 units). The child will need to take half the long-acting dose but wait a few hours after taking the accidental injection. In the morning the breakfast dose should be taken as usual, adjusting it according to the morning blood glucose reading.
Robinredbreast
Oracle
Good to read you got through it, well done ( I did that years ago, phoned 111, they advised and kept in touch during the wee small hours.
