How long do wait to eat after a bolus if your levels are high

[O_DP_T1]

Hi all,

As per the title just a quick question to see how people handle the above scenario.

Do yo:

1. Inject required amount + correction dose and eat straight away
2. Inject required amount + correction dose and eat within 10-15 mins
3. Inject required amount + correction dose and wait until you are in range then eat
4. Anything else???

I do option 3 as any of the others can cause an additional rise, although this sometimes means waiting around 40-45 mins until i can eat.

 

[Antje77]

4. Inject correction, wait for bg to come down, inject required amount, eat. Or divert to something with very few carbs if I don't want to wait.

Edit : that's on fiasp, which enables me to eat right after injecting. On novorapid I did something between 2 and 3, as I can't wait all day .

 

[Fairygodmother]

I do 3 if the high’s less than 9. Otherwise I either inject correction dose, wait until bs are 9 or less and eat a carb free meal, or, if I’m not really hungry, and have time, 3. However, 3 can have adverse effects if the desired meal is very carb-full.

 

[Deleted Account]

I go for 2 ... but as @Fairygodmother suggests, I try to eat a lower carb meal.

 

[O_DP_T1]

I do 3 if the high’s less than 9. Otherwise I either inject correction dose, wait until bs are 9 or less and eat a carb free meal, or, if I’m not really hungry, and have time, 3. However, 3 can have adverse effects if the desired meal is very carb-full.

Cheers all, but how can 3 have an adverse effect if you have a carb-full meal because you've taken the extra to bring you down to range and when in range the rest should work right.

 

[NoKindOfSusie]

If I'm too high before a meal and I'm at work with no option to delay the meal, I just end up not eating the meal. Otherwise if it's high but not too high it's a case of guesstimating correction plus bolus in one go.

Err, isn't that just normal? Am I wierd?

 

[O_DP_T1]

Err, isn't that just normal? Am I wierd?

Come on mate surly you know with T1 there is no normal just pandemonium

 

[Antje77]

If I'm too high before a meal and I'm at work with no option to delay the meal, I just end up not eating the meal. Otherwise if it's high but not too high it's a case of guesstimating correction plus bolus in one go.

Err, isn't that just normal? Am I wierd?

Seems sensible to me . Only difference I would make is take something low carb with me to eat (cheese, cold meats, nuts, avocado ,olives ) so I wouldn't have to end up eating nothing during a work day when bg is too high.

 

[Fairygodmother]

Cheers all, but how can 3 have an adverse effect if you have a carb-full meal because you've taken the extra to bring you down to range and when in range the rest should work right.

I find personally that if I’m above 9 it’ll take much longer for a correction dose to act if I also bolus for food and eat straight away, so I’ll therefore remain high for more time than I’d like to. There may be physiological reasons for this, it may just be an ideopathic thing: just me.

 

[NicoleC1971]

Not just you -once I have gone high I think the lack of energy getting to my cells may cause my liver to chug out more glucose. I do feel like a huge failure when having to do correction doses as I am on a low carb diet yet still get spikes in various scenarios.

 

[kev-w]

Cheers all, but how can 3 have an adverse effect if you have a carb-full meal because you've taken the extra to bring you down to range and when in range the rest should work right.

I'd do option 3 and reduce carbs depending on how long it takes my blood to drop, if I wake at 14+ I'd expect to wait 2 hours before I can eat, 10+ I'd expect to see a drop after an hour but I think I see more resistance to the insulin the higher my blood sugar.

It's an odd one as injection sites 'could' have a bearing on how quick the insulin starts working and at the end of the day 'if' you've time It's best to wait the drop out before eating. (for me at least)

Test, test and test again....