Hey everyone
Just came across a new term ive never heard before and was wondering if anyone could explain what it means.
Grateful for any help.
Thanks Urban Racer.
I just can't think of what circumstance that would be useful. If someone was planning on eating something for a period of time every hour or two ? (Like a party)
Or if you want a snack in between meals (sometimes I just need that chocolate bar to get me through that boring meeting at work), or someone brings in stuff for the whole department at work (and has specially brought in something gluten free (normally very carby) just for me).
I know also often at the weekend there is not 5 hours between breakfast and lunch for myself - yes sometimes my insulin does take that long!
Thanks Rokaab,that makes sense. Would this mean then that you would have two insulin intakes (one for the meal, the other for the snack) What would be the difference if you took into account the snack when you had insulin the first time, so like extra dose of insulin for the meal and snack. (I'm assuming the snack is planned in which of course is not always the case![]()
Thanks Urban Racer.
I just can't think of what circumstance that would be useful. If someone was planning on eating something for a period of time every hour or two ? (Like a party)
This may help you to visualise :-
View attachment 40848
The flatish green line would be your basal insulin (in a perfect world).
The black curve broadly represents fast acting insulin. So if you were to inject a short time after the 2hr peak, you would create a new peak that is on top of the existing curve and potentially higher. It would also extend the activity time.
Many T1's have a problem with Pizza. The (fatty) cheese slows down digestion of the carby bread base and may need a percentage your dose before the meal, and remainder a bit later. You need to find out over time, how your body reacts to foods - a great reason to be using glucose monitoring!
Yes it means one injection for breakfast, one for each relevant snack, adding more insulin to my breakfast could go horribly wrong and cause hypos if said insulin kicks in faster or if the snack doesn't happen, and also my snack times can vary somewhat, not guaranteed I'll need/want one either - more injections gives a lot more flexibility (and that's what MDI is supposed to do), and yeah I don't know if someone will be bringing in stuff on a particular day, or we'll suddenly end up in an incredibly boring meeting that was only decided upon 15 mins before it started, or whether I'll just feel hungry![]()
Hi UKT1
I gave it up because it would send my BS levels really high late morning, early afternoon. This is me despite carb counting.
By lunch time my bs levels would still be really high and I wouldnt know what to do (to correct or not)
The fact that it can take 2 hours for peak effect of the insulin to kick in sure sounds like it makes sense (my consultant told me to take it immediatley before meals 15 years ago when prescribed) Your way of doing it sounds good and I might give it a try thanks for that
Regarding my CGM yes it is exciting, I am hoping to learn a lot about how my body digests carbs. I'm really encouraged and glad to hear the Libre helped you with the timing, I'm hoping to master timings as well!
In terms of the injection site, I am avoiding injecting in my lower stomach area. Just because years of injecting there has left me with an unsightly fat deposit which I would like to reverse if possible. Sometimes however I do not have a choice and have to inject there.
Can I ask, did your Hba1c results get better after getting the Libre. Did you notice an improvement in managing diabetes and quality of life?