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Long haul injection times

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Brianbaily

Newbie
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Type of diabetes
Type 1
hi, I am traveling to Singapore, 8 hours ahead. I take Lantus injection every morning about 9am, plus Humalog with each main meal.

We land in Singapore at 8am UK time, but that is 4pm Sinapore time.

I don't really want to take my 24 hour lasting language so late in the day, as it will still be working while I sleep !
Shall I wait until the next morning before taking? This will mean I will go 40 hours between injections.

What suggestions do you have?
 
Brianbaily said:
hi, I am traveling to Singapore, 8 hours ahead. I take Lantus injection every morning about 9am, plus Humalog with each main meal.

We land in Singapore at 8am UK time, but that is 4pm Sinapore time.

I don't really want to take my 24 hour lasting language so late in the day, as it will still be working while I sleep !
Shall I wait until the next morning before taking? This will mean I will go 40 hours between injections.

What suggestions do you have?
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Hello @Brianbaily,

Your Lantus will work through the evening when you sleep regardless of what time you inject. It's the primary purpose of basal insulin, to provide a slow release of insulin into the body during periods of fasting (that includes sleeping).

It's probably not advisable that you go 40 hours between basal injections if your routine and body is used to 24 hours between injections. Moreover, the basal insulin will be completely used up and you run a risk of DKA (unless you opt to supplement a lack of basal with regular small doses of bolus insulin).

Have a look at the following calculator and see what you think, I've never adjusted basal for crossing time zones so hopefully someone can vouch if the calculators in the below link are sound:

http://www.diabetestravel.org/time-zones/

From what I understand, and if it were me, I'd take my full basal dose at 9am UK time on the morning of departure.

I'd then inject the following amount of insulin at 9am UK time: 'my normal basal dose x 0.57' (0.57 multiplier worked out from the formula in the above link).

After that, I'd inject my usual basal dose at my normal time of 9am (in Singapore time).

All the above is simply speculative and as we can't tell you what to do, you should give your DSN a ring and see what he/she recommends:)
 
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