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Missed Insulin Dose

M

Mark Rawlinson

Well-Known Member
Messages
183
Type of diabetes
Type 2
Treatment type
Insulin
I think I missed a Toujeo (long lasting) insulin dose this morning) this just occurred to me 7 hours after. I know not to inject now to compensate but has any one else done this and noticed any difference ?
My dose is 40 units I still did the rapid acting insulins and blood tests and only noticed a slight rise in BS
 
Mark Rawlinson said:
I think I missed a Toujeo (long lasting) insulin dose this morning) this just occurred to me 7 hours after. I know not to inject now to compensate but has any one else done this and noticed any difference ?
My dose is 40 units I still did the rapid acting insulins and blood tests and only noticed a slight rise in BS
Click to expand...
Toujeo is a very long acting insulin.
This means that a change in dose (or in your case a missed dose) won't be immediately noticable.
Without this dose it's likely that you'll run higher than usual for 3 or 4 days.

With this particular basal insulin, I'd definitely dose 7 hours late if it were me. What does the leaflet say about missed doses?

I'm on Tresiba, which has a similar action time to Toujeo and I aways take it before bed, which is anywhere between 10 pm and 7 am, and it still keeps my numbers very stable.
 
Antje77 said:
Toujeo is a very long acting insulin.
This means that a change in dose (or in your case a missed dose) won't be immediately noticable.
Without this dose it's likely that you'll run higher than usual for 3 or 4 days.

With this particular basal insulin, I'd definitely dose 7 hours late if it were me. What does the leaflet say about missed doses?

I'm on Tresiba, which has a similar action time to Toujeo and I aways take it before bed, which is anywhere between 10 pm and 7 am, and it still keeps my numbers very stable.
Click to expand...
If within 2 hours ok to inject other wise nothing is said i suppose am safest not to inject
 
Took the insulin around 5 yesterday afternoon, no side effects and a fasting BS of 8.7 this morning (my hasting BS has never been constant)
Will do the full units at 8am today (40 u)
watch this space
 
"I think I missed". to help with knowing if you did or not you could be useful to write/mark down soon as you have injected.

your on multiple injections a day now so should qualify cgm. libre app has a really useful function to record doses. some insulin pens, smart, eg novapen 6/echo have a last dose check functionality which can tell you the last injection alongside how many units you injected. if using that imo i'd avoid scanning the pen to insert the doses into libre logs as i personally got annoyed with it due to having to keep on editing the prime... found that the more logs added the slower libre app would be..

you speak to your dsn about advice for 'correctional doses' if running higher than normal.
 
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