Nova rapid 3 or 4 times

[xmas]

Hello I've had my rapid today before breakfast.. Lunch and lastely before dinner at 5pm (10 units). And I've just taken my lantus (40 units)

Now it's 8.pm (I'm in thailand). And I want a ham and salad sandwich. 4slices brown bread, ham and salad now should I inject rapid before this? Any advise on this as this would be my fouth rapid injection is that ok and also how much should one inject to cover this

Thanks

 

[Dillinger]

Hi,

You should be taking Novorapid to cover any carbohydrate you eat. As to the amounts; has this not been discussed with you by your doctor?

No one here can give you specific advice because different people have different sensitivities to insulin, and in any event you shouldn't look for specific medical advice on the internet - that's what your doctors there for. You don't really want to be guessing on an evening dose either; as if you get it wrong you could be too high or, worse, too low in the night.

The initial advice is that 1 unit of insulin should cover 10 carbohydrates but that's only a starting point; my own ratio is very different.

Best

Dillinger

 

[xmas]

The Internet is the best I have right now mate as I'm in thailand and things ain't simple here
Thanks

 

[AMBrennan]

You don't have to keep making new topics to get help.

Personally, I can see where you might be coming from since everyone assumes 3 meals per day (every BG diary I've ever seen has breakfast, lunch, dinner and "before bed") but there is nothing magical about that number.

As for the amount of Novorapid, just have what you'd normally have for a sandwich. If you don't know that (e.g. if you're on fixed meals and insulin doses), tell us what you normally have dinner that you take 10u Novorapid for.

 

[iHs]

Hi Xmas

Everything with using insulin is a learning curve for everyone. Most people in the UK are advised to inject their bolus insulin 3 times a day with the idea that a time period elapses of about 4 or 5 hrs. This is so that bolus insulin doesnt start stacking as one dose on top of another... but if necessary if bg levels have fallen to a target level very quickly... like 2hrs after the bolus, then eating a small snack without any insulin will ensure that the bolus insulin doesn't lower bg down to a hypo level within 3hrs. The action of most bolus insulins will last for about 4hrs approx so if you want to eat food again and its only 3hrs since your last bolus and the amount you have mentioned is a lot more than just a snack, then yes probably you do need to bolus to eat it but whether you will need to use a different carb ratio to eat is another matter. You should also allow for just a very small amount of bolus insulin still being active from your last dose in deciding just how much insulin you should use. If you do decide to bolus just make sure that you test your bg levels frequently and learn from your bg readings as to whether your insulin dose is correct or not correct. Make sure that you definately test about midnight as that will then allow for the bolus to more or less finish its action but then again.. its action might still carry on so test again about 1.30am just to make sure that you haven't gone too low.

It's a shame that you are not in the UK...........

 

[xmas]

You don't have to keep making new topics to get help.

Personally, I can see where you might be coming from since everyone assumes 3 meals per day (every BG diary I've ever seen has breakfast, lunch, dinner and "before bed") but there is nothing magical about that number.

As for the amount of Novorapid, just have what you'd normally have for a sandwich. If you don't know that (e.g. if you're on fixed meals and insulin doses), tell us what you normally have dinner that you take 10u Novorapid for.

Very sorry for making a new post. Maybe once u was new to all this.. Give us a break mate

 

[xmas]

Hi Xmas

Everything with using insulin is a learning curve for everyone. Most people in the UK are advised to inject their bolus insulin 3 times a day with the idea that a time period elapses of about 4 or 5 hrs. This is so that bolus insulin doesnt start stacking as one dose on top of another... but if necessary if bg levels have fallen to a target level very quickly... like 2hrs after the bolus, then eating a small snack without any insulin will ensure that the bolus insulin doesn't lower bg down to a hypo level within 3hrs. The action of most bolus insulins will last for about 4hrs approx so if you want to eat food again and its only 3hrs since your last bolus and the amount you have mentioned is a lot more than just a snack, then yes probably you do need to bolus to eat it but whether you will need to use a different carb ratio to eat is another matter. You should also allow for just a very small amount of bolus insulin still being active from your last dose in deciding just how much insulin you should use. If you do decide to bolus just make sure that you test your bg levels frequently and learn from your bg readings as to whether your insulin dose is correct or not correct. Make sure that you definately test about midnight as that will then allow for the bolus to more or less finish its action but then again.. its action might still carry on so test again about 1.30am just to make sure that you haven't gone too low.

It's a shame that you are not in the UK...........

Thanks for the reply. that answers a few things I need to know

Cheers

 

[noblehead]

Hello I've had my rapid today before breakfast.. Lunch and lastely before dinner at 5pm (10 units). And I've just taken my lantus (40 units)

Now it's 8.pm (I'm in thailand). And I want a ham and salad sandwich. 4slices brown bread, ham and salad now should I inject rapid before this? Any advise on this as this would be my fouth rapid injection is that ok and also how much should one inject to cover this

Thanks

xmas, I would go along with what iHs has advised you. Just one thing, I used to eat 4 meals a day which started when I was on twice daily injections, I find (if your on basal/bolus) that if you move your dinner say to 7pm then you are less likely to be hungry later in the evening, doesn't work for everyone but certainly worth a try.

 

[AMBrennan]

. Most people in the UK are advised to inject their bolus insulin 3 times a day with the idea that a time period elapses of about 4 or 5 hrs.

That would still allow for 4 meals assuming 8h sleep: 6am, 11am, 4pm, 9pm :lol: It's just convention because most people have 3 substantial meals.

Most people in the UK are advised to inject their bolus insulin 3 times a day with the idea that a time period elapses of about 4 or 5 hrs. This is so that bolus insulin doesnt start stacking as one dose on top of another
[...]
You should also allow for just a very small amount of bolus insulin still being active from your last dose in deciding just how much insulin you should use.

iHs is correct; however, I feel that it is not really applicable here. The danger is you might use additional insulin to correct for a high BG when previous does hasn't finished yet; however, there is no inherently greater risk of having a hypo if you use correct dose for the meal before the previous one has worn off (sanity check - as in a check to see if I'm sane: you can have half a sandwich now, and the other half in 5min with a split insulin dose with no ill effect)

If I were you xmas, I wouldn't worry about this too much at this point.

Very sorry for making a new post. Maybe once u was new to all this.. Give us a break mate

Sorry, I should have said "I acknowledge you creating another topic for this question; I will reply to it here"