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Type 1.5/LADA Diabetes
Some noob questions
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<blockquote data-quote="DaftThoughts" data-source="post: 1450572" data-attributes="member: 317436"><p>I agree with the others that bolus remains effective past 2 hours. It's just that it peaks and after 2 hours slows down. The website has more information on that but supports the statement: <a href="http://www.apidra.com/apidra/dosing.aspx" target="_blank">http://www.apidra.com/apidra/dosing.aspx</a></p><p>I recommend you check 4 hours after meals and see if you went back down to your target value (for example 6 mmol/L). If after 4 hours you're still too high then I agree it isn't covering your carbs and you need to adjust, but at 2 hours basically everyone is reading 1 or 2 points higher - this is not just normal, it's advised, precisely <em>because</em> fast acting insulin lasts more than 2 hours. Very important! You'd be slipping into hypos constantly if you don't rise within 2 hours.</p><p></p><p>The thing with night time hypos is that your background insulin (and whether or not you had alcohol) is a lot more responsible for them than Apidra will be. If your last injection was more than 4 hours ago before you go to bed and your reading is 5 or more, the only thing lowering your bloodsugar during the night into a hypo will be Lantus. (Either because your dose is too high or because alcohol stops the liver from feeding your body a steady amount of glucose.) Apidra can't cause hypos past those 4 hours because it's all used up by then, so that's not something to worry and focus on.</p><p></p><p>Hypo unawareness is very annoying and scary especially when you're just starting out, but you can compensate for this by testing more frequently for now. I also bike all the bike and because my symptoms start with shaking, sweating and racing heart, I can't exactly rely on those initial symptoms when biking causes/hides those. I <em>always</em> either test before I ride or shove a biscuit down my gullet to tide me over. </p><p></p><p>At this point my basal insulin is so well adjusted that I can ride for 20 minutes and only see a 0.5 mmol/L drop in my values, and that definitely helps. I still have to be careful when I have active insulin on board, but I've found all my sweet spots and they're all very reliable so far. This is definitely something you can figure out as well!</p><p></p><p>It's scary now and that's okay, but the more you read up and get help on these forums, the better you'll be at it. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> I've learned more than I thought possible in just 4 months since starting insulin and it gets easier and less scary, I promise! </p><p></p><p>And if you're ever in doubt, have a biscuit before bed. It's better to wake up at 7 or 8 and not deal with the anxiety of nypos all the time. You can take a unit extra in the morning to get back down to target and you'll likely feel better than if you slept through a hypo.</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1450572, member: 317436"] I agree with the others that bolus remains effective past 2 hours. It's just that it peaks and after 2 hours slows down. The website has more information on that but supports the statement: [URL]http://www.apidra.com/apidra/dosing.aspx[/URL] I recommend you check 4 hours after meals and see if you went back down to your target value (for example 6 mmol/L). If after 4 hours you're still too high then I agree it isn't covering your carbs and you need to adjust, but at 2 hours basically everyone is reading 1 or 2 points higher - this is not just normal, it's advised, precisely [I]because[/I] fast acting insulin lasts more than 2 hours. Very important! You'd be slipping into hypos constantly if you don't rise within 2 hours. The thing with night time hypos is that your background insulin (and whether or not you had alcohol) is a lot more responsible for them than Apidra will be. If your last injection was more than 4 hours ago before you go to bed and your reading is 5 or more, the only thing lowering your bloodsugar during the night into a hypo will be Lantus. (Either because your dose is too high or because alcohol stops the liver from feeding your body a steady amount of glucose.) Apidra can't cause hypos past those 4 hours because it's all used up by then, so that's not something to worry and focus on. Hypo unawareness is very annoying and scary especially when you're just starting out, but you can compensate for this by testing more frequently for now. I also bike all the bike and because my symptoms start with shaking, sweating and racing heart, I can't exactly rely on those initial symptoms when biking causes/hides those. I [I]always[/I] either test before I ride or shove a biscuit down my gullet to tide me over. At this point my basal insulin is so well adjusted that I can ride for 20 minutes and only see a 0.5 mmol/L drop in my values, and that definitely helps. I still have to be careful when I have active insulin on board, but I've found all my sweet spots and they're all very reliable so far. This is definitely something you can figure out as well! It's scary now and that's okay, but the more you read up and get help on these forums, the better you'll be at it. :) I've learned more than I thought possible in just 4 months since starting insulin and it gets easier and less scary, I promise! And if you're ever in doubt, have a biscuit before bed. It's better to wake up at 7 or 8 and not deal with the anxiety of nypos all the time. You can take a unit extra in the morning to get back down to target and you'll likely feel better than if you slept through a hypo. [/QUOTE]
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