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Taking insulin to combat highs --- opinions please ?
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<blockquote data-quote="catapillar" data-source="post: 1213470" data-attributes="member: 32394"><p>Correction doses are fine. While we would all like to avoid going high to start with, sometimes that just doesn't work, so it's sensible to correct - doing a correction is not a sign of failure, the correction itself isn't going to hurt you (provided you aren't over correcting /stacking and ending up hypo) and a brief peak which is swiftly corrected, while not ideal, really isn't bad and isn't going to measurably add to diabetic risks.</p><p></p><p>If you are looking to avoid the spikes in the first place, you might want to consider:</p><ol> <li data-xf-list-type="ol">Your ratios - I know you say your confident you have them sorted, but assuming your ratios are a static thing that will remain fixed in concrete might be a bit over optimistic. A lot of people might have different ratios for different times of day, might chand their ratio to bolus for protein, or just find their ratios change with their weight etc</li> <li data-xf-list-type="ol">Timing of your bolus - while the generic advice is inject with or after eating, a lot of people find if they do that it's difficult to avoid a spike because we digest the food before the insulin starts working. So you could experiment with moving your injection progressively 5mins earlier to see if that helps to avoid the spike.</li> </ol></blockquote><p></p>
[QUOTE="catapillar, post: 1213470, member: 32394"] Correction doses are fine. While we would all like to avoid going high to start with, sometimes that just doesn't work, so it's sensible to correct - doing a correction is not a sign of failure, the correction itself isn't going to hurt you (provided you aren't over correcting /stacking and ending up hypo) and a brief peak which is swiftly corrected, while not ideal, really isn't bad and isn't going to measurably add to diabetic risks. If you are looking to avoid the spikes in the first place, you might want to consider: [LIST=1] [*]Your ratios - I know you say your confident you have them sorted, but assuming your ratios are a static thing that will remain fixed in concrete might be a bit over optimistic. A lot of people might have different ratios for different times of day, might chand their ratio to bolus for protein, or just find their ratios change with their weight etc [*]Timing of your bolus - while the generic advice is inject with or after eating, a lot of people find if they do that it's difficult to avoid a spike because we digest the food before the insulin starts working. So you could experiment with moving your injection progressively 5mins earlier to see if that helps to avoid the spike. [/LIST] [/QUOTE]
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