@LeanneSpain. Only this morning I had 3 units novorapid without any breakfast. BS was 8.1 at time but I know from experience that once I'm up and about my BS will rise. 2 hrs later when I did have breakfast my BS was 4.7, at which point I had a further 6 units to cover my Full English but remembering to allow for the IOB.
This highlights a problem with diabetes. We are all different and with experience we know what works for us.
The DSN advice is correct for newly diagnosed/ inexperienced diabetics but if you have good control and confidence in how you manage your diabetes then do what is right for you.
And yes you are correct in that basically you performed a correction dose, something commonly used by experienced diabetics.
I take quick acting insulin every morning upon waking up and I don't eat breakfast except a little milk in my coffee. My DN thougt I was crazy, but she can't argue with my numbers.
Hi @LeanneSpain. I must have had fast acting insulin hundreds of times to counter high sugar readings. Any reading over 24 mmol/L I would double my normal dose,but as @therower says, it's personally suited from many years of observing cause and effect. I would often get very high readings when fending off viruses and so on. Anything that causes high adrenaline can cause the same problem. If you hadn't done that, you would probably be "blocking" another hospital bed unnecessarily. The main problem is the number of tests required before reaching a level where eating is possible. Also, as I guess you realise, sugar readings can suddenly plummet after a long string of 16 ish readings or similar. Libre users would be able to give you sound advice there - I never made it to owning one! Good luck with future control.Hi. I went to see diabetic nurse yesterday. I had told her sometimes i take novorapid in morning with no food if my blood sugars are high to correct them by lunchtime. I don’t eat a breakfast. She said never ever take fast acting insulin without food as the insulin has no food to work on and can cause problems. This is the first iv heard. Wondering does anyone else take insulin with no food as id imagine correcting a blood sugars (between meals) would be the same scenario?!
Don't worry. She probably has learned insulin deals with eaten carbs(sugars). So no eaten carbs, no insulin, as that would surely mke you hypo. She probably doesn't know many people's livers dump glucose in their bloodstream upon getting up. To your body, this glucose is exactly the same as glucose from food, so you need insulin to use it, otherwise it just sits in your blood doing damage to your body.Im the same. I drink tea with milk and take novorapid every morning with no food. But shes got me worried now.
Don't worry. She probably has learned insulin deals with eaten carbs(sugars). So no eaten carbs, no insulin, as that would surely mke you hypo. She probably doesn't know many people's livers dump glucose in their bloodstream upon getting up. To your body, this glucose is exactly the same as glucose from food, so you need insulin to use it, otherwise it just sits in your blood doing damage to your body.
DN's don't know everything, and they're very scared of bad hypo's. Next time ask her what problems she expects. If it's hypo's, you can prove you're fine, as you have been doing this for a while already without hypo's
The "correction dose" will work on the excess levels of sugar in the blood.She said about ketoacidosis as the insulin is working on fat not food
Surely though taking insulin to correct a higher than normal blood sugar can't cause ketoacidosis? I thought that was high blood glucose due to lack of insulin and high ketones. Sounds a bit like the nurse has it the wrong way round. Not being a Type 1 I'll ask you as you guys will know a lot more about it than me. Sounds like @LeanneSpain. was given wrong advice from nurse?The "correction dose" will work on the excess levels of sugar in the blood.
However. i can understand your DN's concern.. You wouldn't wish to push it too far the other way.
I think she needs to go back to her textbooks...She said about ketoacidosis as the insulin is working on fat not food
Surely though taking insulin to correct a higher than normal blood sugar can't cause ketoacidosis? I thought that was high blood glucose due to lack of insulin and high ketones. Sounds a bit like the nurse has it the wrong way round. Not being a Type 1 I'll ask you as you guys will know a lot more about it than me. Sounds like @LeanneSpain. was given wrong advice from nurse?
That's what I thought @LeanneSpain. hopefully that answers what I saw as your question..The shortage (or non existence) of active insulin will cause ketoacidosis..
The body would resort to consuming itself (fat storage.) for energy & BS levels would rise without it... (Layman's terms.)
Nurse sorta got it wrong..
That's what I thought @LeanneSpain. hopefully that answers what I saw as your question..
Poor nurse. If she can find them.I think she needs to go back to her textbooks...
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