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Type 1 Diabetes
Type 1: What are your HbA1c test results?
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<blockquote data-quote="Scott-C" data-source="post: 2021254" data-attributes="member: 374531"><p>Hi, pexy, have you tried pre-bolusing? </p><p></p><p>When "faster" insulins like novorapid were brought in around 20/25 yrs round about the time you were dx'd, the message from the docs was inject when eating and I think a lot of us still do that.</p><p></p><p>But these insulins are nowhere near as fast as that.</p><p></p><p>I'm on novo, and the thing which has made a big difference for me is injecting about 20 to 30 mins before a meal, to give the insulin time to start working before the food starts turning into glucose. Your diabetes may vary, so timing will be something you'll need to play with.</p><p></p><p>Most of my meals are generally around the 50g to 90g mark. If I took the bolus at the same time as eating, I'd get really high levels, above 10, bumping up my a1c. But if I inject a while before, there's a fair chance that I'll top out at about 7 or 8, and that makes a big difference to lowering a1c.</p><p></p><p>It's easier to see the effects of this with cgm, but it's still do-able with strips: a bit of intensive testing to figure out whether 10, 15, 20 or 30 mins pre-bolus generally works for you pays back.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 2021254, member: 374531"] Hi, pexy, have you tried pre-bolusing? When "faster" insulins like novorapid were brought in around 20/25 yrs round about the time you were dx'd, the message from the docs was inject when eating and I think a lot of us still do that. But these insulins are nowhere near as fast as that. I'm on novo, and the thing which has made a big difference for me is injecting about 20 to 30 mins before a meal, to give the insulin time to start working before the food starts turning into glucose. Your diabetes may vary, so timing will be something you'll need to play with. Most of my meals are generally around the 50g to 90g mark. If I took the bolus at the same time as eating, I'd get really high levels, above 10, bumping up my a1c. But if I inject a while before, there's a fair chance that I'll top out at about 7 or 8, and that makes a big difference to lowering a1c. It's easier to see the effects of this with cgm, but it's still do-able with strips: a bit of intensive testing to figure out whether 10, 15, 20 or 30 mins pre-bolus generally works for you pays back. [/QUOTE]
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Type 1: What are your HbA1c test results?
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