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Type 1 Diabetes
When do you inject an adjustment dose?
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<blockquote data-quote="NicoleC1971" data-source="post: 2506946" data-attributes="member: 365308"><p>yep the rule is 4 hours but maybe also do some detective work to understand if your carb to insulin ratio or basal rate needs a tweak?</p><p>I appreciate that fear of going high is drummed into us type 1s with visions of blindness, kidney failure and amputation regularly raised.</p><p>10 is not high for an after meal rise and this will happen if you've had a meal that was high carb low fat for example versus a meal that's higher protein and fat for example.</p><p>Another idea is to get a smart bg meter which calculates the bolus based on the </p><p>a) carbs you are eating b) bolus already on board usually based on a bolus life of 4 hours. I think you can enter a bg level manually rather than having to prick your finger but not sure as my pump does it for me now.</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2506946, member: 365308"] yep the rule is 4 hours but maybe also do some detective work to understand if your carb to insulin ratio or basal rate needs a tweak? I appreciate that fear of going high is drummed into us type 1s with visions of blindness, kidney failure and amputation regularly raised. 10 is not high for an after meal rise and this will happen if you've had a meal that was high carb low fat for example versus a meal that's higher protein and fat for example. Another idea is to get a smart bg meter which calculates the bolus based on the a) carbs you are eating b) bolus already on board usually based on a bolus life of 4 hours. I think you can enter a bg level manually rather than having to prick your finger but not sure as my pump does it for me now. [/QUOTE]
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When do you inject an adjustment dose?
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