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When not to administer insulin???

Discussion in 'Insulin' started by Libby3781, Apr 5, 2019.

  1. Libby3781

    Libby3781 Type 2 · Well-Known Member

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    Hi all, I hope you are all well? I’m after a little advice please.

    Have your DM’s advised you when you shouldn’t inject? I’ve had no advice from them really tho regarding this.

    I currently inject NovoRapid p (16u) 4 times a day and Levemir (46u) last thing at night.

    This afternoon, I took my bg and it was 3.7 so I decided it would be sensible not to administer anymore. Obviously, that’s common sense really.

    However, I’m curious as to whether there are guidelines or not

    Thanks all in advance
     
    #1 Libby3781, Apr 5, 2019 at 2:48 PM
  2. helensaramay

    helensaramay Type 1 · Expert

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    The advice I was given in that scenario would be to treat the hypo and then inject insulin as normal.
    You may consider reducing your fast acting bolus insulin (NovoRapid) but unless I was repeated going low, I would not adjust my slow acting basal insulin (Levemir) based on my current BG.

    You appear to be on fixed insulin doses.
    I carb count and adjust my insulin dose based on my BG and how many carbs I am eating.
    This allows me to correct with additional insulin if I am higher than my target BG and less insulin if I was lower. But the advice would always be to treat the hypo.
     
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    #2 helensaramay, Apr 5, 2019 at 3:15 PM
  3. Libby3781

    Libby3781 Type 2 · Well-Known Member

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    NovoRapid I have to keep at 16u, anything higher causes me hypo’s. I’m supposed to be increasing my Levemir....but not having much joy trying to do that.
     
    #3 Libby3781, Apr 6, 2019 at 10:18 AM
  4. catfan

    catfan I reversed my Type 2 · Well-Known Member

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    During a hospital stay in 2017 I was prescribed Humulin M3 to inject morning & evening on discharge from hospital I continued to inject as instructed. I suffered horrendous hypo's day & night then contacted my DN. She immediately told me to reduce the hospital prescribed dose & after a phone call the next day she told me to STOP any more insulin injections immediately,at this time my BG levels were quite normal & should not have been injecting after my hospital release but was discharged with Insulin pens & a prescription for more.

    During a night time hypo my wife checked my BG & was down to 2.4 mm/0L,Never again have I injected insulin, not needed to, due to good T2 control.
     
    #4 catfan, Apr 6, 2019 at 3:24 PM
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