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From Wilmington, Massachusetts, USA:

I am a type 1 diabetic trying to get a tighter control on my diabetes. I try to take my insulin doses based on the amount of carbohydrates I am eating. Sometimes, even in that case, my blood sugar two hours later may still be high, above 200 mg/dl [11.1 mmol/L]. If, at the time I am testing my blood sugar and it is over 200 mg/dl [11.1 mmol/L], should I take a shot to correct my blood sugar or should I wait until my next insulin injection and add in the correction then? I take injections before each meal and before bed. I don't want to give myself shots constantly if my blood sugar is too high, but I don't want to cause damage by having it remain high until my next insulin injection. What is the recommended course?


What you are suggesting is part of a plan to intensively control blood sugars. We do this with our pump patients. However, it can be a bit tricky. If you take your blood sugar two hours after eating, you still have some rapid-acting insulin on board (presuming you take Humalog or NovoLog). We would also have you calculate the amount of insulin to take for a high blood sugar based on a calculation. Please see your physician to discuss this more completely. This type of intensive therapy does carry some increased risk of hypoglycemia.


Original posting 21 Sep 2005
Posted to Daily Care and Insulin


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