Hi I'm just wondering, my doctor says apidra to be taken every meal. I forgot to bring my insulin and I ate breakfast 6am before shift and around 8am my sugar is 350. Can I inject apidra or I have to wait during another meal time .
Hi Julie Difficult one to answer on UA-cam If you take it late this will increase the risk of hypos a couple of hours later or if you take lunch insulin within 4 hours of the previous dose. However, you probably don’t want a sugar of 350. So you could do a couple of things The first is a small correction between meals. Use your correction ratio - typically one unit drops glucose by 36 or 54 though it varies. You should have this ratio anyway. Then administer 2-3 units just to take the edge off the rising glucose levels but the idea isn’t to completely correct the glucose levels at this stage. This will depend on how much insulin you usually take as a couple of units for some people is a drop in the ocean so it might need more but better to under do it than over do it. Then at the next meal - lunch in this instance, can you take your food insulin and also add a correction dose on top of your mealtime insulin to then drop your glucose levels back to a more normal level, this means your glucose levels only remain elevated for a brief period during the day, but also minimises the chances of over correcting or miss timing, your insulin and so reduces the chance of hypos.
For me, novo rapid doesn’t even work untill about 1.5 hrs after i take it, which causes me all kinds of ups and downs because my sugar goes up super fast while the insulin takes time. So what happens is i take insulin for my meal then i eat and my sugars sky rocket, then i panic and take m ore insulin , then the first set of insulin kicks in and my sugars start to lower, then the second set of insulin kicks in and i have a low, then i drink a ton of juice (because im in panic mode) , then when my sugars start to rise again i take more insulin, and in about 1.5/2hrs it kicks in. I have yet to find an insulin that works as fast as these guys say it does.. if you listen to them you in for a life of ups and downs.. my biggest help with diabetes is my dexcon sensor..
Hey Justin Not surprisingly. Novorapid takes 1 hr to really even get going. It’ll enter your system after 30 mins but it doesn’t get to work until 1hr or maybe a bit longer like yourself If the sugars are spiking quickly it might also show you’re eating foods that are too quickly released. Sometimes these spikes are as much about the food choice as they are the insulin working. The insulin is confined to how it is manufactured whereas your diet is flexible and so if you aren’t getting the results you want, some subtle changes to a more protein based breakfast with slower releasing carbs can help Obviously I don’t know what you’re eating now so apologies for the general advice.
If I am taking 50gm of protein only so how much rapid insuline i need to take?. Because my blood sugar level increases when I take whey protein after workout. Please suggest.
It's indivudal so can't recommend a dose on UA-cam. Speak with your diabetes team would be my suggestion if youre not confident with identifying a starting dose yourself
Not sure I get you Bradley They are the same except fiasp which is a bit quicker Otherwise this category of insulin’s are basically the same in terms of how they work
well explanation dear mark
How have I only just discovered this channel, great videos and advice!
Thanks Greg really appreciate it
absolutely great video, so easy to understand, thank you so much
where did you referred to me for carbs counting i want to gauge myself for evening snack.
Hi
It’s in the type 1 diabetes programme - 4-5 videos on this 👍
Hi I'm just wondering, my doctor says apidra to be taken every meal. I forgot to bring my insulin and I ate breakfast 6am before shift and around 8am my sugar is 350. Can I inject apidra or I have to wait during another meal time .
Hi Julie
Difficult one to answer on UA-cam
If you take it late this will increase the risk of hypos a couple of hours later or if you take lunch insulin within 4 hours of the previous dose.
However, you probably don’t want a sugar of 350.
So you could do a couple of things
The first is a small correction between meals. Use your correction ratio - typically one unit drops glucose by 36 or 54 though it varies. You should have this ratio anyway.
Then administer 2-3 units just to take the edge off the rising glucose levels but the idea isn’t to completely correct the glucose levels at this stage. This will depend on how much insulin you usually take as a couple of units for some people is a drop in the ocean so it might need more but better to under do it than over do it.
Then at the next meal - lunch in this instance, can you take your food insulin and also add a correction dose on top of your mealtime insulin to then drop your glucose levels back to a more normal level, this means your glucose levels only remain elevated for a brief period during the day, but also minimises the chances of over correcting or miss timing, your insulin and so reduces the chance of hypos.
For me, novo rapid doesn’t even work untill about 1.5 hrs after i take it, which causes me all kinds of ups and downs because my sugar goes up super fast while the insulin takes time. So what happens is i take insulin for my meal then i eat and my sugars sky rocket, then i panic and take m ore insulin , then the first set of insulin kicks in and my sugars start to lower, then the second set of insulin kicks in and i have a low, then i drink a ton of juice (because im in panic mode) , then when my sugars start to rise again i take more insulin, and in about 1.5/2hrs it kicks in. I have yet to find an insulin that works as fast as these guys say it does.. if you listen to them you in for a life of ups and downs.. my biggest help with diabetes is my dexcon sensor..
Hey Justin
Not surprisingly. Novorapid takes 1 hr to really even get going. It’ll enter your system after 30 mins but it doesn’t get to work until 1hr or maybe a bit longer like yourself
If the sugars are spiking quickly it might also show you’re eating foods that are too quickly released. Sometimes these spikes are as much about the food choice as they are the insulin working.
The insulin is confined to how it is manufactured whereas your diet is flexible and so if you aren’t getting the results you want, some subtle changes to a more protein based breakfast with slower releasing carbs can help
Obviously I don’t know what you’re eating now so apologies for the general advice.
If I am taking 50gm of protein only so how much rapid insuline i need to take?. Because my blood sugar level increases when I take whey protein after workout. Please suggest.
It's indivudal so can't recommend a dose on UA-cam. Speak with your diabetes team would be my suggestion if youre not confident with identifying a starting dose yourself
You never talked about the difference between the insulins you mentioned :(
Not sure I get you Bradley
They are the same except fiasp which is a bit quicker
Otherwise this category of insulin’s are basically the same in terms of how they work