If you get a high of say 160 before you’re about to go to sleep, would it be better to let the long acting insulin take care of it or do an immediate rapid acting injection?
Long acting is too slow & BG will stay high for a while. I’m guessing that you’re talking about taking your usual dose of basal, which won’t effect a high. I correct highs before bed with rapid acting. Be careful. You need to know your correction ratio so you don’t have an overnight low.
To me, 160 is not a number to be corrected…260 is different but correcting a 160 is too much for me
Agree. You need to use rapid-acting to correct highs. The basal won’t correct the high – it holds your BGs at a baseline level, so if you’re already running high, the trend will continue high. I work on the principle that 1 unit of rapid-acting reduces BG by roughly 2 mmol/l (approx. 36mg/dl).
I’d correct 160, too. Anything over 140 causes damage.
When I was on Lantus, I needed to be around 150 before bed to avoid a morning low. That was the reason that I went on the pump. Now i would certainly correct a 160.
I later found out that my blood sugar dropped so much because I took all my Lantus late in the evening. Other people have better results by splitting their Lantus dose or taking it in the morning.
This is an old thread. But I have too ask
Soif you reading 160 say at 10 pm the time for your basal, do you inject fast insulin with correction dose an ow long should I wait for injecting basal?
If my protein and fat on low carb kick in after I took basal, what should I do?
I had 7,1 at midnight and 5,1 when I took Nph st 10.
I would correct a 160 for sure. Just make sure you know how much "onboard" insulin you have or the insulin that is still working from the last time you took some. It is easier on a pump because it tells you right there how much onboard you have.
On injections you need to calculate it based on when you last took a bolus.everyone is slightly different. On Humalog I have my onboard timer last 90 min.
On Novolog I change it to 120 min. Everyone is different though. You can calculate it on your own by timing how long it takes a bolus to correct your sugar.
It is also the similar to bolusing before a meal so that it hits the same time as the sugars hit your blood. But then the insulin has a drop off at the end that can still be dropping you.