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Another question, before meal, my kid injected the insulin and we kinda inject too little. Can we top it up after meal ?
 
Mom of Type 1 said:
Another question, before meal, my kid injected the insulin and we kinda inject too little. Can we top it up after meal ?
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Yes, you can inject the rest afterwards if you are sure he didn't inject enough.
 
Mom of Type 1 said:
Another question, before meal, my kid injected the insulin and we kinda inject too little. Can we top it up after meal ?
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Yes you can top up if you are absolutely certain you dosed too much.
BUT remember that the insulin you already injected is still active for 4 or 5 hours so you need to remember the "insulin on board" - insulin that has already been taken but not yet "used up".
This is why it is often suggested to take care when "stacking" insulin - taking insulin when the last dose is still active.

Normally when you calculate the insulin dose, you consider a correction part (what is need to reduce the current BG to the target BG) and the part for the carbs. When stacking, it is usual to ignore the correction part of the dose.
 
Mom of Type 1 said:
Unfortunately, in my country, the cgm libre is still behind. We still need to use scanner to get the readings and it is not linked to smartphone. So, I dont think can set an alarm..
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You should still be able to set alarms. Do you have a Libre receiver or are you using your phone?
 
@Inka If it is the original Libre as oppose to Libre 2 then I don't think it has alarms.
 
Inka said:
Thanks @rebrascora I’d assumed it was an older version of Libre 2.
In that case @Mom of Type 1 he could set an alarm around 2am to wake and test his blood sugar. I did this many night before we got CGMs with alarms.
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I am just guessing that it might be the original Libre if it doesn't have alarms but it may be a Libre 2 reader and the OP just hasn't figured out how to set the alarms, although I would have expected the hospital to have made that a priority, if it had that function.

@Mom of Type 1 Does the scanner say "Freestyle Libre" or "Freestyle Libre 2" on it. I think the original is black whereas the Libre 2 scanner/reader is blue..... but that might vary from one country to another.
 
rebrascora said:
I am just guessing that it might be the original Libre if it doesn't have alarms but it may be a Libre 2 reader and the OP just hasn't figured out how to set the alarms, although I would have expected the hospital to have made that a priority, if it had that function.

@Mom of Type 1 Does the scanner say "Freestyle Libre" or "Freestyle Libre 2" on it. I think the original is black whereas the Libre 2 scanner/reader is blue..... but that might vary from one country to another.
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It says Freestyle Libre
 
Yes, it is the original model which doesn't have alarms. It is still a great bit of kit compared to being reliant on just finger pricks though and in some respects I think it is good that your son learns to listen to his body and learn what his hypo signs are, but there is technology coming soon which will give you more peace of mind.
I used that same scanner for 2.5 years before I was upgraded and to be honest I found it so reliable I was reluctant to do the upgrade and put it off for as long as I possibly could. As it turned out the upgraded Libre 2 with alarms is even better although the alarms can be frustrating sometimes.
 
Mom of Type 1 said:
Scanner is black and it says freestyle Libre
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Sounds like the original Libre then as @rebrascora says. That’s sad that your son can’t get Libre 2, but don’t panic. We had decades and decades without any CGMs whatsoever. Your son will just have to test/scan often and be cautious, ie set an alarm to test in the night if he’s been drinking, exercising a lot/late, ill, etc etc.
 
Are the sensors actually libre1, not just the scanner? What does the box say that the sensor came in?
 
SimonP said:
Are the sensors actually libre1, not just the scanner? What does the box say that the sensor came in?
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The OP is in Malaysia which may be why it is an original Libre and I don't think the Libre Reader works with the Libre 2 sensors.
 
Bruce Stephens said:
It does (some needed a firmware update), but you don't get alarms (so the system works just like Libre 1).
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That is actually rather useful to know, because if my original Libre Reader will still work (even without alarms), it means that I have a back up, back up, if you know what I mean, especially as the Libre 2 readers seem to be difficult to acquire these days. Obviously I can't check that it works until I get to that scenario without risking losing a new sensor by starting it with the old reader, but if I am ever in a jam where my Libre 2 reader died or got damaged, and I couldn't get a replacement, it would be worth a shot with the old one which still charges up OK.
 
Do you normally get to optimal range immediately after 2 hours after food ? I noticed my son's taking a longer time. Is it ok ?
 
No, it will take longer than 2 hours to come back down because the NovoRapid works over 5 hours rather than just 2 hours, so there is still more insulin left in his system to bring levels down after that 2 hour point. Gradually you learn to inject the insulin at the right amount of time before eating so that levels don't go up high in the first place but at the moment when you are just very new to this, the important thing is that you are back down more or less into range before the next meal which would usually be 4-6 hours later.
 
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