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Inject before meal

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Ruth Goode

Well-Known Member
Relationship to Diabetes
Parent of person with diabetes
Carly's HbA1c came down to 9.0 from 9.4 yesterday, despite my hard work with carb counting and correction, we are all baffled why it's not less than 7. I noticed Carly's level spiked at meal times so we will try inject Carly 10 minutes before meal to see of its help.
Do anyone have this problem? How long before you inject?
 
It definitely helps me to inject at least 15 minutes before meals, reducing any post meal spikes. How long before is one of thos fluid things, I think, where you have to take account of various other factors. For example, I test and if I am a little on the low side (4.x) then I will inject closer to eating so I don't drop low before the food starts digesting. Obviously the type of food you are about to eat also needs consideration - I have been caught out when injecting too early for a fattier meal that took longer to digest, so the insulin started to peak before my food. Also, the time of day can be a consideration - in the mornings I am quite insulin-resistant and can inject anything up to 45 minutes prior to eating and not drop low, but obviously this is just me and may not be true of others. Later in the day I'll try to eat within 20 minutes of injecting at the latest.

I think that starting at 10-15 minutes before is a good idea (taking account of levels, of course) and then learning from experience. 🙂 Of course, one of the problems with such a young child may be that they might not be hungry or want to eat the food 15 minutes later and whilst a solution might be to give a split injection, that's a bit unfair to give extra injections to her!
 
Interesting, thank you Northerner 🙂 we used to inject her after meal in case she don't eat it all, then we inject her at the start and give her treat if she don't finish her meal and now it's 10 minutes before meals! It'll be diffcult for her to wait bit longer before she can eat, it's our new challenge 🙂
 
Hi we were always told 10-15 mins before a meal which we do unless eating out
 
Is everyone 100% certain that her basal is right at all hours of the day and night? Cos for your A1c to be 9, you've got to be running higher than 9 for quite a long time of the period it covered?
 
Carly was diagnosed aged 1, she's 3 and her level is like a rollercoaster. She also get more viruses since she started at nursery. She was in hospital twice with ketones in last 3 months. Diabetes in young children are more diffcult to control than adults'
 
Hi Ruth. Would you consider a pump for Carly ?

It would save having to worry about injecting (other than inserting new set every couple of days) and you could adjust the basal for any highs and lows through the day and night.

I would have thought you'd have a strong case if you wanted one.🙂

Rob
 
Yes, she was offered a pump and we are still waiting for an vibrating alert for me (I'm deaf) to alert me. So far Carly is great with injections.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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