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Newbie error - missed meal ...

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Calf00

Calf00

Member
Relationship to Diabetes
Type 1
Hello Friends

Due to a medical emergency today (my 91 year old mom/COVID/cardiac) I missed my lunch.

I managed to eat/inject at 6pm instead of 12 noon-ish.

Do I need to eat again/inject before bed please? Or do i just have 2 meals and 3 injections instead of my usual 3 meals and 4 injections?

I a newbie (14 days) and I’ve had no real education/dietary guidance due to COVID.

Thank you

Jan
 
I assume your normal four injections are three mealtime and one basal. If this is the case, then yes, you are correct. (Oh yes, just read your signature!)
If you only had two meals, you only need to inject short acting once before each meal. Miss the short acting Novorapid for the meal you didn’t have, and just do your basal (Lantus) as normal. ( this is the background insulin that trickles away 24 hours a day to mop up what your liver is putting out in the background the whole time)
 
Hi @Calf00

Sorry to hear about your Mum, and I hope that she gets better.

The beauty of the basal ((Lantus)/ Bolus (Novorapid) regime is that you don’t have to eat at any particular time or at all if you don’t want to.

The Lantus needs to be delivered at the same time each day. That will deal with the glucose that your liver is trickling out to keep you ticking over.

The Novorapid just needs to be delivered when you do have a meal, at whatever time that happens to be. If you miss lunch, just miss that dose. You will eventually start to adjust theses doses to match what you choose to eat, but for now just do what they have said but only if you decide to eat. Miss a meal miss a dose of Novorapid.

Take care and I am glad that we are able to to be here toanswer questions.
 
Hi

Sorry to hear about your Mam. I hope she is comfortable and makes a full recovery.

As regards your injections, one of those injections should be a basal or background insulin. It looks like you use Lantus and normally take that in the morning, so hopefully you have had that. The other 3 injections are to have with meals. If you missed a meal you just skip that injection, so if it was lunch that you missed then just have your evening meal injection as usual and don't worry about the one you missed. This is the flexibility that a basal/bolus system offers in that you don't have to have 3 meals a day and I often just have breakfast and dinner with just a low carb snack like some nuts or a chunk of cheese or a boiled egg at lunchtime and skip that lunchtime injection almost every day.
 
Hi Jan,

sorry to read of the emergency with your mum, hope she’s doing ok?

if you’re not hungry and no signs of hypo then there’s no need to have another meal unless you want to. As others have said the quick acting injection is specifically to deal with rises caused by food so if you haven’t eaten just don’t have the injection. Do make sure you take the long acting though.
 
Thank you so v much everyone. I really appreciate you coming back to me so quickly. I understand and am much reassured, thank you!

Thank you also for your kind wishes and support for my mom. Paramedics decided to let mom stay at home. I think in other circumstances they would have admitted her for cardiac follow up but it was decided she would be safer at home. Looks like she did have some sort of cardiac episode but she is now stable. Fortunately I still had the ECGs from 2016 when she had a heart attack and readings were not too dissimilar today. She has some COVID symptoms and not others and again, as she was stable, it was decided that she should stay home with me looking after her. The next 48 hours will be crucial for her. We are now in isolation here.

Thank you again

Jx
 
Very best wishes to you both. Let us know how you get on and if we can be of any other help just shout up.

Really important that you do your best to keep your BG levels as good as possible in the coming days, so make sure not to neglect yourself and do plenty of testing.
 
Best wishes to both you and your Mum.
 
Hope your Mum stays safe and makes a full recovery, and that you had an uneventful night BG-wise.
 
As already said you have two people to look after your mum and yourself, keep control of your blood sugars and keep your mum and yourself safe. If you`re not sure of something just ask the question and we`ll try to help, take care.
 
Thank you so, so, v much for your kindness & support.

We’re all really grateful & blessed.

Mom is stable. She hasn’t deteriorated over the weekend and she’s quite comfortable.

Her GP conducted a video consultation with us this morning and has prescribed antibiotics thinking that she has a chest infection.

I’m looking after myself (although a bit stressed at times) and BG is stable.

Prior to v recently being diagnosed with Type 1 (or perhaps even LADA, blood results aren’t back in yet) and after being misdiagnosed as Type 2 where I’ve been so used to my BG being 25+ that the range I’m now in of 5-10 seems v narrow. I know that I should be aiming ultimately for 5-7 and I guess I’m definitely goining in the right direction! I can’t drive at the moment of course as I’m in isolation but I do worry when I’m nearing 5 and might be driving and so I’ll take a little snack then. I’ll get used to tweaking when I learn more about matching carbs/insulin and what my ratio (?!) is.

ive got v v tingly and freezing cold toes today. Well, they “feel” cold to me but they’re not cold to the touch. Just my body readjusting I guess ...

With love & gratitude to you all.

Be well and safe everyone.

Jan x
 
Hi Jan

Sounds very much like you’ve got everything under control, at least for yourself. Those BG results are excellent - don’t chase things too hard, a bit of stress always lifts your BG up a little.

Hope your mum carries on getting better. Take extra care where you are in the midlands, it’s a little hotbed of virus at the moment.

Black Country, eh? The birth of heavy metal, there. There should be a mega sized blue plaque hanging in the sky🙂
 
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