Insulin 101-Part 2

Managing Insulin In a Emergency

putting out fire
Don’t dwell on what went wrong. Instead, focus on what to do next.
— Denis Waitley

In my last post I talked about the differences between the basic types of insulin.  In this post, I will write about correction bolus insulin. 

Basal insulin(i.e. Lantus or Levemir)  affects your fasting blood glucose(sugar). If your blood sugar is too high in the morning or before meals you need to adjust your basal insulin.

On the other hand, if your blood sugar is too high after meals you need to adjust your bolus insulin.  Fast acting insulin such as Humulin or rapid acting insulin such as Novolog are considered bolus insulin. Bolus insulin is considered a mealtime and correction( AKA emergency) insulin.

Sometimes an individual with diabetes will do all the right things but for whatever reason their blood sugar may occasionally be too high. The reasons may be varied: they may have an infection or unknowingly consume too many carbohydrates during a meal. 

Ideally, if you have diabetes, two hours after mealtime(post-meal or postprandial) your blood sugar should be less than 140mg/dl. Sometimes, health professionals with liberalize post-meal(postprandial) blood sugar level to less than 180mg/dl for people struggling with hypoglycemia. Talk to your doctor or pharmacist if to find what works for you. 

The first plan of action to reduce the need for correction bolus is be proactive. Learning how to  count carbohydrates can help you find the right dose to prevent hyperglycemia. Monitoring your blood glucose more frequently when you are sick can also help. Many chain restaurants menus are online and provide information on carbohydrate content to help you adjust your insulin accordingly. 

How much insulin you need to give yourself varies so please work with your doctor and pharmacist if you are having difficulty managing your blood glucose(sugar).

Please leave your comments below if you have any questions or tips regarding this topic. Your input could help others. You can also schedule an appointment with me if you need help managing your diabetes.