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[IPk] Re: How Stupid can you get???
I empathise with this situation. It is oddly worrying when you are about to
give a large half dose of insulin and your sugars are alreay perfect. I
have been in this situation and it then becomes confusing how much of the
remaining dose to give. I would say points to consider are:
- were your blood sugars low, or on their way down when you ate the
- what type of carbohrdates/protein were you munching on?
When I eat Mcdonalds I have a couple of Burgers and have to dose 6 units
for these, often split into two. The white bun and ketchup whacks up the BG
quickly, while the fat in the burger levels this off. I presume you weren't
indulging in a large shake.... these are death for me in terms of BG!
- The very high fat/protein content of many McDonalds could mean that your
blood sugars will rise over a period of hours. This suggests that you could
try an extended bolus (as oppose to splitting the dose between two standard
- levels of activity before and during your McDonalds (may sound funny as I
am sure you were not playing football whilst eating, but that walk to lunch
in the heat can mean I need less insulin).
- insulin action: the insulin may still be working. I find that the Humalog
action is finished in me after 3.5 hours, with a peak in the last hour!(be
I hope this is of some help......
I've just done something really stupid. I had a Mcdonalds totalling 90g
of carbs. At this time of day that would mean taking 12 units of
insulin. I took six when I started and I forgot about the other until
just now (about 90 mins later) I put the additional six units in. Then
I took my blood expecting it to be real high. in fact it was a perfect
6.1. Does Mcdonalds type stuff take a while to go through the system
and things should be ok or should I eatr some more carbs? I'll take my
blood every half hour fora couple of hours to be safe. What a fool I am
:) maybe this is a lesson learned. Check before correcting!!!
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