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The Question
09/02/09
02:06 PM
" I missed am dose and lunch dose because broke bottle today. Will I be ok? I can't get another from pharmacy until this evening. Missed 2 doses!"
Asked By:
keisahayes
Category:
Insulin
Background Info Hide
n/a
Expert Answers (1)
09/12/09
04:20 PM
I see that you have Type 2 diabetes just recently diagnosed. If I had been able to speak with you when you asked the question I would have asked you to test your blood sugar frequently to make sure that your blood sugars were not climbing too high. I would have also suggested a low carbohydrate diet until you obtained your insulin. When ever you miss your medication, it is always a good idea to know exactly what your blood sugar is doing so that you can act quickly if you need to. When you finally were able to take some insulin, you may have needed a “correction dose” which is an additional amount of insulin, above what you would normally take with your meals. If you do not have a “correction factor” you might want to discuss this with your clinician. A typical correction might be 1unit to lower blood sugar 50 points, or 1 unit to lower blood sugar 25 points. You could use this correction to help bring your blood sugar back into an acceptable range. Finally, if your blood sugars were rising above 250 then I would have suggested you call your clinician to let them know. They might have suggested you come to their office or go to the ER for insulin. Since the event is over, I would suggest you do some planning in case something like this happens again. I think it is a good idea for everyone to have a back up supply of insulin for emergencies. If you use an insulin pen, then you can have a vial at home. If you use a vial and syringes, try to have an extra vial unopened in the refrigerator. Sometimes it can be difficult to have an extra supply due to insurance restrictions, but often your physician may have samples from the drug company. If you explain what happened to you, they might give you an extra vial to keep at home. I hope your blood sugars did not go too high and that you were able to restart your insulin at dinner time.
Answered By:
Deborah Greenwood
Accreditations: MEd, CNS, BC-ADM, CDE
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