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Diabetes Q&A | Insulin | I have just been put on Novorapid at my
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09/29/09 06:21 PM

"I have just been put on Novorapid at my meals and Levimer at bedtime. I have a 10-1 ratio for amounts taken. If my sugars are below 7 at any meal"
Asked By: tippsi  
Category: Insulin

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should I cut back on the units at the particular meal. Like if my sugars are at 5.6 am should I take only 3-4 units. instead of the 5 units that I was advised to take at my meal time thanks, Bonnie

Expert Answers (2)

09/30/09 09:15 PM

Dear tippsi, Thanks for your question regarding adjusting your insulin shots. The Novorapid insulin is your mealtime insulin. You should not cut back on the dose. But if you are "low" before a meal, eat/drink some carbohydrate to get you into a good range, then take your quick acting insulin according to the amount of carbohdyrate grams you are planning to eat at that meal. You state you take 1 unit of insulin per 10 grams of carbohydrates. That is how you figure how much to take.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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09/30/09 09:23 PM

A blood glucose level of 5.6 mmol/L compares with a reading of 122 mg/dl (as used in the United States), and is slightly above the most commonly recommended before meal glucose of 5.0 mmol/L, or 100mg/dl. Long acting insulin such as Levemir is used to keep your baseline blood glucose at a steady level close to 5.0 mmol/L, or 100 mg/dl. Bolus insulin’s, such as Novolog/Novorapid, are used to cover the amount of carbohydrate you eat at any given meal, to prevent blood glucose levels from rising a great deal above target. If you have reason to believe that your normal amount of bolus insulin you will drop your blood glucose levels below target, when taken at time of a “close to target” blood glucose, you should discuss your concern with your Doctor.
Answered By: Claire Blum
Accreditations: MS Ed, RN, CDE, CPT
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