Low bg before you eat

[cheryl]

Ok, I only do this for breakfast not anyother meal, but if i check my bg and it is low, I just eat my breakfast wait.....till it goes up and then give myself a bolus but will consider the low, to deduct it in my bolus......i only need about 5 carbs to go up anyway, so I figure once my meter tells me 80 I am ok to bolus hmmm.....is that dangerous or not......i don't think i could attempt this with any other meal, but I do it occasionally at breakfast.....

What do you all do if your low right before a meal......

cheryl

[JediSkipdogg]

I don't wait till it goes up, I just delay the bolus by 15 minutes. If you wait till a noticable change happens with the BG (remember, meters have error so just because the meter shows 10 mg/dl higher doesn't mean it went up) then you may be waiting to long and your 2 hour reading will be way off.

I personally wish pumps had a delay feature. One where you could program the bolus then tell it to give it at a little later time in like 5 minute increments.

[xMenace]

Unless I think there's a reason I might continue dropping, I bolus as normal. Carbs, even high GI carbs, start working faster than insulin. I may adjust my bolus slightly to compensate.

[RLK]

I will reduce the bolus a little (usually by no more than half a unit), but deliver it with the first bite of food. Carbs hit me fast enough to start working before the insulin does, therefore safely bringing the low up.
Jedi, I like your idea of the delayed bolus feature! I also wish that pumps came with a timer, so that I could pre-bolus and have it alert when my 20, 25, whatever minutes had passed and I could eat.

[kgm0612]

I bolus as normal and eat right away.

Karen

[jenet]

Unless I am really, really low, I enter the lower BG in the pump, and let it adjust my bolus to reflect a lower insulin amount. I go ahead and bolus before eating.

cheers,
j

[cheryl]

I cannot bolus with a low at dinner did that once on this pump and plumited to 28 and I wasn't even severly low just 75, I do it that way at breakfast because that is when I am the most insulin resistant, I only had to wait 15 minutes to see an 80, so it was all good, I wonder if I should even worry about it at breakfast, I should probably just bolus and eat, cause i really was high, like 2 hrs later not extremely but not my 140 and under target post meal grumble grumble....oh well....it is so hard before breakfast because if I treat the low at breakfast then bolus then eat I am also high 2 hrs later grrrr...darnit oh well......I am still tweaking the overnights I had it set, now the body wants less again

cheryl

[xMenace]

I cannot bolus with a low at dinner did that once on this pump and plumited to 28 and I wasn't even severly low just 75, I do it that way at breakfast because that is when I am the most insulin resistant, I only had to wait 15 minutes to see an 80, so it was all good, I wonder if I should even worry about it at breakfast, I should probably just bolus and eat, cause i really was high, like 2 hrs later not extremely but not my 140 and under target post meal grumble grumble....oh well....it is so hard before breakfast because if I treat the low at breakfast then bolus then eat I am also high 2 hrs later grrrr...darnit oh well......I am still tweaking the overnights I had it set, now the body wants less again

cheryl

I highly suspect you have or had active insulin working when you dropped at dinner. Are your basals correct for late afternoon? One mistake many of us make is thinking our boluses only run 4 hours when in fact it typically runs longer. Humalog is expected to last 6.5 hrs. I am finding this out as I profile my post-prandials. We tend to up our bolus to reduce the 2 hr number only to drop ourselves low at the 4 to 6 hr mark.

[cheryl]

I highly suspect you have or had active insulin working when you dropped at dinner. Are your basals correct for late afternoon? One mistake many of us make is thinking our boluses only run 4 hours when in fact it typically runs longer. Humalog is expected to last 6.5 hrs. I am finding this out as I profile my post-prandials. We tend to up our bolus to reduce the 2 hr number only to drop ourselves low at the 4 to 6 hr mark.

Well I had a correction 2 hrs before that that day, and my rates were still off i need a whole .unit less,trust me after that day, I tested the basal rates. but since that day, sorry I am extremely leary to play around with a low around dinner.....and there comes the sort of leariness at breakfast even though i highly doubt that would ever happen at breakfast at all......no activity yet, insulin is more of a resistance, no no active insulin to consider at all, plus I wait 5 hrs between lunch and dinner to eat I always have, since this one time.....got low when i only ate 3 hrs later, never ever again, but it was about 51/2 hours after lunch but 2 hrs after a correction which was not even a whole unit of insulin, so I knew that the basals were off and I was right, still nervous around dinner though if I would be low to play around, hey do ya blame me.....

Cheryl

[xMenace]

Absolutely not! I have my own times that scare the begeezes out of me still.

[blue eyes]

I treat the low first. After that, eat and then take novorapid.

[Cyborg]

I bolus as normal and eat right away.

Karen

Same here.... I actually prefer to be on the edge of low before eating.