High-Risk Pregnancy

insulin correction doses

I was just changed from Glyburide ot injecting insulin today and Im confused.  Im supposed to take 10 before dinner, but then if need to take a "correction dose"...but when do I check???  I would normally check my BS two hours after eating, which I would still do, would I give myself the correction dose if needed then or check right after Im done eating dinner????

 

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Re: insulin correction doses

  • You usually take a "correction dose" or sliding scale in addition to your scheduled meal insulin. So in theory if you needed 10 units scheduled plus X units for correction you would add those together (10+X= insulin dose) and give that dose at the same time before your meal.

    If you still aren't sure then I would not give any correction insulin tonight and call your provider in the AM. 

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  • I was told to wait until an hour after eating to check my sugar. If it is over 150, I take 3-4 units. Then wait another hour to check again. He said that after I do this for a couple meals, I will better know how much of a correction dose I will need.  4 units does really well for getting me back in range.

    I thought you meant if you had to take a little extra after you ate because the before dose was not enough or you had a few extra carbs.

    SK
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  • See I'm thinking opposite of the pp where to me a correction dose would be given if after 2 hours your 10u isn't enough to have you in normal range. 

    I do agree to just not do it and call the doc in the morning. You don't want to give too much and bottom out :( better safe than sorry as hypoglycemia is way more dangerous than hyperglycemia! 


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  • I think you should discuss it with your Dr. I think different Dr.' S approach the correction dose differently. My doctor didn't allow a correction till I was 30 weeks, after the 30 weeks I'm allowed an extra 1-2units if I know I'm going to have a little extra carb or a food that I think might spike my numbers. 
  • imagesstaton1:

    I was told to wait until an hour after eating to check my sugar. If it is over 150, I take 3-4 units. Then wait another hour to check again. He said that after I do this for a couple meals, I will better know how much of a correction dose I will need.  4 units does really well for getting me back in range.

    I thought you meant if you had to take a little extra after you ate because the before dose was not enough or you had a few extra carbs.

    Wow, I'm surprised your doc does this. It's called insulin stacking and it can be really dangerous and lead to low blood sugars... 

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