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I'm not a doctor, so please verify this information with your health care provider before taking it to heart.

The basic thing to remember about Diabetes is the tighter control the diabtetic has over their blood sugar, the less likely they are to develop nasty complications in future years. The closer they keep their blood sugar to the normal range both before and after meals, the better off they are likely to be in the long run.

24 hour basal insulin, helps stabilize the blood sugar over the course of the day, while "Postprandial" insulin helps bring the blood sugar down after eating a meal. So, because the overall control of blood sugar seems to be what matters, most diabetics control their blood sugars with a combination of both basal and postprandial insulin.

A type 1 diabetic who skips their mealtime insulin is risking blood sugar 'spikes' in the hours after eating. Generally speaking, over time, their blood sugar will be less well controlled overall, their A1C will creep up, and they're at risk for developing more complications earlier. Complications can include Heart disease, stroke, nerve damage, kidney failure, blindness etc. so it is in the diabetics best interest to control their blood sugar as tightly as possible.

The decision to skip mealtime insulin is one that should be discussed with a qualified endocrinologist. It may be that the diabetic in question doesn't suffer from large after meal spikes (maybe they eat very low carb meals etc.), but they shouldn't decide to do it without the advice of a doctor.

Hope that helps.

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17y ago

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