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Always check your blood glucose level before administering insulin. Your brain must have glucose to function. If you take insulin when your blood glucose level is already low (below 70 mg/dl) you could lose consciousness and die.

A good rule to remember is high and dry. If your level is low you are more likely to be somewhat sweaty and many people feel funny, confused or have vision problems. Normally, insulin is given just before a meal and you already know what the blood glucose level is. Carbohydrates supply your body with glucose. After a meal the body has a large amount of glucose available for use as fuel and insulin makes the glucose available to cells or to the liver for conversion of glucose to glycogen. Consider glycogen to be the glucose reserves for between meals. There are several types of insulin available, each with its own characteristics. The most rapid acting insulins: Lispro and Aspart can start taking effect in as little as 10-15 minutes with peak action occurring in around 60-90 minutes with a duration of effect lasting around 3-4 hrs. You would take these 10-15 minutes before a meal and as your food digested the peak action would offset all of that available glucose and help keep the levels in a normal range (somewhere around 100, higher in the elderly). This is called a bolus dose. Normally an intermediate acting insulin is given along with the shorter acting insulin to provide insulin in the body until the evening meal. This is called a basal dose. There are insulins available that have a more constant action and have a duration that lasts 24+ hrs. With these there are no peaks and you only need one shot of this per day. These are the long lasting insulins glargine and detemir. They take effect in 1-2 hours, but they are much more expensive.

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14y ago

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