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From La Manche, France:

I have recently moved to France and have not seen a specialist as yet. I am waiting for appointment with an English speaking doctor at the moment. My sugars are running a little high at the moment, I take Humalog three times a day but, after dinner, sometimes I will be running extremely high. Although I adjust my dosage well most of the time, I was wondering if I could take another dose to help bring my level down. It can be running as high as 20 mmol/L [360 mg/dl] before bed.


With the blood sugars running high after your dinner in the evening, the next appropriate adjustment would be to increase your rapid-acting insulin upward at the meal. The problem you have is that you need a physician to supervise your adjustment with this dosing. I hope your wait is not too long to see a physician. It is safer to increase the dose before dinner than to take an additional dose of short-acting insulin at bedtime. The problem with short-acting insulin at bedtime is that your sugars may run low and since you would be asleep, you would not know it.


Original posting 30 Apr 2008
Posted to Hyperglycemia and DKA and Insulin Analogs


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Last Updated: Tuesday April 06, 2010 15:10:16
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