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Poll Results

 

How often do you take your mealtime insulin after you eat?

 
     

Always

 
 

22%

 

5

 
     

Often

 
 

18%

 

4

 
     

Sometimes

 
 

4%

 

1

 
     

Rarely

 
 

50%

 

11

 
     

Never

 
 

4%

 

1

 


Total votes: 22

 

How often do you take your mealtime insulin after you eat?

Poll dates: July 18 - 25, 2018
Total Votes: 22

Today's rapid acting insulin analogs still take some time to begin lowering blood glucose levels. This means that pre-meal boluses, whether through an insulin pump or injection, should be taken before the meal to help prevent post-meal highs. But how often do our readers inject before a meal? Not as often as the science suggests they should.

Graph

A study from 2010 entitled "Timing of meal insulin boluses to achieve optimal postprandial glycemic control in patients with type 1 diabetes," by Erin Cobry, Kim McFann, Laurel Messer, Victoria Gage, Brandon VanderWel, Lauren Horton, and H. Peter Chase, clearly demonstrated the importance of taking insulin before the meal -- in fact, 20 minutes before the meal.

Graph
Key graph from the study looking at when to take a meal time insulin injection

The study conclusion is clear: "A bolus of rapid-acting insulin 20 minutes prior to a meal results in significantly better postprandial glucose control than when the meal insulin bolus is given just prior to the meal or 20 minutes after meal initiation."

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Last Updated: Wednesday July 25, 2018 17:52:50
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