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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Inject Insulin Before Breakfast When BSL Is 5.3?

My needle slipped out and I had no means of knowing how much of my Insulin had been injected so i injected 24 units half of normal and so before bed I measured my BSL and it was 5.6 which was low so I had two glucose sweets. this morning my BSL is 5.3 and I do not know whether to inject my normal insulin before breakfast.
Tue, 18 Mar 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

I think that since you have managed to inject yourself with an unknown quantity of insulin, and since thereafter you have injected a further half the normal dose, there is a possibility that the dose injected may be much higher than taken usually.

Also this is corroborated by the fact that the sugars in your case are starting to run low.

I would have suggested a patient who would have come to me for treatment that he/she avoid all further insulin. I would have suggested a regular sugar check up, maybe prior to each meal.
This way I would have managed to catch the rising level of sugars as soon as the effect of the injected insulin got over and restarted the insulin.

The logic behind this is that the incidence of hypoglycemia is much more severe with many more drastic changes and effects as compared to a short period of increased sugars.

So monitor sugars prior to each meal would be my advice in a nutshell. A glucometer would be helpful in this

I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Looking forward to your return query with the details asked so that I can help you further. Please feel free to ask another query. Would be glad to help you.
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Should I Inject Insulin Before Breakfast When BSL Is 5.3?

Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query I think that since you have managed to inject yourself with an unknown quantity of insulin, and since thereafter you have injected a further half the normal dose, there is a possibility that the dose injected may be much higher than taken usually. Also this is corroborated by the fact that the sugars in your case are starting to run low. I would have suggested a patient who would have come to me for treatment that he/she avoid all further insulin. I would have suggested a regular sugar check up, maybe prior to each meal. This way I would have managed to catch the rising level of sugars as soon as the effect of the injected insulin got over and restarted the insulin. The logic behind this is that the incidence of hypoglycemia is much more severe with many more drastic changes and effects as compared to a short period of increased sugars. So monitor sugars prior to each meal would be my advice in a nutshell. A glucometer would be helpful in this I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. Please feel free to ask another query. Would be glad to help you. (If the answer has helped you, please indicate this)