missing insulin injections

By Anonymous Latest Reply 2013-08-23 14:55:16 -0500
Started 2013-08-22 15:54:47 -0500

Hi. I was just diagnosed a couple of months ago. What happens if I fall asleep and sleep right through dinner, missing my Humalog injection and then my bedtime Lantus injection? Thanks for the advice and help.

2 replies

Type1Lou 2013-08-23 14:55:16 -0500 Report

Shelly is right, missing the Humalog because you missed dinner is OK since Humalog is a fast-acting insulin and meant to be taken as a "bolus" to handle any food you eat. Missing your Lantus injection is more critical since Lantus provides you with a 24 hour "basal" level of insulin. (Normal people constantly secrete a small "basal" level of insulin to keep their blood sugars in check.) If I missed a Lantus dose, I would take it as soon as I realized I had missed it…but, you may want to discuss this with your doctor as well. If you slept through dinner and also slept through the night, your fasting BG upon awakening would undoubtedly be higher than usual and you might have to increase your bolus at breakfast (on a sliding scale that your doctor would give you)

ShellyLargent 2013-08-22 17:15:52 -0500 Report

Your Humalog injection is really just to cover what you would be eating for dinner, so if you're sleeping through dinner, then you're not eating, no insulin needed to cover dinnertime carbs. Your Lantus injection, however is your basal (or baseline) insulin that helps to keep your numbers stable in-between meals, in this case during the night to keep you from spiking in the middle of the night. Don't be surprised, or disappointed, if you're numbers are high the next morning after a missed Lantus injection. If you missed a bedtime injection and sleep straight thru to morning, just take your normal injections like you would normally do in the morning.

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