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Diabetes Educator
Well off course insulin works to lower your blood glucose levels - so if you miss your insulin - your levels will more than likely rise…depending on your type of diabetes and what insulin regime and your current level of control - will depend on the severity. Best to discuss further with your diabetes team. It is good to have a plan in place if you forgot to take your insulin.
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Credentialled Diabetes Educator (CDE), Diabetes Educator, Registered Nurse
Missing an insulin injection will likely cause your blood glucose levels to rise and may cause you to feel tired, thirsty, or dry in the mouth, and you may need to urinate more frequently. If you have Type-1 diabetes, missing an insulin injection could also lead to the development of ketones. If you accidentally miss out on an insulin injection, check your blood glucose levels more frequently. Also, drink plenty of fluids. You may need to take a modified dose of insulin when you remember, depending on the situation and depending on the type of insulin you take. Contact your diabetes team if you are unsure of what to do.
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Credentialled Diabetes Educator (CDE), Diabetes Educator
Why not ask your diabetes team for a customised set of instructions for what to do if you forget your insulin? Then if it occurs you will already have the information you need. Make sure you ask for information that includes the following:
1. The amount of time after a missed injection e.g. Give x units if <2 hours after; Give x units if > 4 hours etc.
2. What your blood glucose levels are like at the time e.g. if high you don't need to drop the dose as much as if your levels are low and giving the injection later
3. What activity levels you will be doing - if doing more activity in the afternoon and levels already low, then the insulin dose will be lower than usual when giving it later.
4. The action times of your insulin/s - you need to consider the length of time the insulin will be working fior
These 4 issues all influence the amount of insulin you would need to give yourself when you have missed the usual injection time.
Why not book a session with your diabetes educator to go through the various components to feel more able to manage this situation. Everyone forgets their insulin sometimes but knowing what to do can make you feel better when it happens - because it is very likely to happen!
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