JR has type 1 diabetes and is worried how to best adjust insulin to address hypoglycemia and prevent future episodes. They tell you that their blood sugar yesterday before lunch was 67 mg/dL and they were getting ready to eat 45 gms of carb and cover with 3 units of insulin.
JR asks, what is the best strategy in this situation? What action do you advise JR to take?
- Eat 15 gms of carbohydrates first to get blood sugar above 70, then cover with three units of bolus insulin and eat meal.
- Decrease bolus insulin by about one unit, inject insulin then immediately eat meal.
- Eat intended meal starting with carbs first, then take three units of insulin after completing meal.
- All of the above could be options.
- Only A or B are correct.
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