Question of the Week | Premeal Glucose is Too Low
RL carb counts and takes 1 unit of insulin for every 10 gms of carbohydrate. RL also uses a correction ratio and takes 1 unit for every 40 points above their glucose target of 120. RL’s asks you what to do if their premeal glucose is less than 70 before their lunch meal at work. RL often has blood sugar drops right before lunch and usually eats a sandwich, chips, berries and some sparkling water for lunch.
Given the situation, what is the best recommendation for JL to do if their pre-lunch glucose is less than 70 mg/g?
- Immediately eat 15gms of berries and recheck glucose in 15 minutes.
- Decrease usual insulin carb coverage for this meal by 1 or 2 units.
- Encourage JL to eat lunch immediately and give insulin afterward.
- Discuss which strategies would work best for RL in this situation.
Click Here to Test your Knowledge
Want to learn more about this question?
Enroll in our upcoming webinar
Solving Glucose Mysteries for Type 1
Airs live on August 9th at 11:30 am PST
Why do the blood sugars keep dropping after meals? Is the basal insulin set correctly? What adjustments are needed for exercise?
During this webinar, Coach Beverly addresses each of these glucose mysteries and more, using a person-centered approach. She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 1 diabetes.
Objectives:
- Describe common glucose mysteries encountered by people with type 1 diabetes.
- Using a stepwise approach, evaluate factors affecting glucose patterns.
- State interventions to increase time-in-range and improve quality of life.
Can’t join us live?
Don’t worry, we will send you a link to the recorded version.
Coach Beverly Thomassian, RN, MPH, BC-ADM, CDCES
Author, Nurse, Educator, Clinician and Innovator, Beverly has specialized in diabetes management for over twenty years. As president and founder of Diabetes Educational Services, Beverly is dedicated to optimizing diabetes care and improving the lives of those with diabetes.
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
![](/wp-content/uploads/2023/01/insta-png-v5.png")
