Patience is a Virtue when Correcting High Blood Sugar

Kelsey Bonilla Health Guide
  • After years of experience giving correction doses of insulin to bring down high blood sugar levels, it occurred to me one day that there are two important variables at play: insulin and time.  When I see a blood glucose level in the mid 200 mg/dl range or higher and I want to bring it back into range, I can either: give a large dose of insulin to bring it down quickly and then be prepared to snack in the next few hours or give a smaller dose of insulin and wait longer for my blood sugar to come down. 


    During my pregnancies, when tight control was so important and I was eating every few hours anyway, the first option was a no brainer. I wanted that number down right away and would snack as needed to keep my blood sugar from bottoming out.

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    Now that I’ve embraced a wider range of “good” blood sugars (70-180 mg/dl, for me) and I’m wearing a CGMS, so I can better see what my blood sugars are doing, I’m trying to deliver correction boluses with that second method in mind: smaller dose of insulin and letting time play its role in bringing my blood sugar down.  I keep reminding myself that patience is a virtue! 

    Along those lines, I like the idea of eating three meals a day, rather than snacking all day long.  If I can accurately gauge my meal boluses or give conservative correction boluses, I won’t need to consume extra carbohydrates (and calories!) throughout the day to treat low or dropping blood sugars.  


    What about you?  How do you conceptualize correction boluses?

Published On: August 28, 2013