Prebolusing

We all know that one of the most complicate issues which we have to face when it comes to diabetes management is post-meal glycaemic spikes, a problem which, in a surely less evident way, can affect also type two diabetics or even perfectly healthy people. 

Did you know that, thanks to rapid acting insulin, we are in possess of an extremely efficient way to get rid of this unhealthy problem? In fact, performing the so-called prebolus, which consists of an extension of the time between an injection and a meal, we can allow the insulin to start working before or at the same moment when carbs start to be digested. The average time indicated for prebolusing extends from 10 to 20 minutes on the average, but it is subject to many variables, some of which will be examined throughout this article. 

First and foremost, our insulin absorption pace varies sensibly during the day, since we all naturally tend to be a bit insulin-resistant in the morning, and to present a higher insulin sensibility in the evening. As a consequence, the prebolusing time for breakfast may be extended: starting from normal BG values, I usually eat my breakfast 20-35 minutes after my injection, depending on my BG values before it: if my glycaemia isn't low, I will wait for the blood glucose track to start dropping a bit before eating, otherwise I would proceed normally. 

Furthermore, you have to remember that the more the composition of your meal is made by carbs, the faster and higher your glycaemic spike will tend to be, needing a longer prebolusing time to tackle it. On the other hand, a more consistent presence of proteins and, above all, fats, will flatten the spike and visibly reduce the pace at which your BG rises, allowing you to perform a shortened prebolus. 

Last but not least, you have to be aware that insulin is absorbed faster into muscular tissue than into adipose one. As a consequence, if you inject in a particularly muscular part of your body, you will need a shorter prebolus than if you inject in a more fatty zone. In addition to this, it is important to say that, for the same reason, an amount of insulin which is injected in a body part which has just been trained or which is going to be worked out soon, will be absorbed at a sensibly faster pace. 

However, the secrets which can bring you to a perfect management of your post-meal BG values are many and various, such as the splitted bolus technique and many others. To know more on my methods and to become a master at diabetes management, all you have to do is to keep reading my website!