donguita19 said:
good,
If for a case instead of putting on the 20 units of insulin lantus that corresponds to me every night I am wrong and I put 20 of fast insulin (Apidra) what would I have to do?
I have been told to put the glucagon but I don't know if it will be enough to counteract the 20 Us of fast insulin.
Thank you!.
Well, I tell you my experience last night in case I could help someone.I was awake until too late, and by mistake, instead of 22u from Toujeo, I injected my fast, Humalog.
Fortunately I realized instantly because I felt they were different tactile sensations.As soon as I realized I put myself in a cold head mode, but clearly impresses a lot.It is something that had never happened to me.
When injecting it into the thigh (instead of the abdomen, where I usually put the quick) I had a little more margin, because at least the fast action peak would not be so sudden having put it on the thigh.On the other hand, when we inject a large amount of rapid it is common for the peak of action to be a little delayed.
So, if it happens to you, cold head.There is time to react.
What I did: immediately after realizing I drank two juices (4 HC rations) and prepared a jug of water with a lot of sugar.In cases it should not eat elaborate or fatty things such as flours, cakes or chocolate, nor fibrous things as fruit, because absorption could be slowed.It is best to turn to juice or water with sugar.
To avoid a rapid sugar peak that could bring other complications, and to avoid hypos, I decided to get somewhat high (130 - 180), make measurements every 10 or 15 minutes.It is important to take note of the measurements to recognize the curve and provide trends.If you have the freestyle it would not be necessary, but it just agreed that this week my sensor arrived broken, and I was only with the strips.So taking note of values and intakes was important.In my case, I put the mobile alarm every 15 min to measure me regularly.
In case some value left less than 130, I pulled my water jar with sugar.After stabilizing for about 45 min I called a taxi and went to the outpatient, with my glucagon and everything necessary.I live alone, and it was not a good idea to be alone, because if there is a very fast descent we can lose the use of reason or not be able to take care of ourselves, which can be very dangerous.But if I had been accompanied, it would also have gone to emergency.Because sometimes glucagon is not enough, or we don't have, or our companions do not understand what to do well.
In the Emergency Department was received by a negligent atmosphere, in which the nurse made value judgments and proposed nothing.I had to explain the issue of insulin action peaks, etc.I sat four hours there.After four hours I decided to leave, after having been quite regular all that time, with about 150 on average, making myself measurements and intakes.I was very angry loneliness in this whole process.Going to the emergency department was only necessary in the sense that it is the right place to do this process.But no one will know our body and our needs better.
At 5 h after the injection I got a lot (at 90) and I had to continue taking sugar.But at least after five hours I no longer expected a sudden downturn, and the control became more common.
At home I ate some slow hydrates (to maintain) and went to sleep.Even 9 hours after injection, I got up with a gentle hypoglycemia (65).
I have to say that the best help I had in the whole process was to read in this forum how you had taken it.So thank you very much, it wasA lot of help and a great source of calm Read about your experiences.I leave mine in case I could help someone more one day.