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Pre-bolusing is back

In a report entitled, Optimal prandial timing of bolus insulin in diabetes management: a review, looked at data from several studies and concluded that taking rapid-acting insulin 15–20 minutes before a meal provides significant improvements in post-meal control and was recommend by the authors to be done ‘whenever safely possible’. They also concluded that people with diabetes who routinely bolus pre-meal have better HbA1c values and that post-meal bolusing (insulin ‘chasers’) increase the risk of hypoglycaemia.

Advice about timing of bolus needs to be tailored in some special circumstances (e.g. pregnancy, emergency work, gastroparesis).


News items and features like this appear in the Desang Diabetes Magazine, our free-to-receive digital journal (see below, or www.desang-magazine.co.uk). We cover diabetes news, diabetes management equipment (diabetes ‘kit’ such as insulin pumps and continuous glucose monitoring equipment) and news about food suitable for a diabetic diet including a regular Making Carbs Count column. We just need your email address to subscribe you (it’s free, and you can easily unsubscribe should you wish to).

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