Insulin should be taken before food or after food , which is right?

[tsms]

[TMS1945]

BEFORE FOOD BEFORE HALF AN HOUR

[esivaraman]

Yes... But Pl ensure that you take the FOOD thereafter.

[mitanup23 in reply to esivaraman]

It is generally customary to have insulin 15 minutes before food ( half an hour is too long and risky).

However, if you forget some insulin can also be taken even half an hour of taking food after food.

[banshakti in reply to mitanup23]

I take insulin detemir and my endocrinologist has advised me to take it before going to bed.I am following it for the past 4 years when I started with insulin.

[ShooterGeorge in reply to banshakti]

Hi banshakti,

I CURED my diabetes in three years; you are taking insulin for four years. Along with insulin treatment follow LWMDR. It will give amazing improvement. Either Google search LWMDR or read below:

=============================================================

The text below is a "COPY&PASTE STUFF" from my previous replies to some others.

IF YOU HAVE ALREADY SEEN IT, KINDLY IGNORE THIS.

==============================================================

TAKING MEDICINES ALONE WILL NOT BRING DOWN BLOOD SUGAR ALWAYS. THAT IS WHY PATIENTS ARE FORCED TO MOVE FROM EXERCISE TO DIET CONTROL TO LOW DOSE TABLETS TO HIGHER DOSE TABLETS TO INSULIN INJECTION AND COMBINATIONS OF THESE. YOU HAVE TO CHANGE YOUR FOOD HABITS & LIFE STYLE ALSO TEMPORARILY TILL CURE.

Please read MY REPLIES part 1, 2, 3 & 4 to question AT diabetesindia.healthunlocke... OR read my experience at appropedia.org/Diabetes_mel...

Like a licensed driver helping a learner, I can guide you to cure Diabetes because I am experienced by curing my diabetes (Type-2) in 2009.

If you have still more doubts on DIABETES & ITS CURE, PLEASE COME BACK HERE.

[vcds1334 in reply to ShooterGeorge]

Dear Mr. George: i clicked the link sent by you regarding LWMDR and it says that page NO LONGR EXISTS. Please send the details of LWMDR once again, and if possible to my email ID: [e-mail]. Thanks and regards. Vinod Shreni

[Mishti2 in reply to mitanup23]

@mitanup: Yes, quite correct. Few mins before, after won't make much difference. BUT After is recommended in cases as Nagaraajan was talking abt....it is risky if one doesn't take food after as it happens with some busy people. one phone call of 30mins or so, no food that can make a difference. Generally, if u take food soon after ur insulin...no problem at all. If one has a meal outside at restaurant or at a party, one can still take it within 30mins and it won't make much difference, some difference but not much. Hypoglycemia can be riskier than hyperglycemia in terms of emergency situations.

[ckm300625 in reply to Mishti2]

What you said is exactly correct.

[Hidden]

Before starting important medication like insulin,it is essential that a diabetic gets thoroughly briefed

by his doctor regarding dosage,timings and any other relevant information like hypoglycemia etc.It is dangerous,if doubts remain even after starting the medication.

[nag9999]

PROF DR V NAGARAAJAN MD DM DSc

senior Neurologist India. [e-mail] 919843052029

I am of the opinion that Insulin should NOT be taken before food. Most of my patients either businessman, or politicians, or bureaucrats. These people do take insulin at right time, but owing to their pressure of work they forget to take enough food. The insulins available are premixed, and contain short acting which do have a maximum action within 20 to 30 mts, which is maintained by long acting insulin. But when you take food, your hyperglycemia results only after 1.5 hours, wherein ther is immediate reduction of blood glucose by the short acting insulins. resulting in hypoglycemia. Hence most of the patients who suffer from chronic hypoglycemia, receives hypoglycemic brain insults, resulting in chronic dementia. Hence I strongly advise to take Insulin after or during food , and NEVER BEFORE FOOD. THIS IS IN BRIEF, AND IT IS SUPPORTED BY SCIENTIFIC FACTS FROM ME.

[narasimhan2003 in reply to nag9999]

I found your clarification on when to take insulin, interesting. I am a diabetic for 31 years, and depend of

on insulin (32 units of 50/50 mixtard before breakfast and 28 units of same before dinner, for abut 15 years.

I am 74 years, and most parameters are near or normal.

Would you suggest that I change to insulin after breakfast and dinner?

Regards,

N.Narasimhan

[ShooterGeorge in reply to narasimhan2003]

Please see my response above.

[DIAUSER in reply to nag9999]

Hi Dr Nagaraagan.....Rightly said n thanks doctor for letting know the readers about ur views. I think hypos r the reason why diabetic ppl get dementia n alzheimer's disease. Pls let us know more what diabetic ppl can do something to keep brain healthy n rebuild or improve from dementia conditions.

[ltn1932]

Shoud be taken just before meals.

[N1CVZ]

My Diabetic Educator which about three months, she tell me the meal time insulin taken about 5 mins. before because it work very very quickly.

[sandybrown in reply to N1CVZ]

When is the best time to take insulin? before dinner or before going to bed?

[Activity2004 Administrator in reply to sandybrown]

sandybrown ,

If you take insulin that's fast acting at meals, depending on the brand/type the doctor recommends, you can take it before or after eating. The slow acting insulin can be done before a bedtime snack, but again, ask the doctor since some insulins work differently for other people.