Should I inject before my meal?
When should I inject?
With older insulins (1990), it was common practice for doctors to recommend that you inject 30 minutes prior to eating, to give insulin time to be absorbed. These days (2010+), doctors suggest that you can inject at the same time as, or even after eating. Below we show the difference in outcomes in terms of minimizing time ‘out of range‘ – to reduce long term complications.
These charts demonstrate what happens when you inject 15 minutes before, just prior, or 30 minutes after eating.
The same insulin was given for 60 grams of carbohydrate of Normal GI food in 3 separate meals. Our target BGL (and starting BGL) is 90 mg/dl (5 mmol/l), and our target range is 72mg/dl-180mg/dl (4-10mmol/l).
The charts are generated by the Jade Diabetes system, which helps you manage your diabetes better in real time, on your iPhone, iPad or PC. See exactly what your BGLs, Carbs and Insulin are doing right now, and predict BGLs 3 hours ahead.
| Injection time | Observations from charts below | |
| 15 minutes prior | Your BGL stays within the target range for the entire time. Perfect! | |
| On commencement | Your BGL spends about 20 minutes out of range, as the rate the insulin is absorbed is slower than the rate the carbs are absorbed. May not impact your A1C greatly. | |
| 30 minutes after | Your BGL spends about 40 minutes out of range, again, the rate the insulin is absorbed is slower than the rate the carbs are absorbed. Expect this practice to impact your A1C. |
Conclusion
Injecting prior to, or on commencement of your meal is preferable to injecting after, due to less time spent out-of-range (see notes below)
Naturally if you are including a correction dose for being too high, you should allow more time before eating.
Injecting prior may not work for you…
- If you suffer from gastroparesis, do not follow these guidelines as you may get low prior to eating. Inject on commencement.
- Digestion (the rate at which carbohydrates are absorbed) slows with age, so injecting too long prior to eating can again make you low
- If you eat low carb then the absorption of carbohydrates can be slower than the absorption of insulin, so you can get low if you inject prior.
You need to experiment to find out what works best for you.