Diet and Health FAQ

Tagged As: Prevent Morning Sickness

Question:
How do diabetic mothers handle morning sickness? I inject 25 units of Humalog with each meal and throwing up could be disastrous. I usually get nauseated while eating or shortly after finishing. Monday I couldn't hold it and threw up 30 minutes after eating. I took 6 glucose tablets to prevent a major hypo, It resulted in a spike of 173 2 hours after eating. This suggests that part of the food must have already been absorbed. My doctor told me to take 10 glucose tablets or 2 tubes of Insta-Glucose (liquid glucose) immediately after throwing up. She now wants me to eat part of my food to see if I'm getting nauseated, if not, inject the insulin and finish eating. If that don't work, I will have to inject the insulin after eating. If I continue to throw up I will have to be hospitalized. I'm not sure I could stand that for any length of time.

Answer:
with the speed that humalog works, there is nothing wrong with taking the insulin after you eat. morning sickness is not the only reason one would do so. I had to lay down to eat every meal and lay til it digested. The second I stood I lost it all. I did that for 4 months of every pregnancy. Whilst ever I was laying down or asleep I felt reasonable. I had to do what I had to do. For most people morning sickness doesn't last that long. I heard that a mixture of papaya nectar and low fat milk helps morning sickness but I don't remember the proportions. 1. Split your doses: shoot some before eating, some after eating The great thing about Humalog is that you can shoot after eating and sorta get away with it 2. Go as low carb as you can manage for breakfast. That minimizes the Humalog dose(s), minimizes the problem. What to do if you throw up is still a problem, but it's a smaller problem. I use Smarties pure glucose (dextrose) candy. One wrapped roll = 6 gram glucose. That lets me fight a low in small steps. That helps with the overshoot. 3. It's hard to predict what will happen if you go to low. Some folks have a very bad time, some folks, like me, can function quite well. That suggests that you do a lot of extra testing to try to figure out how you react. I've never been pregnant, but I've dealt with throwing up, etc. When I'm sick, I keep real 7up around in case I take my insulin and then throw up. The 7up helps settle my stomach, and the sugar in it keeps me from going hypo. The other things I keep around are real popsicles. I find them easy on the stomach, and once again, the sugar in them keeps my sugars up. Lowering and splitting your doses of Humalog can help. Also, as others have mentioned, taking Humalog after you eat is workable.