Back to Ask the Diabetes Team Ask the Diabetes Team

From United States:

What is the normal protocol for blood sugar levels that are too high at a meal time? For example, if the person with diabetes has a blood sugar of 300 mg/dl [16.7 mmol/L], should you give insulin then wait 30 minutes to an hour before eating, give insulin and wait until the blood sugar returns to normal range and then eat, or give insulin and skip a meal? I know that specifics for each person should be based on a medical plan made with their health care professional, but what is the norm?


As you mentioned, it would be best to make a plan with your health care professional. However, for general information, the treatment for an adult would differ from a child. An adult may wait a bit longer between the insulin dose and the food, in order to let the insulin start working and get the glucose to come down a bit. They may take additional insulin and also change the types of foods they would have at that meal, in order to prevent an even further rise in glucose. They may eat less, or even delay/skip a meal.

For a child, you may take extra short acting insulin, according to the plan discussed with your health care professional. It is not usually easy to wait before eating, but if it works out, that may be an option. It is important for a child to eat a well-balanced meal and they would not skip meals for high glucose levels. If they are extra hungry, offer extra of something that may not raise the glucose as much. When possible, try to figure out why the glucose is high before the meal and learn ways that may prevent it. Try not to make the high glucose a punishment for them that takes away their food or makes them feel bad about eating.


Original posting 12 Aug 2007
Posted to Daily Care and Hyperglycemia and DKA


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:10:12
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.