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This information is for children and young people with Type 1 diabetes, and their families, on how to manage high glucose levels on multiple daily injections.

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A - ASSESS

Ensure that it has been at least 90 minutes since the last injection of fast acting insulin.

B - BOLUS

Give a correction injection of fast acting insulin, using your bolus calculator to  calculate the insulin dose.

If the bolus calculator does not recommend a correction, re-check in 1 hour and then give a correction if advised by the bolus calculator.

C - CHECK

Check glucose level 2 hours after this bolus dose has been given.

If glucose level is lower than the previous value, no further action is required.

If glucose level is the same as, or higher than the previous value, give another correction if advised by the bolus calculator. 

Emergency mobile: 07940 476811

Email: uclh.cdlime@nhs.net or uclh.cdorange@nhs.net

Further information and fact sheets can be found on our Children and Young People’s Diabetes web page at www.uclh.nhs.uk/T1

Services

Printing of this document is only valid on the day printed, please refer to the website for most up to date information:

https://uclh.frank-digital.co.uk/patients-and-visitors/patient-information-pages/dealing-high-glucose-levels-abc-multiple-daily-injections

Service information

Page last updated: 03 May 2024

Review due: 31 December 2024