How do I handle injections and food grazing at weddings?

Ask our CDE

How do I handle injections and food grazing at weddings?

Question:

I am attending a wedding and the reception afterward in a few weeks.  What should I do about my insulin dose with typical reception food (and the tendency to graze)?   I am on a multiple daily injection regimen and I am concerned about this whole situation since it is my first wedding since my diagnosis.

Answer:

First, when should you take injection? A lot of people tend to take their injection in the car before they go in. I would not recommend this strategy as what if you take your rapid acting insulin and you walk in fully intending to get some food but alas, you get cornered by a long lost acquaintance that talks A LOT. You feel your blood sugar starting to drop but you are trying to pay attention to what she is saying and before you know it, you are way too low! I would instead check blood glucose before you go in so you know where you are starting from, put your insulin in your purse and go check out the situation. Some other questions that may arise are: What would you like to eat? Who do you see that you want to talk to? Do you want to eat first or mingle first? You can do both but the idea would be to take your insulin when you eat the food. Then based upon your blood sugar and what you think you’d like to eat, take adequate insulin for that food and if necessary, the preceding blood sugar. If you plan on being there for a while and after that first plate of goodies, you want a little more and of course, some wedding cake, again take your injection for the amount of carbohydrate that you’re eating. Granted your carb counting may be “guesstimations”, but that would be better than waiting until after the event when your blood glucose may be 400 and you feel bad and have to play “catch up” or experience the roller coaster of highs and lows. So, go to the event and have fun and do the best you can with your insulin and food choices. You will learn from the experience and then next time, have a better idea of what to expect and how to handle it.