A healthy life with diabetes always asks you to follow your regime religiously. When we talk about diabetes, it is a very vast term but here we are mainly concerned with T1D. 

In T1D, there is absolutely no production of insulin in the body, so it is always required to administer your bolus each time you take a meal, apart from your basal dose. 

There are days when we are in a real hurry and we have to rush to either school or college or work etc. and we forget to take our shot, now this is going to create problems for your remaining day. The after effects of missing a bolus is the real struggle, as follows 

• A meal without insulin shoots up blood glucose levels above normal range.
• The resulting hyperglycaemia causes secondary symptoms like polydipsia, polyuria etc.
• It may cause an increase in ketone bodies.

Symptoms may vary from person to person and surprisingly, some patients remain asymptotic too, for sometime.

There is one of my personal experience too, when I missed my shot. Around a year back, like any other weekend, I woke up, checked my blood sugar, took my shots and had breakfast. Suddenly my family made plan of going on a long drive, which we usually do on weekends. It was a beautiful, bright, sunny day of winters and while driving we went a little far and made a further plan of visiting a nearest holy place, which was a few kilometres away from our present location.

We spent the whole day there and it was beautiful indeed and at the end of the day we had dinner as we were really famished. After my hunger was satiated, I realised that I didn’t carry my insulin pen with me that day, as we went for a casual drive and the trip was unplanned. As it was a two hours long journey back home,my blood glucose levels rose up like anything. My libre pro graphs were really high that very day.

The day taught me a lesson for life, that always carry your complete diabetes kit with you, no matter where you are going. You never know what happens once you step out from home, you should always have your glucometer, insulin pen, glucose or any other sweeteners(in case of hypoglycaemia)with you.