# Splitting larger doses via MDI

**URL:** https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811
**Category:** Type 1 & LADA
**Created:** [May 29, 2020, 2:41am UTC](https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811 "2020-05-29T02:41:07Z")
**Posts on this page:** 5
**Page:** 1

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### Author: ![Jan](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jan/32/7539_2.png) [@Jan](https://forum.fudiabetes.org/u/Jan)
#### Post date: [May 29, 2020, 2:41am UTC](https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811/1 "2020-05-29T02:41:07Z")

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If you have to use what I would call a larger dose of insulin, like 10 u or more, do you split it into 2 doses (given at same time but different locations)? (We do this with our cattle, if they are sick and we have to treat them, we split the dose into 2 places.)

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### Author: ![mike\_g](https://avatars.discourse-cdn.com/v4/letter/m/34f0e0/32.png) [@mike\_g](https://forum.fudiabetes.org/u/mike_g)
#### Post date: [May 29, 2020, 3:04am UTC](https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811/2 "2020-05-29T03:04:37Z")

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All the time, with mealtime bolus insulin. For instance, my normal breakfast insulin is 10 to 12 units, broken into 3 injections. Some or all will be intramuscular. (I eat 100 grams of carbs with breakfast).

My reasoning is better adsorption. Btw: a few years ago, they tested micro needles for insulin, which included multiple small sub cutaneous needles… The insulin adsorption was improved.

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### Author: ![Millz](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/millz/32/12204_2.png) [@Millz](https://forum.fudiabetes.org/u/Millz)
#### Post date: [May 29, 2020, 3:30am UTC](https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811/3 "2020-05-29T03:30:41Z")

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Yes, I use a pump and make sure my max bolus is 5 units at a time. So I spread it out over time or enter carbs for a meal in two or more entries.

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### Author: ![Beacher](https://avatars.discourse-cdn.com/v4/letter/b/a6a055/32.png) [@Beacher](https://forum.fudiabetes.org/u/Beacher)
#### Post date: [May 29, 2020, 1:33pm UTC](https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811/4 "2020-05-29T13:33:58Z")

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Always. Otherwise the large bolus just sits there in a lump and absorbs very poorly. I get much faster and more even results with two or even three separate, smaller boluses.

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### Author: ![cardamom](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/cardamom/32/2622_2.png) [@cardamom](https://forum.fudiabetes.org/u/cardamom)
#### Post date: [May 29, 2020, 2:21pm UTC](https://forum.fudiabetes.org/t/splitting-larger-doses-via-mdi/9811/5 "2020-05-29T14:21:47Z")

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I take 17u of Tresiba all at once, and don’t split it, but that’s also insulin I don’t expect to work quickly anyway, so I don’t think it matters much. I almost never take more than 10u of Humalog at once—if I am taking that much in total for a meal, odds are good if I’m taking that I’m splitting it up functionally anyway, like correcting and prebolusing with some of it and taking some with my meal or something.
