Novolog insulin dosage
Common Questions and Answers about Novolog insulin dosage
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I am having issues with the Novolog pen too...the disc in the pen that acts as a lever pushing insulin out slips. I have had this in more than four pens now. Sometimes, the pen does not dispense at all, seems to function fine till I have to flush out 6-10 units of insulin at a time to make it work again. I have had severe highs with this - when I thought I injected myself with insulin and the pen did not function like it should.
I use a short-acting insulin, Novolog, and a 24-period insulin, Lantis. I give Novolog with each meal, and Lantus when I go to bed. I am having troubles with my sugars in the morning. I wake up at 7am, and eat breakfast. I give my shot immediately after eating breakfast, around 7:20. I test my sugar before I eat breakfast and it is normally good. Then at 8am, I head to school. When I arrive at school around 9am, I test my sugar, which is usually pretty high (200-300).
My father was recently discharged from a nursing home and he takes 2 different kinds of insulin. Novolog 70/30 and Novolog Aspart (Sliding Scale). I've heard about sliding scale before but when i brought it up to his pharmacist she did not know much about it (got me concerned). I found this one sliding scale online, listings of how much units to give depending on what his blood sugar level is.
Normally your care provider would have provided you with instructions. Didn't instructional paperwork accompany the pen? Contact your care provider for the proper amount [units] designated for you. Then Google search "how to use novolog flex pen" [w/o the " " [quotes]], scroll down and click the link to [PDF] NovoLog Flex Pen. You'll need a .pdf reader to read it. If you don't have one, go to Adobe and download and install the free pdf file reader.
I am a type one and have been on novalog for 5 years. For the last 6 months sometime my novolog works and sometimes it don't. For example tonight four hours after meal I was at 280 so I tryed to correct with 5 units of novolog. Normally this should have brought my numbers down but, tonight and here laity 3 hours later i was still at 259...It's like i never tryed to correct.
For the past year, I have been taking Novolog Insulin in combination with Lantus. I have noticed the beginning stages of cellulite around the areas where I give the Novolog injection. I am a 27 year old, juvenile onset diabetic. I am thin for my height and have never had a problem with cellulite until the change in medication. Can this be linked to either of the new insulins that I am taking?
It sounds like you need a specialist that can help you with both carb counting and your insulin intake. Any changes in your insulin intake can take time to adjust. The fact that you are testing so much shows that you are trying to take care of your diabetes. Have you talked to your doctor about the highs and lows? Has your doctor talked to you about going to the pump? There are so many varibles that come into play here. I would suggest speaking to your doctor.
I use a sliding scale of Humalog at mealtimes and I use 14 units of Lantis each evening. Lantis is a 24 cylce insulin or a long acting insulin where Humalog is short term or short acting insulin. But this just shows you that different people have different needs. Before I used Lantis I used to use NPH-which is a shorter long acting inuslin-more like 8 hours. Have you tried giving your Novolin before you eat?
12. He goes to school all day, and sometimes gets hungry and I am wondering if it is necessary always for him to take insuling even for snacks?
Any ideas/input would be appreciated.
Is your doctor an Endocrinologist, a doctor who trained and specializes on the endocrine system - diabetes, thyroid, pancreas and kidney. If not you need to see one. Most regular doctor do not have the training to deal with diabetes issues like yours, they seem to be 'pill dispensers'. In your case, upping your basal dosage instead of evaluating and finding the root cause.
The Endo should check your thyroid too.
Ask your dr to prescribe you the new insulin Tresiba. This is an ultralong acting insulin and seems to help many people with avoiding high morning sugars.
5. Take your breakfast soon after you wake up (you will need to dose Novolog to provide both a correction and to cover the food). it will be best if your breakfast is very low carb ie. eggs or meat and some veges, to avoid further increasing blood sugars too much.
About a month ago I started taking 36 Units of Lantus at bedtime using the Opticlik Cartridge Delivery System and during the day I use Novolog Insulin throaway Flex Pen and that is 12 units before I eat anything. I have had so much problem with that Lantus Opticlik that my Health Providers will switch me to the Levimere Flex Pen after I use up all the lantus cartridges. Is lantus a better insulin or is Levimere just as good as Lantus using it as a basal 24 Hour insulin???.
I am wondering if anyone else has to change sites so often, and whether it could be the insulin (humalog)? We love the flexibility and precision of the pump, but this has been difficult.
MY DOCTOR PRESCRIBED LANTUS INSULIN TO REPLACE THE HUMULIN L INSULIN THAT I HAD TAKEN FOR SEVERAL YEARS. I HAVE NOTICED THAT WHEN I TAKE THE LANTUS INSULIN PRESCRIBED DOSAGE(S) THAT APPROXIMATELY 15-30 MINUTES LATER I START TO SWEAT PROFUSELY. IS THIS A NORMAL REACTION TO THE LANTUS INSULIN? I VOICED MY CONCERNS TO MY DOCTOR AND HE HAD NO COMMENT. I AM ALSO TAKING SEVERAL DOSES OF HUMULIN R AND HAVE GAINED WEIGHT SINCE I STARTED TAKING THE LANTUS. PLEASE ADVISE. THANK YOU.
Are you sure they told you your child has to eat 30-45 grams of food or did they tell you your child had to have so many units of insulin per 30-45 grams of food? My son has to have 1 unit of insulin (novolog) per every 45 grams of carbs he eats. IF he does not eat the full 45 grams he does not need the unit. I usually wait until after he eats before giving him insulin because toddlers are so finicky they may not eat all of what you have measured out. HE is also on a slinding scale.
Sliding scale is quite an old approach to dosing insulin. Another approach is to dose insulin based on the amount of carbs, protein, and fat in any single meal. This gives a much more accurate dosing (and control of blood sugars) than sliding scale.
Your requirements are individual - please talk to your doctor as well.
Has anyone out there gotten any skin reactions with using the Minimed pump or Novolog insulin? My wife has started getting awful welts on her stomach and even her leg and we were wondering if anyone else has had this problem. The welt is terrible swelling at the injection site and I've done some research and it looks like the Novolog is the problem, but it could also be the pump. Anyone else had this happen?
Thanks.
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