So I am doing that, and staying in the range as best I can (with the occasional hypo)
But my question is, would the numbers possibly be more consistent if I reduced the basal and increased the bolus so that the TDD ratio of basal to bolus was closer to the 4/60 I have read about?
Opinions and advise welcome. Doctor has been helpful but basically said everyone is different and it takes trial and error to adjust for optimal numbers.
I am currently on 30 mg of diltiazem 3x day and i was wondering how effective is this dose at bring down your blood pressure. and how much would it bring it down. a rough estimate would be great. for i am hoping to come off of this medicine.
BP is relatively normal. I take indapmide for that (From my regular doctor). In fact when my cardilolgist put me on diltiazem, he took me off indapamide. That didn't last long. The diltiazem did nothing for my BP. It went back up (Only talking +/- 140/90), so let me add bavk the indapamide. So, that is not an issue. Just the MVP/ diltazem issue.The pulse can stay n the 60's for awhile. At most during the day, in the 80's. (Of course, that is only when the rythym is normal).
hello,
mixed insulin is a mixture of long and short acting insulin. You must eat on a fixed schedule and fixed amount of carbs, protein and fat, with mixed insulins. If you do not eat on time you will go low. Basically you have to eat to match the insulin.
A more modern approach is to take the short and long acting insulins separately. The long acting insulin is taken once or twice a day depending on the type of insulin.
My suggestion is to under-bolus rather than over bolus if you are uncertain when you are out, to prevent going low. I also often wait until the food comes so I can look at it rather than bolus 15 minutes I do at home (also because you never know with restaurant service when the food will actually arrive). I have some pages I copied out of a book that wouldn't be too hard to take with you and for you smart phone users you could look it up online (calorieking.com).
Two weeks ago my Cardio doctor changed my medication from Cardizem LA to Diltiazem CD. I know it's the generic brand of Cardizem. Anyway he raised my dosage from 240 mg. to 300 mg. For a whole week I had some terrible side effects. I blacked out once while sitting at my computer and then I came close to blacking out on a daily basis. I also felt off balance. I ended up going to my primary doctor, not for this, but for something else. I guess it was a follow up appointment.
I am on the minimed pump with novolog and i tend to eat small meals throughout the day rather than large meals. This makes it difficult to gauge whether I bolused enough for my meals, since my insulin boluses overlap, so I can't follow the 140 after 2 hours ideal. Does anyone have any advice on how to estimate how much your bs will drop with however many units of active insulin remaining?
My son was diagnosed in December of 2013. He is now 13 years old. Type 1 is certainly a challenge for him and us. He likes Basketball and Baseball and now has an interest in Cross Country. I don't think we quite figured out the others sports before their seasons were up. He practices Monday, Tuesday, Thursday and Friday's with meets once a week. He decided a week and a half after Cross Country started to join. The coach said sure that's great. I think its great too.
First time, adenosine failed twice to bring down 180+ pulse. Diltiazem given, and worked. Sent home with extended-release 120mg diltiazem. Experienced breakthrough arrhythmias and eventual return to tachycardia 170bpm that lasted 8 hours before heading to the ER again. Given fast-acting diltiazem 60mg, which seems to be working so far, although I'm still experiencing arrhythmias. Cardiologist preliminarily diagnosed AVNRT and recommended ablation asap.
I have been diagnosed with sick sinus syndrome. I was on diltiazem xt 120mg. I stopped taking the medicine 12 days ago could it still be in my system and be causing slow heart rate 40-45 during th day.
Hi, I'm a 33 year old male, not overweight, not diabetic, I've been dealing with tachycardia for some time now. It comes and goes. I found that 50mg of Metoprolol twice a day would mostly control it, but as a 33 year old man, I began to notice major erection issues since being on it. Talked to my doctor, they want me to start 120mg a day of Diltiazem. I'm a little nervous about it, but they assured me it's no more potent a medication.
If one never had swollen gums after taking Diltiazem Hydrochloride Extended-release Capsules USP for years and then suddenly has swollen gums (no redness or infection) could the Diltiazem suddenly cause this after getting a "deep cleaning" of the teeth, or 'probing for pocket depths' at a dentist?
I take Metoprolol for a thick heart muscel & pvc, which it doesn't help much with the pvc's, Diltiazem was just added 120mg once a day. My doctor seemed somewhat reluctant to add the Diltiazem but said lets try it. My Blood pressure has been around 155/95. His reluctance just seems to scare me. Should I try it or should I not? If I do start taking it should I take it with the metoprolol or at different times?
I had a brief bout of A-Fib, and the ER put me on 15mg Diltiazem every 6 hrs. My physician a couple of days later bumped that up to 30mg/6hrs. Around a week into taking the drug, I lost most of the sense of taste; sweet, sour, salt. Initially I just had a tiny sense of "savory" as the only thing I could taste. I began to not be able to eat, because everything made me sick to my stomach. I read in the Diltiazem side-effects that this is called "taste perversion".
Hi Guys...Currently I take 360mg DR of Diltiazem once daily...I worry that since sometimes I forget as to whether I have taken my pill or not due to a fast paced life / career. My question is...If I were to accidentally take a double dose of the stuff would I end up kicking the bucket?
Personally, I think it far more likely a medical problem such as a bolus/partial obstruction, than psychological, so I'd merely confirm with her that she knows it's something to avoid when readily avoidable, then book her in for a doctor consultation.
Here are possible side effects....
http://www.nhs.uk/medicine-guides/pages/MedicineSideEffects.aspx?
It really depends on what you need. If this has been prescribed for you, and you are uncertain about it, then you can always ask your doctor for more clarification. It really just all depends on your individual circumstances.
Referred to another doctor for cardioversion. He put me on diltiazem 180mg . I told him about the problems with tiazac. He told me the lower dose and because along with rythmol would be OK. Some symptoms returned but much less. Had cardioversion May 22, 2012. A-fib returned May 25 2012.Next time hope to be off diltizem. Also I think I will try magnesium (2 gm/day) . Any suggestions etc appreciated.
This was done early on (before the Pericardis was found)to check for blood flow/restrictions which was very slight. Are you suggesting that this is something we should test for again?
That is absolutely impossible to say, especially for someone on an internet website! All diabetics are different. I'm assuming she is Type 2 as that is the forum you are posting to? It would depend on her degree of insulin resistance, her weight and other factors. Is she newly diagnosed? Didn't her doctor give her a starting dose? Is she on a basal/bolus regimen or just on the basal (Lantus). You say she is having trouble adjusting doses. What was she on before and what were the results?
What would cause a mother's loss of blood pressure, and subsequent drop in the unborn baby's heart rate, immediately upon the injection of an epidural if no loading dose (i.e. bolus) was given?
The amount of drugs injected over, let's say, 10 minutes would be 10 times that given in the first minute. So why would blood pressure drop so drastically in the first minute but not over the next 10?
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