Humalog insulin lispro injection
Common Questions and Answers about Humalog insulin lispro injection
humalog
isophane insulin starts working after one to two hours and lasts 10 to 14 hours. Examples are Humulin I and Insulatard.
* Long-acting insulin: these start working after one to two hours and last for up to 24 hours. Examples are insulin zinc suspension, protamine zinc insulin, and the insulin analogues insulin glargine and insulin detemir. The latter two insulins are now the most widely used long-acting insulins.
It would involve one daily injection of a long-acting insulin like Lantus, which has a flat action profile over 24 hours. And a shot of Humalog or Novolog before each meal. Doing this would minimise the carb/insulin mismatch when you skip a meal.
The basal/bolus regimen would give you more flexibility and better control. You may want to discuss this with your doctor.
Also, I am sure you have also heard of other insulin types such as lantus and humalog. You see, as I mentioned my boy recently went on the pump. Well, my sister (who starts the pump this Friday!), is currently on lantus (she takes a shot at bedtime) and then humalog for a correction, as well as humalog to cover what she eats.
The modern short acting insulin that is considered safe for pregnancy is Humalog (insulin lispro). The modern long acting insulin that is considered safe for pregnancy is levemir (insulin detemir).
You will need to do basal-bolus testing to determine your correct insulin dosages for each type of insulin.
You should also look into low carb eating (paleo style), which will help with managing blood sugar as well.
I use 1 unit of insulin to every 12 grams of carbs I eat. The less carbs I eat, the less insulin I use. I have a very physical job for four hours a day and I don't even need my Humalog when I eat lunch. My pen generally lasts me the whole month. My Humalog is only good for 28 - 30 days. As far as I know, once your insulin pen is opened, that's how long most of them last no matter how much insulin you use.
It seems to peter out sort of slowly sometime in that time frame, leaving very little Lantus working to help with his dinner-time quick-acting insulin. So it may take more insulin in the evenings than at other mealtimes to cover the same amount of carbs.
Some of us prefer to split the Lantus dose, taking some in the morning and some in the evening to equal the complete dose. That way, only half is petering out after 20 hours, and the sugar levels stay more even throughout the day.
Humalog is a fast acting insulin. Typically it is taken before meals - up to 15 minutes before (not after) to match the amount of carbs eaten. It's duration of action is 3 - 5 hours, with most of the action in the first 2 hours.
You need to work out a carb:insulin ratio (ie. how much Humalog you need to cover how much carbs/ protein).
If you are going low overnight (how low?), then you need to be taking a lower dose of Humalog with your evening meal.
What time do you eat dinner?
Extreme heat or cold can impact the effectivess of insulin. The injection site can sometimes be a factor in absorption of the insulin and ultimate impact on blood sugar. Then, of course, there are also a million other things that go on in our bodies that seem to wreak havoc with our blood sugars without any clue as to why.
I wouldn't hurry to change your insulin without first exploring the issue with your diabetes doctor. Good luck and let me know how you resolve this.
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?
17 yrs? and now your asking?
You R Serious, right?
Go ahead take just the Lantus and test every couple of hours after and of course before meals and see what happens..
and I surely Hope you got the book > Think Like a Pancrease my friend..
Keep doing this until the balance is correct. The reality is that when taking a 24-hour insulin, you cannot just make a 12-hour change in injection time all at once since you will either be without a base insulin working at all for 12 hours if you wait 36 hours to inject the new dose or you would be overdosed by half the amount of your total dose for 12 hours if you took the next injection 12 hours after the last injection in order to change your timing.
I know this is different for everyone - but generally, what is the ratio for the # of mg/dml units dropped by 1 unit of insulin. Like Humalog U100 R. Does anyone know? Lilly (the mfg. of Humalog) said that they didn't have those numbers (I didn't believe that). Just curious. I asked a Diabetes Trainers from my hospital and she didn't have an idea either.
I then sometimes need to take a few units of insulin several hours later to cover the very slowly-digesting food that elevates my glucose after that first injection of insulin has peaked and petered out. You may want to experiment with fat-free meals for a few meals to see if the insulin works better when the food is digesting quicker.
I give myself about 21 units of insulin per day--13 units of Lantus and a sliding scale of Humalog between 6-10 units--depending on how many carbohydrates I have eaten--So, it takes me about 2-3 months to use a bottle of Humalog and the Lantus would take longer, but I must open a new bottle every month for consistency issues. Does that help?
We always thought that she needed to take the long acting insulin 2 times a day rather than 1 and when we saw her endocrinologist about a year ago, they changed her to Levimere insulin. You take this insulin morning and night. It has been a life saver for her in that she feels her lows quicker and her reactions aren't as pronounced. It takes a while to get the dosages right but we have also seen a tremendous change.
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