The problem is that I am on an insulin pump. I know this stuff is different than what I was taking (Humalog, or the equivelent Novolog), but I don't know what it is going to do to me. My doctor isn't knowledgable and I'm stuck with her. I can't go anywhere else. My question is, what's it gonna do to my blood sugars if I have this stuff being pumped in me every 3 min at the same basal and bolus rates as Humalog? I just had to start it today.
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 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?
Hello Human Pin Cushion,
My son was diagnosed at age 3. He is now 10. My sister was dxd at age 24...she is now 33. My sister did the 72 continuous glucomse monitoring last year. I think it was right before she went on the pump, as well. My son went on the pump right before she did, but he never did the 72 hr. thing.
My sis had it inserted in her stomach. My sister (before pump) was on lantus and humalog doing what they call a "poor man's pump".
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.
My daughter is currently on the insulin pump and only goes on Lantus/Humalog when her pump is malfunctioning. Thankfully (for us), this hasn't happened in so long that I cannot remember what the formula is to calculate the lantus. I do remember that prior to going on the pump, her endocrinologist switched her lantus shot from AM to PM as her morning bg's were higher than they wanted them.
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.
Sounds awful and very frustrating. I am also a Type I Diabetic who has had diabetes for a long time and I can really relate to the frustration of unpredictability in this disease. Just when you think you have everything figured out and under control, your body throws you a curve and all of a sudden the rules change--and you aren't sure what they are or why.
Lantus is a long acting insulin that has no peak it gives you a steady basal rate similar to the insulin pump. I realize that it is hard to trust the the insulin enought to not have a snack, but it does work, and it is hard to resist the urge to react to the number.
When my daughter started the pump, it took us a while to adjust to the fact that you do not have to eat unless you are hungry, that we did not have to chase the insulin or give extra.
Me Endo is now talking about putting me on an insulin pump. She says she has 2 patients who have switched to the pump and had great success. Right now I am on Lantus 30 units AM and 40 PM and Humalog three time a day depending on the my carb intake.
Is anyone out there on a pump with type 2 diabetes?
If I take it at bedtime, I find that getting control of dinnertime BG is very difficult - I have to use 3-4 x the normal dose of insulin to get on top of it until it is time to take the Lantus. Then, I have a perfect fasting and control one day and it starts slowly eroding so that in 3 days I am dealing with BG's in the 200's.
You may also want to try a faster acting fast acting insulin other than Humalog. Novolog begins acting slightly faster than Humalog. You could also consider taking your fast acting insulin sooner, so that it is already in your system when you eat. That can help because of the speed with which your food is now absorbed.
Organ damage is caused by poor management or lack of management of diabetes over years and years, so you shouldn't be all that concerned yet. Good luck!
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?
t recommend suspending your pump when you exercise. My son really never suspends his pump. Insulin does work more efficiently when you exercise which may result in lower blood sugars. Also, exercise takes some glucose out of the body to use for energy during and after exercise which also lowers blood sugars. So instead of suspending, you may want to use a temp basal.
Many times the sugar goes up right after exercise due to the glucose being released from the muscles.
it has been extremely difficult to lose weight since I got on insulin. i am on lantas/humalog and exercise regularly. If I work to reduce my lantus dosage while maintaining a proper blood sugar will that aid weight loss? Does anything out there help to boost metabolism in diabetics? Frustrated! Any ideas would be much appreciated.
My daughter was taking Lantus a few years ago to prepare her body for the insulin pump. There were adjustments that were made while she was on it, such as changing the dose from PM to AM which seemed to make a positive difference in her bg's. I do not believe that we experienced any specific issues with stability or delivery at that time though.
Have you searched this website for previous postings? There are many of them regarding the use of Lantus that you may find helpful.
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..
i am about to get the insulin pump to see how it works for me. maybe your husband should try it. ecspecially the one with the 24 hour blood sugar monitor on it, that's the one i am getting. i wish i had some advice for you, but i am trying myself to get in control, but keep trying and don't give up. good luck to you and your husband!!!
Me to have had type i for thirty year my ac are better controlled with a insulin pump fill better now i get my humalog all the time.I was in a motocross crash in 2013 broke my clavicle all my ribs ripped my right lung hurt my pelvis and both hips 36 hours major surgeries 16 months of physical therapy.now i have diabetic neuropathy.legs are numb and feet are always hurting and cold and numb.but my blood sugars are always good my last a1c was 6.9 vs 11 five years ago when i got on a pump.
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