Humalog nph insulin
Common Questions and Answers about Humalog nph insulin
humalog
My grandson is a Type 1 diabetic. He takes Lantus at night, NPH and Humalog at Breakfast, and Humalog at evening meal. He measures his blood sugar six time a day: 7:30am (breakfast), 9:30 am, noon, 5:30 pm (dinner), 7:30 pm, and 9:30 pm. My concern is the apparent difference in effectiveness of the Humalog which he takes at 7:30 am and 5:30 pm. He measures his blood sugar two hours after taking the Humalog (@ 9:30 am and @ 7:30 pm).
NPH is a very old form of insulin. Also giving a sliding scale for her bolus, Humalog is an outdated way of dosing. More current is using an insulin:carb ratio so that the dose is geared to the carbs she is eating. I would suggest you take your daughter to an endo and ask to have her placed on the more up to date treatment regimen of a long-acting basal, which would be either Lantus or Levemir, and bolus such as the Humalog with a dose determined by insulin:carb ratio.
Hello, Mister Magic! I'm not a medical professional, just the parent of a kid with diabetes. Humalog and Novolog are different types of fast acting insulin, meaning that they are quickly absorbed into your system to immediately drop your blood sugar. Some people find that one works more effectively than the other, so which is used is really up to the patient. Humulin, more commonly called Humulin NPH, and even more commonly called just NPH, is a long acting insulin.
I am waiting for supplies to come that will allow me to change from shots to the pump, but in the meantime, my after dinner blood sugars still dive very quickly. I cut my Humalog and NPH doses in half and eliminated the use of Ultralente but I am still having the same problem. My blood sugar will go down 100-150 mg/dL or more within an hour of eating (even when eating carb-rich meals). No matter what I seem to do, this trend occurs. Are there any other individuals with this problem?
I have been a diabetic 40 years, and started on Lantis about a year ago, replacing NPH for my basil insulin (I also take Humalog with a pen). I injected Lantis with a syringe, and as I never had a problem with NPH when it sometimes entered a vessel, I did not draw back before injecting.
The result, when I hit a vessel, was a drop in blood suger from 180 to 30 in 1/2 hour! I consumed about 48 ounces of orange juces and 2 bars of chocolate in 15 minutes just to stay conscious!
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?
I am sorry to sound ignorant, but, although I have heard of 70/30, I am unfamiliar with how it works. I am guessing that 70/30 insulin is in lieu of NPH, but the question is...does he need regular to cover food or does he only get the regular insulin at night as you mentioned?
What does his Endocrinologist say? The only thing that comes to mind for me is that he has done a lot of growing from 14 -19 yrs. of age, going through puberty, etc.
I have been diabetic for ten years now and have been taking lantus and humalog this whole time. Well a new doctor Im seeing took me off lantus due to the fact that it could cause my twins to become insulin resistant. She has me taking more of the humalog but it doesn't seem to be helping me and now i have a harder time controlling my sugar where before i kept it pretty well controlled. Should i get a second opinion or does anyone have suggestions?
I have been a diabetic 40 years (Type 1), and started on Lantis about a year ago, replacing NPH for my basal insulin (I also take Humalog with a pen). I injected Lantis with a syringe, and as I never had a problem with NPH when it sometimes entered a vessel, I did not draw back before injecting.
The result, when I hit a vessel in my leg, was a drop in blood suger from 180 to 30 in 1/2 hour!
Cristophe,
It sounds like skipping meals is working for you. And, as long as your blood sugars remain within the target range, thats great. But the insulin you are using was not really designed to be used that way. Mixtard is pre-mixed insulin containing 30% rapid-acting and 70% NPH insulin. It's maximum action is at 2-8 hours after injection. And meals should be timed to coincide with this.
Every since he has been diagnosed he has low blood sugars or within the normal range despite the amount of food he eats. He was on 2 units of NPH, and no Humalog insulin. An outpatient boost test was done to test him for type 2 diabetes, confirmed as type 1. This day, she requested that he be taken off insulin. He was off insulin for two days with two numbers in the 200s and the rest within the normal range.
what should I do if I give myself 25 units of regular humalog insulin at night when it should have been 25 units of lantus? this happened last night at 10:00 and at 10:30 I drank a lot of juice with sugar loaded in it, and about 8 oz. of peanut butter that I figured would be broken down later to aid me if this over abundance of insulin was to overcome me. I waited until 11:30 and was exhausted and fell asleep. I was awoken at 1:30 A.M. in a seizure, my body convulsing.
About a month ago, my doctor changed my long acting insulin from Novolin NPH to Lantus. This completely threw me off and I ended up being woken up by paramedics 3 times in 1 week. My blood sugar would be normal before bed and then by morning it had gone to 1.8. When I would eat a snack before bed to keep my blood sugar from dropping, I would go high - 13.0-15.0 on average. My doctor has now switched me back to my Novolin NPH and I am still having a hard time getting back on track.
I used to be on a regimen where I used both Regular, NPH, and Humalog to balance my blood sugars but it required a lot of effort and a lot of test strips which are so expensive, even with insurance! In January 2005, my endocrinologist started me on Lantus to try to find some balance with my sugars. My a1c readings have been under 6.2 for several years but I found that it was exhausting riding the highs and lows and rotating between sugar and insulin to try to "fix" my levels.
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".
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?
I agree with KevinHarney. NPH insulin is an older type of insulin, and it has a VERY noticeable "peak" action that happens in the middle of the day, around 3 pm. I grew up on NPH and really had to watch for mid-day lows. Most doctors nowadays use Lantus alone as the long-lasting insulin and have given up NPH altogether because of the scary lows that often happen when it peaks.
Recommended
