Hello Geek,
I didn't see your msg until today and hope I can be of some help to you. I'm not a physician, but I have been a pumper for ~9 years and have had DM for ~35.
When I starated pumping, the only insulins available were "Regular" insulin and the main difference, as you know, is "how quickly" the insulin starts working, when it peaks and how long it lasts. Regular normally kicks in later than Novolog or Humalog will.
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). Over a seven week period his 9:30 am reading has averaged 214 and his 7:30 reading has averaged 113). His physical activity during the 2 hour periods after taking Humalog are about the same.
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?
Great name, there, Oldstuff,
I'm writing to echo what SS wrote to you. Seems that many Type 1 need the greater flexibility that a separate Long-acting & short-acting insulin provides. This is exactly what your son is doing by taking extra shots.
Regular used to be our only choice in short-acting insulins, but now we have access to even quicker-acting insulins (Humalog & Novolog).
His behaviour became worse overnight and continued like this until just before Christmas when we made the decision to take him off the humalog again for good. It took 3 days this time for his behaviour to return to normality.
I mentioned these problems to his consultant who was very scathing and dismissive and told me the behaviour problems were due to his low blood sugar, even though he regularly has bad hypos on his normal insulin.
I started controlling my blood sugar using Regular insulin About 3 years ago, my doctor moved me to humalog. Using humalog was not easy. I looked at the study that was done and it never reacted as expected when I used it. It was taking 2 hours to start working and in by the third hour my glucose level would drop 200 to 250. It was also hard for me to sense when my blood sugar is low. That was very frustrating. After six month of roller coaster, my doctor put me on Novolog.
I know our readings are different in canada , 5 to 7 is normal.I have had sugars as high as 32 and used 10 units of humalog , half an hour later I am 34 , I don't understand this ? What is the ratio of humalog to carbs ? I had the flu and I know it can really mess up your sugars , but this was a month ago .Also , I generally feel better when my sugars are around 13 , anything below that and I feel the efects of hyperglycemea , I know that does,t make sense , but it is how I feel.
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.
Is it common for someone with type 2 diabetes to be on Humalog 3X daily and Lantus 1X daily?
Sometimes he just was not hungry and other times he wanted to eat more at one time. If we had opted for lantus and then humalog to correct and to cover food, I would be running back and forth to school because he was not ready to give shots and we talked about the pump and watched a video about it and decided together.
I have recently been switched to Lantus & Humalog and I have some questions. I take it in the morning. If I awake with an abnormal blood sugar (too high) I assume I would take a small dose of fast acting. Would I also take a small dose of fast acting if my blood sugar is normal, as to cover my breakfast? I know to count the carbs before the lunch meal and the dinner meal, but didn't ask about the breakfast meal.
Hello MKH2,
As you may know, we're all volunteers here and none of us is a medical professional. We all have learned about diabetes in the same ways you are.
I happen to be a pumper also and have a few suggestions for you to discuss with your son's endo. I'm sure you know how important it is for a physician who knows the details of your son's condition to evaluate the ideas that work for someone else. So, with all those disclaimers, here's what I've found ...
my fathers blood sugar is 224 how many units of levemir flexpen do i give him his Dr put him on a sliding scale. i dont know what the dosage is ???? i give him humalog the scale is 200 to 250/ 5 units and so on. Is there a guideline of units for levemir ?
I currently take humalog before meals and such.. The peak time is around 2 hours with a duration of like 6. So anyway I was wondering, When I go out with my friends and eat ice cream or something like, right now the sugar peaks way before my humalog, but what if I injected my humalog into muscle tissue, so it was absorbed rapidly. I think this would better match the peak of the sugar. Lets say im eating on an empty stomach so it is absorbed very fast.
An alternative, may be to not take it tonight, as your current dose lasts until tomorrow morning anyway, but to use your fast acting insulin during the day tomorrow for corrections if you are higher than normal (I assume you are familiar with using your Humalog for correction of high blood sugars), and then start taking the night time dose tomorrow night following your Drs instruction.
Please do check with your Dr, a pharmacist, or your diabetes educator on this question.
5 hours so at two hours would probably drop a little more. From the ADA website Humalog onset less than 15 minutes, peak .5 to 1.5 hours duration 2-4 hours and maximum duration 4-6 hours. And then throw the fat content of the food in the mix which slows digestion and we almost have to be a rocket scientist.
Also from the www.diabetes.org website: "Hypoglycemia unawareness tends to happen to people who have had diabetes for many years.
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