s at max to almost hitting 600! So I finally decided to go on insulin. (yes i know its not a cure-all, but I knew it would help out while I try to get better.) I ended up getting humalog for fast-acting, and another for long lasting. This morning, I woke up with 470 as my number!!! So i took my dose of humalog and waited 45 minutes, checked again, and it was only down to 437. Took a BIGGER DOSE later, like a lot more units (25 I think?) waited 2 hours then checked again. and it went up to 457.
Another question from me:P, i have been reading around latley, and have found many differnt types of insulin,and insulin pumpsm etc. all with there pro's,and cons. If possible, could someone please explain to me the differnt types of insulin, and ways of managing diabeties, and the pros and cons of them.
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.
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.
My son, age 23 was diagnosed at 16. He uses an insulin pump and has noticed skin changes on the lateral sides of his abdomen where he inserts his sites. The areas are small and slightly lighter in color than his skin, they are flat or slightly raised, don't hurt and are not necessarily around the area of his current site. Two college health center doctors said they do not know what it is but they said it looks like the cholesterol deposits that people get around their eyes.
The best combination of insulins is a long acting basal like lantus, combined with meal-time dosing of a shorter acting insulin like Lispro or even Regular insulin. It takes some finessing, but many folks can get much better control using this regimen. It does require several shots a day, atleast 4 actually because the Lantus is taken separately. But the control is worth it. If you then able to learn Carbohydrate counting and really get this down to a science, yo can get very good control.
The currently accepted treatment of choice is a basal (long-acting) insulin like Lantus once or twice a day and a bolus or rapid acting insulin before meals. A fixed dose of bolus like you describe is not as good as developing a carb ratio. You need to take the correct insulin dose each meal to cover what you eat (unless you want to eat the same thing every meal!).
I feel I am on a huge dose for my sliding scale, which still barely seems to keep up. I am on Lantus 40 units, twice a day. Humalog sliding scale, starting at 20 units. For every 50 mg/dl over 150, 2 more units. In a typical day, Between 20-28 units multiple times a day. A1c=7.7 currently. Is Humalog maybe not the right choice if I need such high dosing?
There is no correct dose of insulin or typical for any person. The correct dose for you is the dose that controls your blood sugar well.
Eating a lower carb diet / exercise may also help in reducing how much insulin you need to take.
If you are on such a high dose, you may also be dealing with insulin resistance. You may ask your Dr whether you can try an insulin sensitising drug such as metformin.
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.
If your blood sugar is so high, it means your insulin dose is too low. YOu need to increase your insulin dose. The standard way is to increase it by 2 units every 2 - 3 days until your target levels are reached. Of course better if you have medical / dr. supervision.
Low carb diet, weight normalization, and daily exercise will also help reduce how much insulin you need and help in getting your blood sugars lower.
I have NO idea how to make a mix insulin work. Every time you take a shot you get 30% R insulin and 70% NPH Or both a fast insulin and a slow insulin mixed together.
most people find a true basal/bolus insulin regeame is easy and provides better control for you only take the type of insulin you need to do the job. basal for 24 hour background insulin and a rapid (bolus) for eating and to bring down high BG.
Hi! I'm not a medical professional, just the parent of a kid with diabetes. A drop of blood just means you came close to a larger blood vessel with the needle. It happens, but you probably need to try to avoid that area next time.
There are spots on my daughter's legs where we know we can't give a shot because it will bleed. The shot is intended to hit the blood stream as fast as possible, so it's not necessarily a bad thing, it just can cause discomfort and bruising.
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.
Food, Exercise, Meds, Life Style the same, yet one or two months b/g is the same, then suddenly the b/g drops drastically with a need to cut insulin dose in half, but when the dose is cut a great need to urinate and drink a lot and weight loss indicating the need for more insulin, yet b/g stays very low for some days or so. What's happening to this type 1 brittle diabetic for over 20 years?! Months later b/g goes up and stays up, need for more insulin to level things out.
Hi Ruchika,
I remember how frustrated and worried I felt when I was first diagnosed as a Type I diabetic about 13 years ago. In the beginning, everything is particularly confusing as your body is adjusting mentally and physically to the newness of being diabetic. But, please take heart! With proper care and a competent doctor or medical team you trust, you will be able to adjust and live a happy and healthy life with your family.
If you are using insulin you need to be testing on a regular basis so you can dose properly. Are you using an insulin:carb ratio to determine your mealtime dose? This is the correct way to dose. Also you might need to adjust your basal dose. I would recommend reading the book, Using Insulin by John Walsh and making an appointment with your endo to discuss changes in your insulin dosing to reduce the number of lows you are experiencing.
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