Levemir and nph conversion
Common Questions and Answers about Levemir and nph conversion
levemir
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.
My daughter was diagnosed with Type 1 diabetes when she was 5 years old. She has been giving NPH with Humalog. It hasn't been working much though because she's high most of the time even when we watch what she eats and exercises. It just doesn't make much sense why the NPH isn't working anymore. She's on a sliding scale for Humalog and she gives a shot of 40 units of NPH in the morning.
He is now working at a stressful job in finance in NYC and lives with his girlfriend. He is currently taking 2 shots a day of Humilin Reg. and NPH. Over the last six months he has bottomed out at least 8 times usually at lunch time and the paramedics have had to be called to his workplace. Yesterday when they arrived his Blood Sugar was 19. It seems he drops so quickly that he is unable to treat himself by eating a snack. He keeps himself healthy by eating well and is overall good shape.
If you believe your are reacting badly to Lantus (or any other medications) you should ask your physician for an alternative, at least to verify it is the medication and not some other factor that is causing the problem. Lantus is popular for it's 24 hour action, but so is Levemir (Novo Nordisk). NPH insulin can also be used for long acting insulin, though two injections may be needed to get the 24 hour coverage.
I have recently changed to new insulin. I am now taking Levemir in the morning and at night taking Apidra. Since I have changed to this insulin my blood sugar is going upby alot. I was at 176 this morning and within a few hours it was at 296. This has never happened before and I have not changed anything in my eating. Why is it going up so much and how can I make this stop?
When I eat I eat incredibly healthily, I exercise daily, and I am not drinking alcohol, but at present I find I am hardly eating at all in the day to try and keep things under control. I am headachy and worried. My specialist can't see me until next month, can you advise what might be goinmg on? Are some poeple resistant to Lantis?
Thanks.
I think the problem centers on the fac that she is on Novolog and NPH in the morning and then she is on Novolog and Lantusin the evening. NPH lasts 12-18 hours and Lantus lasts 18-26 hours. I think those doses are overlapping. My question to the Dr. would be why is she on Lantus and NPH??!?!?!?!?
It is important to note that a diluted blood sample will produce a diluted reading.
Thanks for all your advices and recomendations. Yesterday I went to the doctor and he told I must use levemir and novorapid and check my BS several times during the day. As the time passes the diabetes is getting more difficult, its what he also told me. I live in Peru, here there's not enough aid and information on using insulin for the diabetics people.
You wife needs both the long acting insulin (Levemir) to be taken twice a day, and she will also need a fast acting insulin (such as novalog, Humalog or aphidra) to be taken just before eating so that it can 'cover' the food she eats (and with dose adjusted based on how much carbs and protein she eats).
My doctor started me in September last year on just NPH and my dose got quite high. (65 units in the evening and about 45 in the morning) Then he added the bolus, "as needed", without an adjustment.
He did say that as long as I was taking consistent readings, and was able to do the carb counting, that I could adjust the bolus to match my readings, trying to figure out the carb ratio by trying to maintain a difference of no more than plus/minus 2 mmol/L between before meal and after.
The Levemir is NOT on a sliding scale. It is a given does once a day Or twice a day. 12 hours apart.
is his 224 after eating or first thing in the morning before food or drink?
When you eat, you need the fast acting insulin like Novolog to act quickly to cover the meal. For some, Lantus and Levemir act the same. For me, Levemir seemed to work better in that it provided more consistency to my blood sugar levels. I like Levemir. I have switched to 2 shots per day (morning and night) instead of just taking the 1 shot at night, because the 1 shot at night may not cover the 24 hours.
The doctors are saying that she has Normal Pressure Hydochephalus, but she is also exhibiting symptoms unrelated to NPH. Her reflexes are very jumpy and her walking is very choppy. She explains that when she is sitting for long periods or lays down to go to sleep her quad muscles tighten uncomfortably. When the doctor performs simple reflex tests, such as hitting her knee, her leg seems to jump all the way from her hip. Any ideas what could be causing this?
Im a type 1 diabetic, since 1991, and have been on NPH since 1998. Last November i had a huge problem, a bad low, which caused me to hallucinate, then sadly my new wife got hurt. Then this continued until march when then i was told my body was rejecting the NPH, is this common? My wife has since filed for divorce, i am now on new insulin, Lantus, and i cant even talk with her.
In the past I was put on Novolin NPH (28 units morn and 28 at bedtime) and I was taking 7 units of reg with each meal. Well, I recently changed drs and the new dr put me on Novolog pen 70/30-I am at 18 units ever 12 hours and it is not lowering blood sugar readings at all. Does anyone have any experience with this? Is the Novolog pen comparable with the NPH and Reg regamen? I was doing well with the Novolin and I am confused as to why I was swithched.
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?
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