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).
the levemir is a long acting insulin so it will be in her system for 24 hours.
what is here normal does of Levemir?
when and how often dose she take levemir?
She will have to check her BG more often and watch out for Hypos (low BG).
make sure she always has her test kit and a fast acting carb (IE reg sugar soda, orange juice, glucose tabs...) to raise BG with her.
Hello, babydoll! I'm not a medical professional, just the parent of a kid with diabetes. Different insulins have different peaks, they take different amounts of time to take effect, and they wear off at different rates. I suspect that is what you're seeing.
Apidra takes effect in 10 - 15 minutes, peaks in 30 - 60 minutes, and is gone within 4 hours. Levemir takes effect in 3 - 6 hours, peaks in 6 - 15 hours, and is gone within 18 - 24 hours.
Some people use mixed insulin, which contains both a fast acting and a long acting insulin. This may be labelled as 70/30 or 50/50.
If you are taking mixed insulin, it will be important not to skip meals, and to eat on time, to avoid going low.
overall, insulin is a great tool. It will give you much better control of your blood sugars.
all day long (24 hours). 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.
My problem was due to skipping meal, I must have to eat every three hours, atleast a little . But sugar is increasing for that too. I need more insulin, Levemir. I do not know how I cope with the opposing forces of blood pressure and sugar decrease. My body will have to be habituated, so that it does not declare emergency, and excite liver and adrenals for dumping of sugar and increase of pressure. Now I am starting to believe that, meat can do that job.
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.
Hi. I'm not a medical professional, just the parent of a kid with diabetes. What insulin is he using? If he's not using NPH as his long acting insulin, skipping meals isn't as big of deal. Something like Lantus or Levemir as the long acting would work fine, then for meals when he can eat he would just give a bolus shot with Novolog or some other fast acting.
It sounds like you need an increase in your night time long acting insulin in order to counteract the Dawn Phenomenon. (Hopefully you take one of the newer insulins like Lantus or Levemir because it is too hard to control blood sugar with the older insulins such as Regular or 70/30). You might also need to be starting on fast acting mealtime insulins, depending on your numbers at other times. That is much too high.
NPH and regular Humilin are older therapies. Something like Lantus or Levemir as the long acting and something like Novolog or another fast acting insulin are much more common these days. They give more consistent coverage with fewer spikes. Does he have hypoglycemia unawareness? If he's getting down to 19, it sounds like he may. That is a condition where he can't tell he's getting low. It is possible to correct the condition, you just have to work out a plan with his endo.
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?
NPH insulin can also be used for long acting insulin, though two injections may be needed to get the 24 hour coverage. Do not be afraid to ask your physician to work with you to determine if the Lantus is the cause, and get you on an alternative medication if you feel it is the right solution for you. It is your diabetes and your life.
In the morning they are lower 100's for example, today was 112. Never higher than 130. I've been on my long acting plan for some time now it's 20 of Lantas around 9 p.
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 doctor recently changed my long acting insulin from lantus 90 units at night, to toujeo 90 units. Since taking toujeo I have gained 8 pound in 3 weeks. I'm so not happy. Lantus I didn't have that problem. I just had hip surgery so I can't move around as much. The doctor is like your making excuses about gaining weight. I follow a vegan vegetarian meal plan I'm not making excuses. I haven't gained weight in two years. I've been losing. She is pissing me off.
I am an insulin dependant diabetic. I was out of Levemir for several days and I tried to control with Novolog. Wednesday and Thursday I was running over 600. Yesterday I got my Levemir and started taking it right away. It took most of the day to get down to 350. I was feeling real sick all day. Sleepy, dizzy, nauseous. muscle weakness. I slept from 6:00 pm until 10:00 am. My numbers were up to 500 again. I got them back to 300 by 3:00 pm, but have continued to feel just as sick.
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. I also highly recommend the book, Using Insulin by John Walsh.
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