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.
I take 40 units Lantus (long acting), and sliding scale Novolog (fast acting) insulins. My bg is always so high in the mornings, I have to take Novolog and wait for sugar to come down to eat. I've had diabetes for many years, but never knew for sure which one! My dr would switch my diagnosis all the time. But went to endo and they did a blood test, and said I'm type 1. I'm angry my dr. never did anything about this.
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?
I take 24 units of lantic once a day NovoLog on the sliding scale what's the scale
I see the confusion
If I understand you, you think Levemir is used for carbohydrates. Levemir is a basle insulin, meaning it works for 24 hours. Like a background insulin. the amount of Levemir taken has nothing to do with the amount of carbohydrates (carbs) you eat. That type of insulin is called a bolis insulin, like Apedra, Novalog... that insulin is taken according to how many carbs are eating and YOUR particular carb to insulin ratio.
I lost my sliding scale card that my Diabetes (Metabolic, Endocrine, and Diabetes) doctor gave me to use because I haven't had to use my Novalog since before Christmas. I currently have a virus and my sugars are out of control. What is the recommended dosage because I don't want to give myself too much or too little.
I went to a diabetes education class that teaches about the sliding scale and how to take your Humalog. However, my doc gave me a formula to use to counteract high blood sugars when not enough insulin has been taken. It's (bloodsugar) - 100 divided by 40. So, if your blood sugar is 300 you would subtract 100 to get 200. Divide that by 40 to get 5 units of Humalog. I also have a scale for when I eat. It's for every 15 grams of carbs I take 2 units of Humalog.
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.
It was working well for a year. Then blood was becoming high, Doctor gave me LEVEMIR. If I take 10 units of humalog, after two hours sugar drops 4 points, I think this is the right dose for humalog for what I eat. I eat 60 gram Carb every meal. But 3 hours, sugar tries to go low, but insead, it bounces back and proceede to values and I start to feel hypo, though I never see sugar 9. It is not hypo value, why sugar bounces up, why feel shaky, fear etc. I use LEVIMIR as base insulin.
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?
it is usually recommended to contact your doctor to see how much short acting insulin to take (some doctors have a sliding scale on how much to give) Continue to drink lots of fluids.
If a person has moderate to large ketone they have a condition called Ketonacidosis may be developing, this could be accompanied by vomiting and if severe coma.
If you're in the US and need low cost care, Planned Parenthood is the first place I'd look--they have a sliding scale fee, and they have ob/gyns, which is what you need. If not, do a google search for free clinics in your area. You should see someone as soon as you can, because a 5 month period is definitely not normal (and you want to ask about anemia, not amaenia, just as a btw so they aren't confused).
There are absolutely programs that are either free or work on a sliding scale depending on what you are able to pay. No one deserves to suffer the way you are in pain now, and there are people who want to help you. Since I don't know where you are, I can't point you to an exact clinic or therapist, but I can PROMISE you they exist.
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