Levemir to nph conversion
Common Questions and Answers about Levemir to nph conversion
levemir
That is absolutely impossible to say, especially for someone on an internet website! All diabetics are different. I'm assuming she is Type 2 as that is the forum you are posting to? It would depend on her degree of insulin resistance, her weight and other factors. Is she newly diagnosed? Didn't her doctor give her a starting dose? Is she on a basal/bolus regimen or just on the basal (Lantus). You say she is having trouble adjusting doses. What was she on before and what were the results?
on lantus I was crashing in the night, had to eat a 30 carb snack otherwise id crash-you get the picture. I just switched to levemir, I go to bed at about 100, wake up at 140 (lil higher than i want) but ill just up the dose 2 units. But seriously, levemir is much more stable than lantus. Its long acting like lantus, but Ive found there isnt any werid peaks and im more even.
Her childhood endo and then one we had been taking her to kept that norm. Then we moved back to her home area of Dallas and had to find another one. This doctor said that her regiment was a hold over from her being a kid and should have been changed before now. She's changing it to be one long term shot and then a different shot anytime she eats carbs (and she will have to calculate how much to take). From my understanding, it won't be R and N any longer.
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. We have an appointment with a new endriconolgist in the city next week but wanted to be able to discuss options and concerns.
My doctor suggested that I get my tear ducts plugged to make sue I have enough tears to be able to wear contacts. I have worn contacts since 1976, and this is the first major problems that I have had. I now have to wear glasses at all times; maybe once every two weeks I can wear contacts for 3-5 hours. What do you suggest and do other diabetic patients have this problem.
Thank you!
And what do you call "eating low carb"? I eat under 50gr a day.
In my case, it takes a bit less Lantus than it did NPH when I was on it. It sounds as if you do need to increase your dosage... I personally don't notice a huge difference between one or two units more or less. I would suggest that you don't wait for your appointment, but call your doctor and tell him or her what your sugars are running (write down the results so you have a record) and ask if you should increase by another 2 units.
I personally love Lantus...
I'm a mother of a T1 3yr old. I went through the same thing w/ him & just recently decided to just go back to the NPH & R. His numbers got so out of control his daycare removed him.
I was told that there my be a peak but his were crazy. Before the injection we'll say he was 120 an hour later would be 240. I got no answers. Just suggetions to switch to the pump.
He's very active also so I ruled that out just yet!
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?
insulin/breakfast, gereric 3-hour Ritalin, morning school, insulin/lunch, more gereric 3-hour Ritalin, afternoon school, snack/insulin, more gereric 3-hour Ritalin, karate, dinner/insulin, snack, bedtime. If we deviate from this schedule in the least, it throws everything off.
Also, his ADHD hyperactivity increases dramatically with high blood glucose, significantly affecting his ability to get along with other people. Add that into normal teen emotional issues, and you have a real mess.
I've just been switched from Novilin NPH to Lantus. I'm to start at 10 units. for one to one correlation that seems to little, I was using 16 - 22 units at bedtime. Also is anyone combining both Novilin NPH and Lantus with Lantus at bedtime and the NPH at a lower dose around noon.
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.
RL has given you sage advice. I agree with it. If changing the time of your injection according to your doctor's suggestion (after you talk to him) doesn't help, you may want to ask your doctor if there is a type of insulin that will match your body's routine better. There are many available types, and all have slightly different peak action and length of duration times. There may be one that matches your own body's clock better. We wish you the best.
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?
s 3rd shunt is a newer variety, externally programmable, meaning they can adjust the flow if too much or
t say when or why you also were taking Ultra with the NPH and Reg, but it sounds like overkill to me. I probably would have gotten rid of the NPH instead of the Ultra, but you really need to have a doctor's advice before changing any routine.
The other question is why now? Has anything changed in your routine or your physical activity or even other medications, like birth control? Has anything changed at work or home? Is your stress level higher or lower?
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