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.
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 asked my dr about it and he said that the Novolin was fast acting and the Novolg was slower and was supposed to be better control. I just dont see it.
m not a medical professional, just the parent of a kid with diabetes. Humalog and Novolog are different types of fast acting insulin, meaning that they are quickly absorbed into your system to immediately drop your blood sugar. Some people find that one works more effectively than the other, so which is used is really up to the patient. Humulin, more commonly called Humulin NPH, and even more commonly called just NPH, is a long acting insulin.
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.
Cristophe,
It sounds like skipping meals is working for you. And, as long as your blood sugars remain within the target range, thats great. But the insulin you are using was not really designed to be used that way. Mixtard is pre-mixed insulin containing 30% rapid-acting and 70% NPH insulin. It's maximum action is at 2-8 hours after injection. And meals should be timed to coincide with this.
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.
Yes, I am now careful even with NPH. It is not as good as Lantus and overnight is the rough time. I find NPH plus an extre evening Humalog inhjection (4 per day) works best. I have considered a pump, but 5 injections probably give me the same coverage, and are more convienient.
On another note, I am thinking of starting a disbetes support group in my area for long time type 1 diabetics. I would like to hear from anyone else who may have experience with such a group.
My daughter seems to be having the same problem. She's 15 and takes 68 u of lantus at nite and supliments w/novolog pen when she's eating. They just keep increasing her dosage, but nothing seems to change. She eats pretty decently (for a teen), but she always seems to be high.
I also wondered if she might be resistent to the lantus. We've tried new bottles, etc. How many units do you take per day?
I have tried correlating it with high doses of H due to high carb intake and then a possible mixing of the H with the Lantus. Neither theory panned out. Does anyone have any similar experiences? I was warned by nurse that I might have reactions to the Lantus, but have not been able to get back to the clinic to find out if this is a normal reaction that will go away. So far, it does wax and wane so my motivation is confused. Will this go away after awhile?
I would see about going on a different regin like NPH and Novolog it might give you better control. Especially if you can narrow down your swings. As for the medication , check and see if there are carbohydrates in them by calling the manufactuerer. Mostmeds do and that can also effect the blood sugars.
The moodswings will pass.
I am a type 1 diabetic and I have been using Novolog for the past three years. For the first year I was using it by shots, but the last two years I have been using it in an insulin pump. In the last three to four months I have developed intense itching at the infusion site when I change it. For about 36 hours it itches so much I have scratched it to bleeding. In the last few weeks it has begun itching almost as soon as I put in a new canula.
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?
Onlyinsulin option is? Going back to using the older insulins ( R & NPH) and that would Not be a good thing, they caused alot of Hypo's and very difficult to use.. As for the Test stips ? You can try using a Generic brand ( Wal Greens, Wal mart's, etc.) their stips are about 40% Less, but ck. for accuracy while you still have your currentmeter and 10-20 strips left..
Your stuck between being to " wealthy and Not poor enough", been there , done that myself for several yrs..
Hi,
I switched from Humalog to Novolog in my pump a coupla years ago and am *delighted* with the results. Novolog seems to be more predictable and is more stable for the 3-4 days it's in my pump.
Can you work with your doctor to try a different pen?
The novolog pen holds 300 units, right? I tried a Novolog Jr pen a while back (thinking I might like it instead of syringes for my low-tech backup) which holds fewer units and allows 1/2 unit increments.
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