"So I was wondering if that sliding scale is a standard one for all patients or different for each patient."
It is best to consult with your father's doctor to identify the exact amount he/she recommends. A sliding scale can be used on most patients when only using ONE insulin type, not two as in your father's case. The 30 in Novolog 70/30 is short/fast acting [70 intermediate/all day] and Novolog Aspart is entirely short/fast acting. Too much can induce hypoglycemia.
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Novolog Flexpen SubQ Storage
It is best to refrigerate the unopened vial/cartridges/prefilled syringes between 36-46 degrees F (2-8 degrees C). Unopened insulin may also be stored at room temperature below 86 degrees F (30 degrees C), but in that case it must be discarded after 28 days. Once opened, this medication may be stored in the refrigerator or at room temperature below 86 degrees F (30 degrees C). Discard 28 days after opening. Do not freeze.
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.
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 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.
I use a short-acting insulin, Novolog, and a 24-period insulin, Lantis. I give Novolog with each meal, and Lantus when I go to bed. I am having troubles with my sugars in the morning. I wake up at 7am, and eat breakfast. I give my shot immediately after eating breakfast, around 7:20. I test my sugar before I eat breakfast and it is normally good. Then at 8am, I head to school. When I arrive at school around 9am, I test my sugar, which is usually pretty high (200-300).
he still constantly suffers with high glucose levels and low levels.doctors recently changed his insulin from novomix30 to humalog mix 25.but he has to have a cup full of apple juice with his breakfast then 1hour later a couple of biscuits (orders of doctors)as the fast acting insulin gives him hypos we cant increase his insulin levels in the morning to help bring down his levels in the afternoon example of his daily levels.BREAKFAST.7am (16.6 )
10am (1.4)
LUNCH 12.30 (6.7)
DINNER 5.30 (20.
s has type 2 diabetes which was not controlled with pills. He is on the Novolog Pen 70/30 Mix, which I thought was a short acting and long acting combined. The doctor didn't tell him to adjust his dosage as to what he eats, just to take 20 units before breakfast and dinner.
He is pretty good as far as taking his sugars and drinking something if he can catch it before it goes too low.
He fights with me when he has reached the point of where he cannot do it himself.
I dont know how to help with a mix insulin 70/30 is 70% slow insulin with 30% fast insulin mixed in. so every time you take an injection you get both insulins weather or not you need both. the slow insulin lasts 12 hours the fast lasts 4 to 6 hours.
I use long 24 hour insulin with a rapid insulin last 4 hours. the long insulin is for my fating and the rapid is for high BG and food. easy to adjust and easy to get good numbers.
It is provides a fairly constant basal insulin all day long. 70/30 mix has both, fast acting insulin to cover a meal, and long acting to provide that basal between meals.
Here is a listing of different types of insulins and their details:
http://www.childrenwithdiabetes.com/d_0n_110.htm
To me, the basic difference is variability and flexibility. With Lantus, you know exactly what you are dosing, and you also dose exactly the amount of fast acting you need.
Suddenly reports having readings that fluctuate greatly, and taking an average amount of insulin (split shot, 70/30) and having to supplement at night with 20 to 30 units of regular insulin (in 10 units at a time) and still having high readings. I seem to remember some talk of this sort of thing happening to long term patients for some particular reason but do not remember what initiates it or what the implications of the situation are. Does this scenario ring a bell with anyone?
While my endocrinologist insist Lantus does not make you gain weight I have gained back the 30 pounds I lost prior to being put on insulin 6 years ago.
I even started power walking 4 nights a week and did not lose weight.
Very discouraging when weight gain for a diabetic is not healthy.
Good luck with you daughter...My dad became Type 1 at 18 months, my brother at 12 years and me at 33 during my pregnancy with my only child.
I am having issues with the Novolog pen too...the disc in the pen that acts as a lever pushing insulin out slips. I have had this in more than four pens now. Sometimes, the pen does not dispense at all, seems to function fine till I have to flush out 6-10 units of insulin at a time to make it work again. I have had severe highs with this - when I thought I injected myself with insulin and the pen did not function like it should.
Normally your care provider would have provided you with instructions. Didn't instructional paperwork accompany the pen? Contact your care provider for the proper amount [units] designated for you. Then Google search "how to use novolog flex pen" [w/o the " " [quotes]], scroll down and click the link to [PDF] NovoLog Flex Pen. You'll need a .pdf reader to read it. If you don't have one, go to Adobe and download and install the free pdf file reader.
I am a type one and have been on novalog for 5 years. For the last 6 months sometime my novolog works and sometimes it don't. For example tonight four hours after meal I was at 280 so I tryed to correct with 5 units of novolog. Normally this should have brought my numbers down but, tonight and here laity 3 hours later i was still at 259...It's like i never tryed to correct.
If your total daily dose of insulin were 30, then 1800 divided by 30 = 60, meaning that 1 unit of Humalog or Novolog would drop your blood glucose approximately 60 mg/dl.
Not that I would use this sensitivity calculation to get the amount of insulin I would need to lower my BG (fear of over-bolus because I have insulin still in me). My pump does that calculation and so far has kept me in the mid-80s to lmid-90s reliably. Just wanted to know what the general ratio was out of curiosity.
For the past year, I have been taking Novolog Insulin in combination with Lantus. I have noticed the beginning stages of cellulite around the areas where I give the Novolog injection. I am a 27 year old, juvenile onset diabetic. I am thin for my height and have never had a problem with cellulite until the change in medication. Can this be linked to either of the new insulins that I am taking?
I have NO idea how to make a mix insulin work. Every time you take a shot you get 30% R insulin and 70% NPH Or both a fast insulin and a slow insulin mixed together.
most people find a true basal/bolus insulin regeame is easy and provides better control for you only take the type of insulin you need to do the job. basal for 24 hour background insulin and a rapid (bolus) for eating and to bring down high BG.
I use 1 unit of insulin to every 12 grams of carbs I eat. The less carbs I eat, the less insulin I use. I have a very physical job for four hours a day and I don't even need my Humalog when I eat lunch. My pen generally lasts me the whole month. My Humalog is only good for 28 - 30 days. As far as I know, once your insulin pen is opened, that's how long most of them last no matter how much insulin you use.
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