Re: Looking for further insight
- From: "oldal4865" <oldal4865@xxxxxxxxx>
- Date: Thu, 6 Jul 2006 07:30:29 -0400
esal via MedKB.com wrote in message <62d0f1a630eb5@uwe>...
I have been experiencing high bGs in morningfar
Therefore, my doctor told me to split my Lantus these are my results thus
does anyone have suggestions or advicewell)
thanks (sorry about the format )
20 units10:30 pm and 8 at 7:30 am
. . .(snip). . .
I have been eating same portions at approximately the same time of day.
I match 1 unit NovoRapid for every 10 grams of carbohydrate.
I have been taking extra NovoRapid when I am above my target 6.5 mmol/L
(Rule is 1 unit for every 2 mmol/L above target.)
I have not exercised.
I have been take Allegra for my allergies (I have done so in the past as
The primary "mission" of your Lantus dose is keep your sugars steady
during the night. You balance your NovoRapid and carb intake so that you
normalize during the evening, then you rely on your Lantus dose to keep
you there during the night.
Lantus has other useful properties for a T2 but if you adjust the dose to
handle the night (and to be conservative, split the daily dose into two
doses), the other useful properties "take care of themselves".
When you adjust your daily doses for the (food-free) night time hours, your
Lantus rarely has the power to handle daytime situations. For most
people, our daytime carb intake, exercise level, stress level, and
NovoRapid intake will overwhelm our Lantus effects during the day. For
most people, if you try to adjust your Lantus dose so that it can handle
daytime meals and daytime stress, then the dose will be too high for a
"low-free" night.
Using general rules-of-thumb, you have two problems. First you must gain
control over the daytime hours by balancing carb and NovoRapid. Then,
after knowing you will go to bed "normalized", you can adjust your Lantus
dose to keep you normalized through the night.
NovoRapid is a difficult insulin to use. It is very slow; it has
"tails". See the curve for Humalin R (same as NovoRapid) at:
http://www.lillydiabetes.com/using_insulin/what_types_of_insulin.jsp
It doesn't do much at all for the first hour but sticks around with some
effect for 8 hours or so.
That's not the way our stomachs send glucose into our blood when we eat!
I usually shoot Humalin R (same as NovoRapid) at least an hour before I
eat. If taking it before breakfast, I shoot two hours before I eat!
If you want good control, you need to figure out some sort of pattern for
yourself.
Novolog is much easier to use. See the Humalog curve at the web site.
(Humalog about the same as Novolog). You shoot and it starts working more
like your stomach starts working when you eat.
Note that unusual stress can double your insulin needs. (Been there, done
that, Ugh!) Such situations are where Novolog can really shine. You end
up chasing high sugars all day but at least the Novolog starts to work soon
after you inject. You don't have to wait 4 hours to see if your shot did
any good.
Regards
Old Al
.
- Follow-Ups:
- Re: Looking for further insight
- From: percy
- Re: Looking for further insight
- References:
- Looking for further insight
- From: esal via MedKB.com
- Looking for further insight
- Prev by Date: Re: Diabetes Criteria
- Next by Date: Re: Looking for further insight
- Previous by thread: Looking for further insight
- Next by thread: Re: Looking for further insight
- Index(es):
Relevant Pages
|
