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Originally Posted by seacomp That Lantus dose looks high to me, especially to start. There was a thread about basal rates a while ago and most were between 14 and 24 U per day.
You are taking twice as much basal (Lantus) and bolus (Noverapid) insulin.
My own proportion is just about the opposite twices as much fast-acting as very long-acting insulin. I expect that's about what it is for most people.
With the proportions reversed, you'd expect exactly what you are seeing: a steady drop between meals, followed by a large spike after. |
Georgia, usually an individual's total daily basal dose and total daily bolus dose will be similar, approximately 50:50.
This thread has a post in it by Mick about how to calculate your TDD (Total Daily Dose). Of course it probably won't be perfect, many factors will affect your ratio of basal:bolus doses (metabolism, genetics, exercise, lifestyle, etc, etc), but 50:50 is a good starting point. If you're taking too much Lantus and not very much Novolog, your high Lantus dose is probably compensating for some of your food... likewise if you're not taking enough Lantus, your Novolog requirements for food will be higher. Ideally, you'd like to find the balance between the 2. For example, I take 16 units Lantus per day and ~20 units Novolog for a total dose of ~36 units/day. It's not bang on 50:50, but if I take more Lantus I experience many lows so I know I'm good where I am. And my TDD is a bit lower than what the formula predicts because I am pretty active. You will just have to experiment and see what works for you.
