| NPH is a cloudy insulin. It is actually insoulable even though it is in a solution. It does not 'mix' evenly (you have to mix it till it is 'cloudy') so the dose is not always accurate.
I used to take it and had the same roller coaster rides.
N does have a peak which is why the lows in the middle of the night.
I did get up to test in the night, and frequently I was low. You want to test and beat the liver dump. Otherwise you will end up with really high numbers.
When your basal dose is out, it is extremely frustrating. It affects how the rapid insulin works or doesn't work!
The new basal insulins, Lantus and Levemir are already mixed, so the dose is always accurate. They don't have a peak, so sustain the basal rate incredibly evenly. Levemir is designed to be taken twics a day. I like this as I take different amounts in the am and pm.
Lantus is not designed to be split. I found it only lasted 20 hours for me which is why I changed to Levemir.
It makes a huge difference when you have a relable basal.
You may want to change to the newer basal insulins.
By the way, quite a few years ago, Lantus was dubbed 'the poor man's pump' as it was so effective compared to N.
Kiwi
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Kiwi.
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