| I just started on this regimen (or a very similar one) three days ago. I have been mixing the Lantus and Novolog in the morning. I've been taking that shot immediately before breakfast, consisting of 14U Lantus and the appropriate Novolog dose + correction. I was told that mixing these two was OK, widely practiced, and soon to be officially OK (i.e. warning taken off the Lantus vial). Now I'm wondering if I haven't spotted a reason that this is not OK. Each of these days I've had a high post-breakfast, and a low post-lunch. Is it possible that mixing these is delaying the action on the Novolog? I don't think it's the other way around (speeding up the Lantus) because my fastings aren't high. But today, for instance, I had a 123 before breakfast and a 195 post. Pre-lunch at 12:40 was a 152, so I shot for two big apples (like 1/2 pound each) plus one correction unit. At 2:50pm, I tested at 42! It's a possibility, I suppose, that I counted the apples wrong, but yesterday I read the carb count off of a label and shot for much the same situation (147 pre), and I had a 56 post. My other tests seem to be showing, if anything, that either my correction ratio or my basal dose is too conservative. I've got a few more days to collect the data before I send it off to my endo, but I can't be running lows like that every day - especially because I haven't felt the last two.
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Diagnosed Type 2: May, 2003
Currently treat with oral med/insulin combo
Meds: Glipizide, Metformin, Simvastatin
Insulin: Lantus, Novolog.
Latest A1c: 6.8% as of 2/18/08, down from 8 last November and 12.9 the previous Spring.
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