[Eddy]

Originally Posted by BlueSky

What is 1U of CHO?

15g (sorry; I thought that was considered "standard")

Originally Posted by BlueSky

The only way to get such fine control is with a pump. But I question whether this kind of micro-management is such a good idea. I have been down that road and it nearly drove me crazy .

I get my best sleep in the low 90s and high 80s... so I really like to nail my nighttime numbers. And more [accurate] information is better information. And I might decide that it's not worth the effort.

Originally Posted by BlueSky

You could cut down on the waste by getting your insulin in 3 ml cartridges.

Pen only, right? I like creating a mix to match what I eat.

Originally Posted by BlueSky

I am curious. Why would you want to use NPH to bolus, as you say in your signature? It is a long acting insulin.

In the small doses that I use, it finishes in about 5.5 hours. Certain foods, such as whole-grain rice spaghetti with marinara, match up near perfectly with 1:1:3 rapid:R:N mix.

Once in a while, I'll eat a huge lunch. Not often, but I've done the 200g CHO lunch now and then. Unless I substitute a couple units of N for R, I'll go hypo around two hours post-prandial.

When I used Lantus (I'm nearly 100% switched to Levemir now), I shot Lantus at dinnertime. I added 1U NPH to my breakfast bolus, and 2U NPH to my lunchtime, to cover the Lantus fade. I decided it wasn't worth an extra needle to split the Lantus dose.

Now I'm trying shorter-acting, and supposedly/seemingly more-consistent, Levemir. To exercise, I need to cut my basal dose; I go hypo _very_ quickly. There's a good chance I'll use some NPH for a supplemental basal to make up for reduced Levemir when I'm not exercising.

e.g.:

0900 : 8U Levemir instead of normal 15.5U
0900 : 1U R + 4U N to hold me until mid-day
1300 : aerobic exercise
2100 : 15.5U Levemir

(I've not gotten that far, so I have no idea what actual numbers will be.)

Originally Posted by BlueSky

As far as diluting is concerned, sure you could do that. But your insulin sensitivity doesn't seem to warrant it.

I might change my mind after trying it. But... as much as I respect your experience and opinions, I'm still not dissuaded from wanting to try.

Originally Posted by BlueSky

You are going to have to do this for a vary long time, so IMO you need to keep it all as simple as possible.

Any time I feel "cloud-headed", I check. Unless I've not eaten enough, I'm inevitably above 110. (Sometimes I'll feel fine at higher numbers.) I _really_ like to stay below 110-120 if at all possible. This limits my range, and means that sometimes I want a small correction.

So far, the rapid/R/N mix has proved more desirable than multiple shots or "close enough with one insulin for bolus" control. Would monthly preparation of diluted rapid/R/N really add that much hassle or complexity? I tend to think it would not.

Originally Posted by BlueSky

The suggestion to find smaller needles sounds like a sensible one to me.

That might be worth a shot, so to speak. If anyone has any leads... I've found naught less than 30U.