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Originally Posted by Lizzie G  ... i think i will call the nursing team and ask about NPH or something like that - if Blue Sky is out there and can tell me more about it that would be great. ...... |
Lizzie,
Because I have this crazy DP, and because I am not able to get a pump, I have come up with an interesting insulin coktail to keep my blood glucose on an even keel. I use a combination of Lantus, NPH, Regular and Novorapid. I will describe my insulin regimen, just so you can see how I went about customising it. Maybe you can use a similar approach.
I inject 8 units of Lantus in the morning. It gives me a flat basal action over the 24 hours (or most of it). I inject 9 units of Protophane (NPH) at night. It is getting up to speed by the time the DP kicks in at around 3am. The NPH ensures that my FBG is in the target range, but it it is not sufficient to cover basal insulin needs later in the morning. I can't increase the NPH because it would make me go hypo at night. So I cover a low-carb breakfast with 8 units Actrapid (Regular insulin), which I inject as soon as I wake up. I usually cover lunch and supper with Novorapid.
It works quite well. My last HBA1c was 6.0%. But a pump would do a much better job. It sounds like your basal profile is a bit different. But mixing and matching the insulins should enable you to achieve the result you are looking for. Good luck with it
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