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  #15 (permalink)  
Old 06-27-2009, 04:14 PM
Scratch's Avatar
Scratch Scratch is offline
Senior Member
I am a: Type 1
 
Join Date: Oct 2006
Posts: 1,325
Quote:
Originally Posted by BlueSky View Post
The NPH/Regular regimen involved having two shots of NPH and one of regular every day, and timing the shots so that peaks coincided with mealtimes. This is not MDI, which is synonomous with basal/bolus. In other words, you have a separate shot of fast acting insulin to cover each meal, and 1 or two shots of basal insulin to cover background requirements. Basal/bolus (or MDI) only got started when Humalog became available, and NPH or Lente was initially used for basal.
Actually you can basal/bolus with NPH and R, I did so myself for about 3 weeks prior to using Lantus and Novolog.

You can set up basal shots with NPH and use R insulin as the fast-acting bolus insulin. It's just messier some with 6 t0 8 hours of fast-acting dependent upon injection site and a somewhat peakish basal insulin. But I was using the same sort of basal/bolus methodology while doing so, counting my carbs and trying to have the NPH basal keep my fastings steady.

Then I went to the doctor and asked for an RX for Lantus and Novolog, because they are better tools to use basal and bolus.
__________________
MDI, Lantus and Novolog
A1c 10/09 -- 5.8%
A1c 4/09 -- 5.7%
A1c 10/08 -- 5.4%
A1c 4/08 -- 5.7%
A1c 8/07 -- 5.6%
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