Daily Totals?

[iDream]

I was wondering what everyones insulin intake totals were. I figure I take alot, since I'm a big guy and all.

According to my pump I average about 44 units a day with a straight 75% / 25% spilt with Basal / Bolus.

Don't know if every pump has the daily useage data, but the medtronic-minimed pumps do. Utilites -> daily totals

[owlyn]

28 Lantus
26 Humalog

[JediSkipdogg]

My Animas does the same. I can't really tell you mine since I just got a replacement pump, but if I recall I was always around the 15-20 bolus and 34 basal.

[tanyatype1]

Roughly 35-45 per day. Sometimes more if I'm pigging out!:D

[barbarac]

Changes daily, but the last few days ran from 33-41+. Of course I am not eating normally right now--dieting sort of.

[NoelD]

Depends on what/how much I eat. 65-110units a day, with average being about 70-75. My insulin-carb ratio is 1:3 in the morning hours, which I VERY rarely eat anything then anyway, and it's 1:4 the rest of the day/evening. Basal totals 40 units a day.

[sparrow1]

Depends on what/how much I eat. 65-110units a day, with average being about 70-75. My insulin-carb ratio is 1:3 in the morning hours, which I VERY rarely eat anything then anyway, and it's 1:4 the rest of the day/evening. Basal totals 40 units a day.

NoelD - That is really interesting, as I was about to post a question on my insulin-carb ratio. I was beginning to scare me. I started out 4 months ago at 1:15, then went to 1:10, moved to 1:7 and now it looks like it is 1:5. My basal totals 40 units. I was getting concerned about how much insulin I need. And it seems to be taking so long to straighten it all out - so much trial and error. Your ratios are the first I have seen that are similar to mine.

So maybe what I'm doing is OK. But it seems like an awful lot to me. (I'm Type 2 - 150 pounds)

[frige]

weight=170lbs
average daily novolog usage=35 units
%basal=50%

[sierradawn]

19-22 units a day on average.

[DVDBear]

Hi Everyone - I just joined today and this is the first thread I've read, but boy . . . it's SCARING me! I'm on the Medtronic pump (can't remember the number but it's the one with the larger reserviour) and my daily average is 90 - 120! I'm using fast acting humalog. Nobody even seems CLOSE to my number! :eek: I end up changing the infusion set every two days.

I'm going to talk to my endocrinologist and see why mine is so high. My last a1c was 7.0.

[iDream]

Bear, some people just need more insulin than others. We are all different and have unique requirements. What is your carb consumption per day?

[ladytaz]

Hi Everyone - I just joined today and this is the first thread I've read, but boy . . . it's SCARING me! I'm on the Medtronic pump (can't remember the number but it's the one with the larger reserviour) and my daily average is 90 - 120! I'm using fast acting humalog. Nobody even seems CLOSE to my number! :eek: I end up changing the infusion set every two days.

I'm going to talk to my endocrinologist and see why mine is so high. My last a1c was 7.0.

Since you're T2 DVDBear, it could be insulin resistance. Are you taking Metformin too? If not, you may want to ask about starting it and see if it helps reduce the amount of insulin you're taking.

[xMenace]

My daily basal is 23.5. My last 7 daily totals are 56.8, 73.8, 86.05, 65.75, 76.85, 67.65, and 65.25.

[DVDBear]

Bear, some people just need more insulin than others. We are all different and have unique requirements. What is your carb consumption per day?I average about 50-70 a meal, iDream. Before I switched over to the pump I was injecting about 45 units each morning and evening of humalog 75/25. One night I went into anaphylatic shock after the injection and after seeing an allergist they determined I was actually ALLERGIC to insulin. I can tolerate it in the minute doses the pump injects. So overall I'm doing a little more than I was previously over a 24 hour period, but I probably would have ended up there with the injections anyway.

[DVDBear]

Since you're T2 DVDBear, it could be insulin resistance. Are you taking Metformin too? If not, you may want to ask about starting it and see if it helps reduce the amount of insulin you're taking.Yup, and glyburide as well although they finally told me I could knock that off, since it probably wasn't having an effect anymore. I'm sure you're right, ladytaz . . . my endo has never said anything about the amount being high, so she's probably not alarmed. I was just shocked everyone here was so much lower!

[iDream]

Just think of it as whatever amount of insulin keeps you healthy and at a good level, its chill.

I remember the good old days of the honeymoon....6 units of humalog per meal....I thought I was being cured ;)

[johgn]

My daily basal is 23.5. My last 7 daily totals are 56.8, 73.8, 86.05, 65.75, 76.85, 67.65, and 65.25.

That's an impressive variance for somebody with good control!

[xMenace]

That's an impressive variance for somebody with good control!

Flexibility baby!
http://www.breaktaker.com/albums/pictures/people/ExtremeFlexibility.jpg

When you know your rates well enough, there are very few limits. I push as much as I dare. This morning I'm skipping breakfast. On other days I'll eat a whole pizza and bolus 50u at once!

[Gordonm]

I average about 35 to 38 units a day. I'm usually at about 60% basal and 40% bolus. My endo thinks it should be right at 50/50. If I did that I would be eating all day. I have done it but those are pig out days.

[shabbie6247]

my daily average is around 35units, the basal now makes up around 45% but is currently being tweaked and monitored closely.

[ladytaz]

Yup, and glyburide as well although they finally told me I could knock that off, since it probably wasn't having an effect anymore. I'm sure you're right, ladytaz . . . my endo has never said anything about the amount being high, so she's probably not alarmed. I was just shocked everyone here was so much lower!

Insulin resistant T2's generally take more insulin, since, well, they "resist" the insulin :wink:. She had you taking Glyburide as well as insulin? That's scary! I was taken off my Glipizide the day I started on insulin [actually, I stopped it the night before].

I'm not on a pump, I'm MDI, but I take 30u NPH daily and average about 4u to 8u of R a day. Some days I don't even have to take any R at all! I think the most I've ever taken in a day was 10u or 12u. Big carb day, for me! LOL

I feel my insulin requirements are relatively low. But if I don't take anything ..... BG's go THRU THE ROOF! That's even with [moderately] low carb. Like 25g -30g per meal! I pretty much still stick to the same diet I had when on oral meds only too. That makes a difference in how much R I take daily, I think.

[DVDBear]

. She had you taking Glyburide as well as insulin? That's scary! I was taken off my Glipizide the day I started on insulin [actually, I stopped it the night before].
The way it was explained to me was that Glyburide loses it's effectiveness for some people after so many years. I was on Metformin & glyburide for eight or nine years. My A1Cs was always around 6.5 or a little less. Then last year they started creeping up to 8, finally 9.5 before my docs decided it was time for insulin. I haven't noticed any difference in numbers since quitting the glyburide.

[howdysf]

I weigh about 170

Lantus- 18 units per day

Novolog- app. 25-30 units a day..

still figuring it out....

[deb wardle]

Hi

Im 118lbs, so not that big but I average 50 units a day, 30units of basal.

[HelenM]

weigh 62-63kg
basal 14
bolus normally 4 breakfast, 6 lunch 7 dinner but varies as to meal. total about 31. I eat lots of carbs and have been told I don't eat enough.
Insulin requirements have got less in the 2 years since diagnosis. I feel that my own system is working better, perhaps one of the quirks of LADA, who knows?

[JungleJim]

5'10" 170lbs ( anyone hear Dan Patrick and the "ding!" ?)

Average about 30 units a day with about 55% basal.

[grace girl]

Lantus : 20
Humalog: 14-20

130 pound fairly active female.

[peej07]

5'11"
190lbs
I average between 60 and 80 units of humalog.

[mortis505]

I average around 20 units per day with a 75/25 basal/bolus. Yes I'm still honeymooning.

[ladytaz]

The way it was explained to me was that Glyburide loses it's effectiveness for some people after so many years. I was on Metformin & glyburide for eight or nine years. My A1Cs was always around 6.5 or a little less. Then last year they started creeping up to 8, finally 9.5 before my docs decided it was time for insulin. I haven't noticed any difference in numbers since quitting the glyburide.


I think it's more that the beta cells die off than the Glyburide looses it's effectiveness. I personally think that by the time your A1c hit 8, the doc should have been changing your treatment over to insulin! But what is done is done. What's your A1c now?

[ladytaz]

I notice y'all puttin your height and weight ... I don't think the amount of insulin one takes has anything to do with one's height and weight. Rather, it has to do with how each of our bodies deals with glucose. Which, as with everything else Diabetes, varies with each individual.

[petrhino91]

Very new forum member here. I'm 33, type 1, diabetic since 1990, pumping since 1997. My last week (all humalog):

41.90
47.90
38.75
40.35
35.20
42.40
42.65

[Cyborg]

I average about 75-100 units a day. Most of the time now when I put a new set it, I end up using closer to 100 as it takes time for the new set to start working well. It's usually about 50/50 basal/bolus...

[jenet]

This thread is a great reminder of the different factors that might affect insulin usage: height/weight, age/activity levels, carb intake (low, high, moderate), insulin sensitivity, other meds (Type 2 oral meds, symlin, steroids, other). Someone who is 110 lbs and on a low carb diet may have signficantly lower insulin needs than someone 200 lbs and eating high carbs. Or maybe not, if the smaller person is Type 2 with high insulin resistance and the larger person is Type 1 and very active. Nothing about the big D is ever simple. ;)

My food and insulin profile:
average carbs 40-45g (some "pig-out" days over 100g)
basal 17u, bolus 23-28u, TTD 40-45u
last A1C 6.8

cheers,
j

[johnzoomer]

When shooting up I was shooting 100 slow and 100 aspart now on the pump I am 134 units daily average with 3.5 per hour or 84 a day and 60 meal with about 235 carb and A1C at 5.6. I am also looking into how I can reduce insulin resistance with metformin exercise cutting down on carbs and loosing weight and exercise... The battle goes on....

[BlueSky]

... I don't think the amount of insulin one takes has anything to do with one's height and weight. ....
I beg to differ. For most T1s, required daily insulin is 0.4 - 0.8 units per kilogram of body weight. Here is a reference on it :

Most patients with type 1 diabetes will require 0.4 to 0.8 units of insulin/kg/day. This may vary based on numerous factors, including family history of type 2 diabetes, lifestyle (sedentary vs. active), adiposity, gender (males usually require more than females), concomitant illness, and any remaining endogenous insulin secretion. For a typical 75 kg man, a usual total daily insulin dose would be between 30 and 60 units/day [calculated as: 0.4 units/kg x 75 kg = 30 units/day to 0.8 units/kg x 75 kg = 60 units/day]. Let’s say that this person is using 0.7 units/kg, this would be 0.7 units/kg x 75 kg = 52 units/day, and thus the usual basal insulin dose would be 40 to 50% of that, or 21 to 26 units.
Practical Use of Modern-Day Insulin Regimens For Type 1 Diabetes (http://www.endotext.org/diabetes/diabetes20/ch01s10.html)

I use about 30 units a day and weigh 75Kg. That amounts to 0.4 units per Kg, and is at the lower end of the scale because I eat very little carb. People using pumps tend to use their insulin more efficiently and require less of it. But peaple with insulin resistance require more.

[WoNdErFuL MoMmY]

Right now my total basal rate per day is 34.4. my boluses change depending on my sugars and my carbs but an average of 20 in boluses. I have to keep changing my basal rates almost every week by 0.2 (increase) because im pregnant so its not steady.

[kel4han]

Holy %$#$ My pump shows 30% basal 2.4units
70% Bolus average 7units/day
I'm 5'5 and 115lbs

Guess thats what you call a Honeymoon!

[someone]

I take 26 basal and anywhere from 30-70 for carbs.

I beg to differ. For most T1s, required daily insulin is 0.4 - 0.8 units per kilogram of body weight. Here is a reference on it :

If this has any validity, it is referring to basal dosage.

[BlueSky]

.... If this has any validity, it is referring to basal dosage.
Well no, it refers to total daily dose. In "Pumping Insulin" (page 86), John Walsh suggests dividing your weight by 4 as a good starting point for the total daily dose, based on his clinical observation of average insulin sensitivity. That works out to .55 units per Kg, of which, he suggests, 45%-60% would be basal and the rest bolus. Walsh mentions insulin resistance and excess growth hormone in teens as the main reasons for requiring excessive amounts of insulin.