Whats going on with me?

[rewt]

DOSES:

Morning: 5 units of Novolog, 46 units of NPH
Dinner: 13 units of Novolog, 18 units of Lantus

I was diagnosed diabetic in Nov. of 2006, after about 2-3 of adjusting insulin doses (after the honeymoon period) I was at a level where my blood sugar readings were good, I've been using this dose since. My doctor has told me (quite recently) it is odd how I'm taking such little insulin in considering my size, basically telling my I could possibly have type 2 diabetes (diagnosed type 1).

For the past few weeks I've been exercising everyday, walking and using an elliptical machine for at least 30 minutes, and eating quite well. I have noticed it does tremendously help me maintain my readings. Anyways, for this past few days my readings have been really odd, an hour after eating dinner (making sure I ate nearly the EXACT amount of carbs) my blood sugar reading was ~50, I drank 8 oz. of coke which did fix it for a while but later on it dropped again to ~50, this kept happening every hour or so until it was nearly 3 AM. This has been happening the past couple of nights.

To test myself (probably not the smartest thing to do but I did it nonetheless) I ate a ton of carbs, some candy, and pop. I checked my blood every 5-10 minutes for an hour and it went from 100 to about 180 and after another hour it was back down to 111. I found this quite odd, as in the past if I would have done this my blood sugar would have been more than 200 for several hours.

I called my doctor but he's unavailable until Monday, the person on call told me to reduce my doses by 10% but I know I can look forward to more low readings tonight.

I start school in 2 days :(

[SueM]

Too little insulin? :eek: I consider 82 units a massive dose.
But why are you using NPH and Lantus? That is a very odd mix.

[rewt]

Too little insulin? :eek: I consider 82 units a massive dose.
But why are you using NPH and Lantus? That is a very odd mix.

Don't you think it would be too much insulin considering my readings have been so low? As for NPH and Lantus, I'm not exactly sure, the NPH is so I don't have to do a shot a lunch, but I do have to eat at 1 (can't choose what time due to this).

[xMenace]

Welcome.

Describe your size. I'm 240 lbs and strive for under 60u a day. I totally ignore those normalizations. Take what works for you. If you drop, cut back. If you go high, add more.

A most interesting regimine. The NPH appears to be the biggest culprit. Novolog won't bring your dinner numbers down that quickly. I'd cut back the NPH quite a bit and some of the dinner Novolog. Leave the Lantus.

You shouldn't need the NPH for lunch anless there's no way you can shoot up. I'd actually consider scrapping the NPH altogether and put you on Novolog at lunch too. You'd need a hefty increase in your morning Novolog if you did this.

Consider a pump. It's flexinility will solve all your problems ;)

[UpNorth]

NPH:ahhhhh: Never used it or any mix with it in, and never will... I've heard too many negative things about it:eek:
If i were you i'd skip the NPH, take a bit more novorapid in the morning and use novorapid at lunchtime aswell.
Insulin injections doesn't bite:T Not too often anyways:T So don't be afraid of them;)

[rewt]

NPH:ahhhhh: Never used it or any mix with it in, and never will... I've heard too many negative things about it:eek:
If i were you i'd skip the NPH, take a bit more novorapid in the morning and use novorapid at lunchtime aswell.
Insulin injections doesn't bite:T Not too often anyways:T So don't be afraid of them;)

Sort of off topic.. but where do you guys give your shots? I only do in the stomach and I'm starting to get bruises :(

[Alice]

You are a rare person taking a short acting, an intermediate acting and a long-acting insulin combination. I know there are endo's out there that prescribe "insulin cocktails"...but haven't heard of them since the Humalin days.

I don't know how you could ever figure out your basal dose with that much going on...I'd drop the NPH like a hot potato. I've never taken it...but it has a nasty curve...similar to my old Lente.

[cheryl]

I used to give myself my shots in my stomach exclusively.....and from your other post in the beginning, your on too much basal insulin......NPH, lasts 12-16 hrs in your body.....So by lunch or 1pm, it is peaking that is why you need to eat by then, you might still have NPH, lingering around when you take your lantus shot and when lantus kicks in, in about 2hrs after the shot, you are getting your low results.....I hope you understand Lantus is supposed to work flat, and it is only intended to keep you level, NPH, will peak....so it's kind of an off the wall basal insulin, but I personally didn't have a bad experience with it, I think it kept my butt alive with all the bad eating and not watching LOL.....But I hated the scedule I was on.....

For one thing, you need to cut back your NPH, I'd do that first, by a couple of units.....I'd seriously consider going off this mix honestly....and you are on a lot of insulin, but I was too when I was on NPH....so you can't go by that one honestly.....on what type you are....I hope you read some books, Get using Insulin by John Walsh....that is a good one, and I finally had to reach a point in my life, where I really took control without a doc's complete advice.....It seriously is your disease, but before you do anything, Really read up on everything and understand it, but I don't think it would cause you any harm to cut your dose just a bit....of NPH, for now...

Cheryl

[UpNorth]

Sort of off topic.. but where do you guys give your shots? I only do in the stomach and I'm starting to get bruises :(

I only use my abdomen:T I've tried injecting the levemir in my thigh a couple of times but it hurt like ****:eek: And i'm not flexible enough to give myself injection in the butt :s: LOL
I'm taking 4-6 injections in my abdomen everyday, and i do get some small bruises sometimes, but not very often, so it doesn't bother me:T I try to rotate my sites as much as possible :)