Total DailyInsulin

[carolyn]

What is the total daily intake of insulin?

[shiftzor]

Mine is creeping upwards, but i have been less active recently. 18 units TDD with 10 units of lantus and 8 units of novorapid.

[RobiJo]

It's how much insulin you need in one day. Mine is around 80units.

[TenderVittleS]

For me its about 70-80 units a day. 20 Lantus nightly and usually 10-14 units Humalog for each meal.

[Richard157]

Total daily dosage (TDD) is the sum of the dayily basal and bolus insulins. I am a pumper and there is an option on my pump that allows me to see my TDD for the last two weeks or so, one day at a time. My average TDD is 40 units. If I decrease my carb intake I will need less insulin and my TDD will become smaller. As the TDD is reduced then my weight will also be reduced. The fewer carbs we eat the less insulin we need and the more weight we will lose.

Richard

[palefacegirl03]

My daily total on the pump has averaged 70 units.
I have gained a few pounds and ate way to many carbs lately and somedays the numbers are more than 70.

I am working on lowering the carbs and exercising more , so that as Richard says, less insulin, from less carbs, so loose more weight.

[xMenace]

Pumps are cool ;)

88?
80.30
74.55
77.70
74.70
73.30
Decided to cut back daily carbs 'a bit'
75.30
81.15
74.90
86.10
69.45
86.05
83.05

85.30
83.20
101.9
85.15
85.70
85.25
67.95

83.40
76.60
85.70
68.35
69.70
71.40
86.25

64.15
90.05
84.00
81.10
86.40

[beau91]

Mine changes every day, depending my intake of glucides .But usually it's around 80 units during the day of Humalog and at nights it's 40 units of Humalin N .Bye Ricky

[solox316]

30 day average is 59 units. Down a lot over the past 5 years, from nearly 95 units.

[BlueSky]

I weigh 72 kilograms and inject about 30 units a day. Down from about 60 units a day 6 years ago.

[viranth]

I take about 11-14 novorapid units a day, and 9 units insulatard at night.

I still get lows if I work out for example, especially running.

[Chappo]

Lantus: 22-24
NovoRapid: 25-35

[George83]

Novorapid;
Breakfast 12u
Lunch 12u
Dinner 18-24u

Lantus Bedtime;
24u

[ant hill]

I am on three types of insulins and soon to be on just two of them.
Morning 74U Novomix30
Evening 44U Lantus
Breakfast, Lunch & Dinner between 26 - 30U Novorapid

Basel Total 118U
Bolus Total 76 - 90U
Overall Total = 194 - 208U And I find that a bit much don't you think. :( No wonder that I am Fat. :eek: :confused:

[mwd]

Average TDD 35-40 units


Levemir 6 units am/4u pm
novolog 10-12u bef bf
4-6 bef lunch
10-12 bef dinner


but my endo has been pushing me to increase my levemir and decrease novolog to be at 50-50....doesnt work for me. I am at better sugars taking 10u/day of levemir and novo 20-30 depending on what i eat

[shiftzor]

Average TDD 35-40 units


Levemir 6 units am/4u pm
novolog 10-12u bef bf
4-6 bef lunch
10-12 bef dinner


but my endo has been pushing me to increase my levemir and decrease novolog to be at 50-50....doesnt work for me. I am at better sugars taking 10u/day of levemir and novo 20-30 depending on what i eat

The downside with that is you have to eat every meal otherwise you risk raising your BG, I aim for basal 55% to 60% split. I am not suprised a 50% split didnt work, it wouldn't work for me ;). Currently I am at 55.54% basal (Lantus) and 44.44% bolus (NovoRapid). I can skip breakfast/lunch without going high, not tried skipping dinner but theoretically possible. Down side is that you would have to redo your insulin to carb ratios, I prefer the flexibility ;).

Basal % Split = (Total Basal/TDD)
Bolus % Split = (Total Bolus/TDD)

Bolus Units Split = TDD*0.44
Basal Units Split = TDD*0.55

[viranth]

I see that some of you are way above me, is that because of my honeymooning?

Or is it because I work out 4 times a week in the gym, I run intervals once a week. Also eat smaller(ish) meals every 3 hour. I've got muscles, which would burn sugar, thus keeping the BG down.

Will I get a sudden jump up to 40+ units when honeymoon is over?

[shiftzor]

I see that some of you are way above me, is that because of my honeymooning?

Or is it because I work out 4 times a week in the gym, I run intervals once a week. Also eat smaller(ish) meals every 3 hour. I've got muscles, which would burn sugar, thus keeping the BG down.

Will I get a sudden jump up to 40+ units when honeymoon is over?

You sound like me, I had a TDD as little as 12.5 at one point, its gradually creeping upwards. I think some people get sudden jumps and others are much slower. You will almost definitely need more insulin once the honey moon is over. Only way to increase the length of the honey moon is a good diet, lots of exercise and sufficient amount of basal/bolus. Less work you give your pancreas the more chance it has of regenerating those beta cells.

[Coppernob]

My total daily insulin is usually between 18 and 22 units of Apidra but can go over 25 units at Thanksgiving, Christmas or my birthday. I am on the pump - when I started, my daily insulin dosage dropped by about a third.

[Eddy]

Mine changes every day, depending my intake of glucides.


("glucides" is French for "carbohydrates")

[mwd]

"The downside with that is you have to eat every meal otherwise you risk raising your BG...I prefer the flexibility "



hey shiftzor! thanx for explaining the reason behind 50-50 basal bolus, i didnt know that and docs sometime never bother explaining the whys but expect u to do as told.

i did try increased levemir but it was giving me lows all day inspite of adding on 3 times/day unwanted snacks. and i couldnt delay/skip meals so by the end of it all i stopped trying to keep my endo happy and fine tuned my dose as i saw fit, with sugars in range and minimal hypos.

didnt think that i might go higher if i skip a meal...havnt noticed this happen w other meals but it does w bfast...ie if i dont eat or eat late bfast, sugars hit the roof. will do more testing to figure it out.

thanx again

[Eddy]

but my endo has been pushing me to increase my levemir and decrease novolog to be at 50-50....doesnt work for me. I am at better sugars taking 10u/day of levemir and novo 20-30 depending on what i eat


I've never understood the "justification" for the 50/50 rule. I'm typically more than 60% basal -- 33U Levemir, with 20U bolus (300g) being "typical". I'm finding that, when I run high, I need a bit more Levemir.

Even if one did need 50/50 basal:bolus, one would need to consider one's own insulin production.

I say: Set basal such that BG remains relatively-constant when fasting. Work out the rest from there.

[Lizzie G]

lantus 8 to 10 units

novorapid depends what i eat! at moment im totalling about 7 units a day as on a diet, but when not on a diet it maybe around 10 or 12

[Lizzie G]

I've never understood the "justification" for the 50/50 rule. I'm typically more than 60% basal -- 33U Levemir, with 20U bolus (300g) being "typical". I'm finding that, when I run high, I need a bit more Levemir.

Even if one did need 50/50 basal:bolus, one would need to consider one's own insulin production.

I say: Set basal such that BG remains relatively-constant when fasting. Work out the rest from there.

exactly. mines working great at the moment. i think people often set basals too high, if its right you shouldnt need to snack to avoid lows, and you shouldnt need to do loads of corrective shots. if its right it will hold steady and doesnt have to influence what you eat, thats what the rapids for.

[HelenM]

I'm typically more than 60% basalMines the other way round.

Whilst on MDI my split was about 48:52
15 Lantus and around 16 novorapid

Its early days yet(just over a week) but on the pump its about 42% basal 58% bolus with an average TDD of 26 units.
The biggest difference is I can now cut basal and consequently not have to feed the insulin and/or hypo whilst exercising. I've been quite lazy over the winter so I'm not doing that much, If I start running longer disatances again I imagine that the basal will come down to 40% or less.

[Gary_W]

Mines the other way round.

Whilst on MDI my split was about 48:52
15 Lantus and around 16 novorapid

Its early days yet(just over a week) but on the pump its about 42% basal 58% bolus with an average TDD of 26 units.
The biggest difference is I can now cut basal and consequently not have to feed the insulin and/or hypo whilst exercising. I've been quite lazy over the winter so I'm not doing that much, If I start running longer disatances again I imagine that the basal will come down to 40% or less.

Mine too. My big problem back in the bad old days was 'TMFL' - Too Much Flamin' Lantus. Towards the end on MDI, I was about 65% bolus to 35% basal.

I'm similar on the pump so far... It seems to be working for me, though I've got lots of basal testing to do when time allows.

Gary

[dbc]

TDD ~17U,
10 Lantus split 4U morning, 6U evening
6 - 8 Apidra

Still have to get the Lantus dose vs exercise right. Be easier to exercise every day, but I'm not that committed!

[Cormac_Doyle]

Between 1000 - 2100 units per day

I need at least 600 per day if I'm fasting for 48 hours ... !

No - I didn't accidentilly move the decimal point ... my endocrinologist jokes that I'm a freak of Nature!

[palefacegirl03]

Between 1000 - 2100 units per day

I need at least 600 per day if I'm fasting for 48 hours ... !

No - I didn't accidentilly move the decimal point ... my endocrinologist jokes that I'm a freak of Nature!

Looks like you have a little bit of insulin resistance, ok so a whole lot of it:D

[Cormac_Doyle]

Unfortunately true ...

[MJM]

31.1
28.4
26.3
25.2
33.5
27.3
32.3
27.4
28.1
34.5
31
32.5
32.5
Average about 30u daily
Average meal carbs are between 60- 65 and I'm as skinny as a lamp post

[solox316]

Between 1000 - 2100 units per day

I need at least 600 per day if I'm fasting for 48 hours ... !

No - I didn't accidentilly move the decimal point ... my endocrinologist jokes that I'm a freak of Nature!

wow! really?!? 1-2 vials of insulin each day!!?

[Cormac_Doyle]

wow! really?!? 1-2 vials of insulin each day!!?

at a minimum. since I have to inject myself at least 15-20 times per day, at least 2 or three of those will cause bruising due to the volume of insulin ... this means that my entire stomach is eternally black and blue with bruising.

The term Diabulemic implies that you avoid eating and taking insulin to lose weight ... but there are times when I avoid eating so that I can reduce the number of injections I need - I've lost an average of 10lbs per month since Christmas (although I'm admittedly still 225lbs - I can easily lose another 32 lbs and still be overweight for my height (6'1")

[solox316]

at a minimum. since I have to inject myself at least 15-20 times per day, at least 2 or three of those will cause bruising due to the volume of insulin ... this means that my entire stomach is eternally black and blue with bruising.

My goodness, I am sorry to hear of the effect it has on you physically. I had no intention of offending you by my shock, hopefully I did not.

[Micha82]

Mine is something between 50 and 60 units.

[shiftzor]

at a minimum. since I have to inject myself at least 15-20 times per day, at least 2 or three of those will cause bruising due to the volume of insulin ... this means that my entire stomach is eternally black and blue with bruising.

The term Diabulemic implies that you avoid eating and taking insulin to lose weight ... but there are times when I avoid eating so that I can reduce the number of injections I need - I've lost an average of 10lbs per month since Christmas (although I'm admittedly still 225lbs - I can easily lose another 32 lbs and still be overweight for my height (6'1")

Congratulations on loosing the weight, 10lb per month must be hard work at least your doing something about it, there are many people who won't/don't. Keep it up. What insulins are you taking?

[UpNorth]

My TDD usually is somewhere between 75 units and 100 units per day... All depending on my carb intake and activity level and health. I can be well over 100 units when sick...

When on MDI, i take 48-50 units of levemir in the PM. On the pump my basal is just slightly lower than on MDI... But really, my TDD doesn't vary much between pump and MDI and my basal and bolus is about the same too.

[KCP]

Well:
10 Lantus = AM
9 unit rapid = Bfast
6 unit rapid = Snacks (usually two a day)
9 units = Lunch
8 units = DInner
14 Lantus = PM
So, according to this im on 62 units of insulin in total a day. But it depends, sometimes ill skip Bfast or i wont snack..

[karabea]

i take 48 total units of levimir (24 at 7 am and 24 at 9 pm) and usually between 6-10 units of Apidra a day total. I find that the more insulin I take the more water I retain

[Tattoo azz]

ok errrmmmm
i take between 8-12u of novorapid breakfast, 12- 16u at lunch, 12-20u at eve meal dependant on what i have and then 26u lantus and abt 8u of novorapid before bed so around 60u ish all in all not inc any snacks i may or may not have during the day

[JungleJim]

Average about 31 units a day by pump.

[kidvid]

I see that some of you are way above me, is that because of my honeymooning?

Or is it because I work out 4 times a week in the gym, I run intervals once a week. Also eat smaller(ish) meals every 3 hour. I've got muscles, which would burn sugar, thus keeping the BG down.

Will I get a sudden jump up to 40+ units when honeymoon is over?

Not necessarily. I'm at average 25 units per day after 2.5 years. I don't exercise much. I don't eat too many carbs, but I'm not fanatical. My tests show no insulin production by my pancreas - thus no honeymoon.

Maybe it's because I haven't developed any insulin resistance. I reduced carb intake the day I was diagnosed, and have never gone back.