Humalin R U500

[CONDUCT]

So just recently I was switched from Humalog to Humalin R U500 in my Medtronic 722 pump.
1 1/2 years later and I am still fighting to get my sugars under control. Seems no matter how much insulain is given I still range from 150 - 250 with a couple times 90 - 130 but when I get in the 100 range I start the shakes.

Current rates are follows
Bolus-
8 Units 3x daily with meals
4 Units with snacks

Basil-
12:00AM - 2:30 AM 1.20U|H
2:31AM - 11:59PM 1.10U|H

The reason behind the nightly increase is because I was getting up between midnight and 3AM about 6 times to use the bathroom. Since this was changed I am up once or twice a week 1 time.

It makes me wonder am I winning or lossing?

[genie86333]

So just recently I was switched from Humalog to Humalin R U500 in my Medtronic 722 pump.
1 1/2 years later and I am still fighting to get my sugars under control. Seems no matter how much insulain is given I still range from 150 - 250 with a couple times 90 - 130 but when I get in the 100 range I start the shakes.

Current rates are follows
Bolus-
8 Units 3x daily with meals
4 Units with snacks

Basil-
12:00AM - 2:30 AM 1.20U|H
2:31AM - 11:59PM 1.10U|H

The reason behind the nightly increase is because I was getting up between midnight and 3AM about 6 times to use the bathroom. Since this was changed I am up once or twice a week 1 time.

It makes me wonder am I winning or lossing?

Sounds like you are winning!

The reason you get the shakes when you get near 100 is because your body has become accustomed to having too-high levels. Once you get used to normal levels, the shakes will stop. When you get the shakes, try eating some protein to level you out (so you don't get lower) but not raise the number too much either, so you get used to it.

You're probably getting up less at night because your blood sugar levels are lowering, so your body isn't desperately flushing glucose down the toilet. Congrats!

[rkicklighter]

Are you carb counting? IMHO, you need to go through the testing schemes for Basal, I:C (Insulin to Carb Ratio) and ISF (Insulin Sensitivity Factor). If you haven't read it, Pumping Insulin is a great book to help you through these tests.

These will help you tweak your pump setting to achieve better control. Currently I have 3 different time of day settings on my pump for each, basal, ISF and I:C.

As stated, if your numbers have been consistantly high for quite a while, 100 will feel like a major low. Been there, done that! It takes some time but those feelings will go away.

RK