hi to you all

[novorapid]

hi everyone i am from montreal canada,have been type 1 now only for 3 years,insulin injections 4 times a day, but i must be honest i don't seem to be doing very well lately have been very high can't seem to get it down to a good level between 4 and 8 here in canada i'm way up in the teens i try to eat correctly but never seems to work for me have any of you ever increased your dosage by a little and does this work for you i think i should try any advice i now take novo rapid 3 times a day 7.5.7 and novo nph before bed 15

[Cinnabon]

Hello there...
I have been a T1 for 22 years and Yes, as your body changes and so on, your dose does too. YOu can ONLY so this SAFELY with a doctor's consent and advise. I take it you have not experienced any Hypos yet? (Low blood sugar). When you start off your body goes through a lot of changes and calls out for different measures, till you find one that works for you. Do you have a doctor now?

[Dewey]

Hi Novorapid!

Welcome to the group! :thumbsup: Personally, I have increased insulin dosages, but only by fractions, or very little bits. However, it would definitely be best to contact your endo or CDE about the need for a change. The only reason I adjust my own doses at times, is because when I first started pump therapy, my doctor put me on a sliding scale for bolusing.

It's very good to meet you, and hope you'll keep us posted on your progress.

[MarkMunday]

novorapid,

If you have only been t1 for three years, your "honeymoon period" is probably coming to an end. That means that your body is no longer producing the insulin it was able to produce earlier on. So you will have to increase the amount of insulin you are injecting.

As cinnabon and dewey say, you need to be careful about how you do this. So speak to your doctor first. And it would be a lot easier to fine-tune your insulin dose if you were using Lantus. So ask your doctor to switch you from NPH to the peakless long-acting Lantus at the same time. When adjusting your insulin, it always makes sense to get the basal action (from the long-acting insulin) sorted first. You will then be able to see what changes are required in your pre-meal boluses.

I have been using insulin for 27 years and I tweak my dosages all the time. There is nothing wrong with this. It helps me get better control. But you need to first get in touch with exactly how your body responds to different stimuli. Like food, sickness, exercise, stress etc.

Cheers,

Mark

[HeatherP]

Welcome Novorapid. My insulin needs change from time to time, sometimes just a bit and other times it seems like a lot. Seeing your doctor and maybe a refresher course with a Dietician sounds like a good idea for starters. I would also encourage you to consider changing to Lantus. I hope you'll visit often and make some new friends!

HeatherP

[novorapid]

thanks for your comments and advice, i go to see my encro in august i shall ask if i can go down to 2 needles a day this 4 times a day is ok but rather bothersome especially as 3 injections are only 7,4.7 then my nightime is 14/15 i think i'd be better off with 2 larger doses per day, but i'll ask my doctor,but i find it hard to keep my carbohydrate intake low, if i do like my dietician says then about an hour after i'm starving again,any advice on this, as i tend to pick about an hour after my main meals, i eat 2 good meals a day maybe lunch will consist of a nice salad or a sandwich but evening time i really go to town with a main meal, breakfast will consist of a cereal ,yoghurt or a piece of toast, but i find if you don't eat salad everything is rather high in carbs, i love to eat tuna and salmon zero carbs but evertyhing else i find is high in carbs.any help on the carb front thanks all..

[Cinnabon]

Always keep in mind that to achieve better control, having your doses split up into those multiple shots, is very beneficial. I used to have 2 a day and find good control splitting that dose up to multiple ones. Believe me, I know how bothersome it is, been at it for 20+ yrs. Good luck!

[Sparkle]

Hi everyone - new girl here!

Type 1 for 2 and a half years - yes like everyone says you need to very gradually increase insulin when eating - just 1 unit at a time. Talk to your diabetes doctor first. It really is difficult to get it right all the time. Maybe they'll get you to increase your night time (only 1 unit at a time again!). I'm on novarapid too but lantus at night.

Do you exercise at all? You can get your sugars down by a bit of walking - keep an eye on them though. I normally reduce insulin with lunch and then walk a bit (not often enough tho!!).

;)

[sparkle9]

Wow! Another Sparkle! I was so surprised when I read you post. Hello and welcome. You will find this forum to be a great place for discussion and support.