[Erin]

Yes, 70/30 will decrease your blood sugar... it is insulin. And I imagine for some people it works well. I think it is a less precise level of control that relies a great deal on eating the same foods at the same times daily. I don't know how much it is prescribed worldwide but I know it is not generally prescribed for type 1's in the US.

The question is what kind of control you want. You seem to want to be able to fine tune your blood sugar levels, which is wonderful! You're not going to be able to do that on 70/30. When you find a dose that works for you, you'll get a ballpark and as long as you eat basically the same amount of carbs every day you'll get along ok.

But let me just illustrate what the advantages of a seperate long and short acting insulin is. 1) You can match insulin dose to food, rather than food to your insulin dose. (this allows much more flexibility in what and when you eat) 2).You can take a correction shot of just fast acting to correct a high immediately, without having to wait. 3). Once you work out your basal needs (long acting insulin) you can skip meals no problem.

And let me just say that while the level of precision I get on MDI is much better than that available with a mixed insulin, the level of precision available with a pump is much greater than that! So you might ask why does anyone still use MDI, when pumps are so much better? Personal preference. I think the key is finding the way to control your diabetes that works for you. You seem to be a smart person who is very interested in managing your diabetes and understanding the highs and the lows and why they happen. I think you'd be an excellent candidate for a treatment regimen that affords you more control over your blood sugar. That would also allow you more flexibility in when you eat, sleep, and exercise. And we all know that tighter control means feeling better and avoiding complications, so we all have to find the way to get the tightest control we're comfortable with.

And yeah, you're probably still honeymooning, which accounts for some of the variability of your numbers, and which is also probably shielding you from extreme highs.

[singh]

thx , hy umm but i didnt get one part still how would my nos after 1:30 hrs of eating increase rather than decrease with increase in dose? i am bit confused thr bcoz i ate same food for last two nights

[Erin]

Originally Posted by singh

thx , hy umm but i didnt get one part still how would my nos after 1:30 hrs of eating increase rather than decrease with increase in dose? i am bit confused thr bcoz i ate same food for last two nights

Well, you said yourself that you are probably honeymooning. Your body may have released some insulin the day that your blood sugar was lower.

Also, what was your blood sugar before dinner? If it was higher one day than the other, it would be natural to have a higher after dinner number unless you took a correction bolus, which you can't with your type of insulin.

Other possibilities, the insulin wasn't mixed properly, so you actually got less short acting insulin even though you injected more total units.

You were more active early in the day when the number was lower.

You had something on your hand when you got the higher number.

You thought you ate the same amount but really ate slightly more food.

The possibilities are endless. If you are female I'd blame hormones. It's always the hormones. It's really hard to tell without being you. What do you think?

[fgummett]

Not sure if it has already been mentioned but there is the issue with variability in the level of absorption of insulin from one day to the next... I have read a difference of 40-50% in some literature... Another reason to consider smaller and more frequent injections of fast acting insulin as more reliable; because larger injections have a greater variability in absorption. Sorry but it just isn't an exact science.

[TenderVittleS]

I notice also that you can eat the same foods, same amount of medicine, same time of day, and still have completely different readings. It's not like 1+1=2 with diabetes. Your body is always changing, insulin is also a hormone also. As much as we try to do our best it will never be as easy as it should, but come pretty close.

[singh]

umm can honeymooning create variable no's a lott?Also as i am new to this how woudl i knw if my honeymoon period is over and after when honeymoon period is over are u on more stable dose unless u eat somethin out of order a lott or ur dose varies even then??

[singh]

hy thx guys for all ur replies. i dunno if this makes any sense but can it be possible that i already mke some insulin and with increase in dose for some reason increased by bg level rather than decreasing it as i had enough insulin in my body ?
Also is it possible that my digestion has gone bad bcoz i noticed that i am not going to loo that often for last 6-7 days?

[Erin]

Originally Posted by singh

hy thx guys for all ur replies. i dunno if this makes any sense but can it be possible that i already mke some insulin and with increase in dose for some reason increased by bg level rather than decreasing it as i had enough insulin in my body ?

no. If you already had enough insulin in your body and you added more you would have a low blood sugar not a high blood sugar. If you had a low and then rebounded (if you go low sometimes your body releases glucose and you end up high) you would have felt it.

Originally Posted by singh

Also is it possible that my digestion has gone bad bcoz i noticed that i am not going to loo that often for last 6-7 days?

I don't know about your digestion, if you're having problems I'd see a doctor. If you are sick that can lead to high blood sugars also.

[singh]

ya ur right absouletely right i felt low , i felt bit dizzy thats y i checked my sugar bcoz i thought i went low but instead it showed 220 which scared me and i walked out to walk to get it low again.

[mazea]

I would try the long acting and short acting insulins separately and then do a basal test. The basal test would make sure you are taking the amount of basal insulin. If you are taking the right around of basal insulin, which should be neither rising or dropping at fasting times, you can then move onto getting your short acting insulin amount.

The mixes don't allow you to check your basal insulin, and it sounds like you need to do some tests. Or at least try another mixture of the basal and bolus insulins you are taking.

I've been trying different levels with my basal insulin and I found that when I wasn't taking enough basal(long acting) insulin, my blood glucose level was jumping all over the place and I required large amounts of novorapid insulin in the morning and was having hypos. When I was taking the right amount of basal insulin, my blood glucose levels were flat all day. and when I took too much basal insulin, I woke up with low blood sugar levels. Your blood sugar levels stabilise if you get the right basal insulin: bolus insulin ratio.

[Kendall]

Another option if you are dead set against a mid-day shot, is to switch to a fast acting insulin and NPH in the morning. That would cover breakfast (the fast acting) and lunch (NPH). Then a fast acting to cover dinner and NPH at bedtime.

Before I was on a pump (circa 1997), this was what I did as I didn't want to take any shots at school. I did have problems with mid-morning lows however when the fast acting was still working and the NPH started working. I would see this as not quite as ideal as a basal/bolus insulin regimen, but better than having a fixed mix of insulin. At least with fast and NPH you can change the insulins independently.

[singh]

thx for that , its an alternative