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11-03-2009, 01:44 PM
| | Junior Member | | Join Date: Jul 2008
Posts: 20
| | | "Using Insulin" by Walsh(available from Amazon) was very helpful to me when I started using insulin.It shows how to determine
correct bolus and basal insulin doses.You have to count carbs
and let that determine the bolus units for each meal.Keeping
carbs low will require less bolus insulin.
Good luck
Eddie |
11-03-2009, 02:14 PM
| | Member
I am a: Type 1 | | Join Date: Oct 2009
Posts: 105
| | Quote:
Originally Posted by rededmcm  "Using Insulin" by Walsh(available from Amazon) was very helpful to me when I started using insulin.It shows how to determine
correct bolus and basal insulin doses.You have to count carbs
and let that determine the bolus units for each meal.Keeping
carbs low will require less bolus insulin.
Good luck
Eddie | I ordered that book a few days ago. It's supposed to be here tomorrow. Thanks, Eddie.
__________________
Alright! I know I'm in there! If I don't come out, I'll have to come in after me!
Misdiagnosed T2 September 2009 with a BG of 1,240
Diagnosed T1 November 2009
A1c 9.4% November 2009
Novolog MDI
Lantus 25 morning / 30 evening
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11-03-2009, 02:38 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Nov 2008 Location: Topanga CA
Posts: 762
| | Quote:
Originally Posted by gary.keith Two hour PP was 80.
Jen, yep so far DP has been my only ongoing battle that I can't seem to win. Right now I'm stuck between two options that I can see. First is keeping something slightly carby on my nightstand and have that as soon as I wake up. Second is bolusing a small amount to cover it until breakfast. | If you can identifiy when your DP starts, a small bolus really does the trick. I did a lot of testing starting at about 3:00 a.m. and continuing hourly until the mystery was solved. It turns out that somewhere between 6:30 and 7:00 a.m. is my "witching hour". I do a 1/2 unit bolus at 6:15 a.m. no matter what my BG is at that time (unless it's high already - then I also correct). This keeps me in the 75 to 90 range before breakfast most of the time.
By the way.."Using Insulin" is a great book. I've referred to it many times, and use it to this day.
Jen |
11-03-2009, 02:38 PM
| | Junior Member
I am a: Type 1 | | Join Date: Nov 2009 Location: Andover, MA
Posts: 3
| | | what I do
Hi, Gary -
I am new to this group, but not to diabetes. There is something called insulin resistance which means your body just kinda gives up when sugars have been high for awhile. It just means that your body isn't utilizing the insulin very well at all. My encounters with insulin resistance produce exactly the symptoms you are describing. The ONLY thing I have found to "reset" my ability to utilize insulin, other than an extended period of normal sugars, is VIGOROUS excercise. I'll play basketball or ultimate and that has ALWAYS snapped me back. Moderate exercise, however, has not---at least for me.
One note of caution: the tendency is to keep pouring more insulin into the problem. When I have done so, it has sort of been like this: isn't working...isn't working...isn't working...oops, the floodgates just opened and I'm way low. So if you do pour insulin on the problem, please be sure to test frequently. But try some vigorous exercise. It works for me 100% of the time and it's not a bad thing, in general.
If you do try that, let us know how it goes.
Warm regards,
-jeff Quote:
Originally Posted by gary.keith I tested my BG this morning upon awakening and it was, as usual, slightly high at 147. So I bolused 3 units of Novolog.
Yes, I know I said I'd wait before doing this on my own, but it's my body and my life and if the endo doesn't like it that's her problem!
An hour later I tested again and my BG was up to 169. At that point I was ready for breakfast so I bolused my prescribed 25 units of Novolog and proceeded to make breakfast. Half a cup of hot rolled oats with a tablespoon of Agave nectar. Two scrambled egg beaters. In all a 67 carb breakfast. Note to self: we really need a lower carb breakfast.
An hour later I checked my BG again and it was 245! That's never happened before.
And so here I sit wondering what I should do. I'm thinking about an 11 unit bolus of Novolog, which is what my logging software is recommending.
I know you folks can't tell me what to do. So how about I ask what would you do in a situation like this? |  |
11-03-2009, 02:53 PM
|  | Senior Member
I am a: Type 2 | | Join Date: Aug 2009 Location: Richmond, VA
Posts: 654
| | This is probably a stupid question, but is Novolog fast acting? I thought the Novorapid (or something) was the fast acting insulin.
Sorry if I'm butting in unnecessarily. 
Edit: I just googled it, so, double-ignore me.
__________________
-Jeremy
8/13/09 (Dx) A1c: 9.5 FBG: 320
10/12/09 Avg BG: 104 Avg FBG: 96
Metformin XR 500mg once daily
Low(ish) Carber @ < ~60g-75g per day
Comin' along! |
11-03-2009, 03:24 PM
|  | Senior Member
I am a: Type 2 | | Join Date: Jul 2009 Location: Michigan
Posts: 536
| | Quote:
Originally Posted by gary.keith
And so here I sit wondering what I should do. I'm thinking about an 11 unit bolus of Novolog, which is what my logging software is recommending.
I know you folks can't tell me what to do. So how about I ask what would you do in a situation like this?
| Next time try a big glass of water with your meal. Sounds silly but sometimes with me instead of taking more insulin I drink water and it helps bring the numbers down. I learned that from my dietition.
__________________
Poppy 
Current Meds
Lantus 26 units Split dose
Novolog as needed
Metformin 1500mg
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11-03-2009, 03:25 PM
| | Senior Member
I am a: Type 2 | | Join Date: Jul 2009 Location: Michigan
Posts: 536
| | Quote:
Originally Posted by jer.lawrence This is probably a stupid question, but is Novolog fast acting? I thought the Novorapid (or something) was the fast acting insulin.
Sorry if I'm butting in unnecessarily.
Edit: I just googled it, so, double-ignore me. | Novolog is fast acting also. There are different types
__________________
Poppy
Current Meds
Lantus 26 units Split dose
Novolog as needed
Metformin 1500mg
|
11-04-2009, 03:53 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2008 Location: Melbourne Australia
Posts: 4,476
| | | Novolog and Novorapid = exactly the same, just different marketing terms. These are one rapid acting, the current alternatives are Humalog and Apidra.
Gary, glad you got through it all ok. Enjoy the John Walsh book, it will really inform.
__________________
−− Type 1 since 1991
≈≈ Minimed Paradigm 722 since 2007
~~ Metformin ER since Sep 2009 |
11-04-2009, 08:47 AM
| | Member
I am a: Type 1 | | Join Date: Oct 2009
Posts: 105
| | Quote:
Originally Posted by jenb If you can identifiy when your DP starts, a small bolus really does the trick. | I was going to follow your suggestion last night, but it was a full moon so nothing went right!  I went to bed high at about 11:30pm, bolused a few units to try and cover it, fell asleep so I couldn't check if the bolus worked, woke up at about 3:30am with BG at 145, woke up again at 9:15am with BG at 172. Clearly I missed the onset of DP so I'll try again tonight. Quote:
Originally Posted by chucklejeff The ONLY thing I have found to "reset" my ability to utilize insulin, other than an extended period of normal sugars, is VIGOROUS excercise. | I miss being able to exercise. I'm out of the game for now awaiting a new right hip because I seriously injured it many years ago in a rock climbing accident and now it's to the point that even walking more than a hundred yards or so is painful. Quote:
Originally Posted by dbaratta Next time try a big glass of water with your meal. Sounds silly but sometimes with me instead of taking more insulin I drink water and it helps bring the numbers down. I learned that from my dietition. | I drink a bit over two liters of water a day. Should I increase it? Or perhaps just drink more when I see that my numbers are high?
__________________
Alright! I know I'm in there! If I don't come out, I'll have to come in after me!
Misdiagnosed T2 September 2009 with a BG of 1,240
Diagnosed T1 November 2009
A1c 9.4% November 2009
Novolog MDI
Lantus 25 morning / 30 evening
|
11-04-2009, 09:27 AM
| | Member
I am a: Type 1 | | Join Date: Oct 2009
Posts: 105
| | Sometimes I wonder why I bother trying to do all the right things.
Pre-breakfast BG was 172. Bolused the prescribed 25 units of Novolog. Had the same 67 carb breakfast as yesterday. Two hour PP is 230!
New day, same old same old. 
__________________
Alright! I know I'm in there! If I don't come out, I'll have to come in after me!
Misdiagnosed T2 September 2009 with a BG of 1,240
Diagnosed T1 November 2009
A1c 9.4% November 2009
Novolog MDI
Lantus 25 morning / 30 evening
|
11-04-2009, 09:28 AM
| | Senior Member
I am a: Type 1 | | Join Date: Nov 2008 Location: Topanga CA
Posts: 762
| | Quote:
Originally Posted by gary.keith I was going to follow your suggestion last night, but it was a full moon so nothing went right! I went to bed high at about 11:30pm, bolused a few units to try and cover it, fell asleep so I couldn't check if the bolus worked, woke up at about 3:30am with BG at 145, woke up again at 9:15am with BG at 172. Clearly I missed the onset of DP so I'll try again tonight. | The past few days I've been waking up very high (115-120) and have been totally frustrated. It was tempting to blame it on the full moon, but I finally realized today that the change from daylight savings has me sleeping an hour later (duh!) and I've missed my comfortable little pre-DP window. So many details, so little brain power  .
Jen |
11-04-2009, 09:31 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 5,434
| | Quote:
Originally Posted by gary.keith
Pre-breakfast BG was 172. Bolused the prescribed 25 units of Novolog. Had the same 67 carb breakfast as yesterday. Two hour PP is 230!
New day, same old same old. | That is a lot of carbs, especially if you are already high. Can you try lowering it to see what happens?
__________________
Linda Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8 According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA. |
11-04-2009, 09:35 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,283
| | Especially a lot of carbs for breakfast... many seem to report find a different tolerance to carbs throughout the day, with early morning being the worst.
I suggest you do a web search on "Dr Bernstein's Law of Small Numbers" (you can even read it online for free, gratis and for nuthin'!)... unless you want more roller coaster rides like yesterday
__________________
Frank
51 year old male, Metabolic Syndrome Dx Mar. 2003 |
11-04-2009, 09:41 AM
| | Senior Member
I am a: Type 1 | | Join Date: Mar 2008 Location: Cambridge, MA
Posts: 544
| | | This is coming from a T1 so a slightly different ballgame, but I find when i go high like that I also start becoming insulin resistent...if i'm that high i wait to eat, or don't eat carby. On top of that, breakfast is the hardest time of the day for me to cover carbs. Even small amounts take a larger bolus. If I were 172 in the morning I'd have to do a correction and wait it out sans food. It can be such a frustratingly difficult game to play, I feel for you!
__________________
Gretchen
MM 522 pump (blue) since May 2007 (RIP Becky (07/25/09), long live new blue Becky II)
CGMS-ing since November 2007
DXd April 1993 @ 30 years of age, Type 1
A1Cs: 7.4 (12/07); 6.6 (03/08); 6.0 (06/08); 5.8 (10/08); 5.8 (02/09); 5.7 (07/09)
"I slit the sheet, the sheet I slit, and on the slitted sheet I sit." - Navin R. Johnson, The Jerk |
11-04-2009, 09:42 AM
| | Member
I am a: Type 1 | | Join Date: Oct 2009
Posts: 105
| | Quote:
Originally Posted by jenb The past few days I've been waking up very high (115-120) and have been totally frustrated. It was tempting to blame it on the full moon, but I finally realized today that the change from daylight savings has me sleeping an hour later (duh!) and I've missed my comfortable little pre-DP window. So many details, so little brain power . Jen | This seemed to start when we made the switch, so maybe that's the problem for me, too. I'm sleeping until 9am now instead of only until 8am. Which means I'm taking my morning bolus an hour later too. Hopefully I can get back to a normal sleep schedule soon. Quote:
Originally Posted by foxl That is a lot of carbs, especially if you are already high. Can you try lowering it to see what happens? | Quote:
Originally Posted by fgummett Especially a lot of carbs for breakfast... | I agree, but it's endo-approved. Still, tomorrow I'll try some extra Egg Beaters and skip the carby stuff like rolled oats or waffles.
__________________
Alright! I know I'm in there! If I don't come out, I'll have to come in after me!
Misdiagnosed T2 September 2009 with a BG of 1,240
Diagnosed T1 November 2009
A1c 9.4% November 2009
Novolog MDI
Lantus 25 morning / 30 evening
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