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Rob43

How many insulin shots do you take a day?

How many insulin shots do you take a day?   142 members have voted

  1. 1. How many insulin shots do you take a day?

    • 1 a day.
      14
    • 2
      14
    • 3
      8
    • 4
      46
    • 5
      30
    • 6
      17
    • 7
      4
    • 8 or more insulin shots a day.
      11

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36 posts in this topic

Hi, My doctor has put me on four insulin shots a day. Three before meals and one at night before bedtime. What worries me is the real bad BG lows because I live alone and if I got into coma there is nobody to help me.

 

Thanks, Rob

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Hey, Rob --

 

I do the same as you. And, I know I worried a lot when I first started on insulin and then again when I changed from a premix to the 4x like you are now. Just keep an eye on yourself, test a lot, make sure you have glucose tablets around close (or some kind of soda / candy). Hopefully you'll do about like I did and get more and more at ease based on how you feel and your test numbers :)

 

Jill

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I'm thinking about going to another doctor at St Thomas Hospital in Nashville for a second opinion about my diabetes and with all these insulin shots. My doctor here in this small town must have aleast 10,000 patients.

 

Rob

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Your confidence will grow over time.

 

My critical times are middle of the night, late afternoon before supper, and the hour before lunch. I've had very bad experiences napping.

 

I can't guarantee your liver will always pull you out, but it does do a hellava job! I suggest you make your quarters as safe as you can: basically make it as drunk proof as possible. You're more likely to get injured stumbling around or convulsing than go into a coma.

 

Get an alarm with multiple settings. I use my cell phone. If I go to bed in doubt about my BGs or take a nap, I set multiple alarms to get me up at regular intervals to test, usually every two hours. It has saved my butt.

 

Go through a pre-bedtime routine to assess your likelyhood of going low. I can't give you any details, but make it a habit. Most of my bad ones were due to me making lame assumptions that if I thought hard about, I probably would have handled differently.

 

Learn your hypo symptoms. I'd even get someone to supervise me dropping low intentionally so I could experience them. Most of us have no need of this, but you don't have the luxury of family or partner support. If you are old like me, it won't help your sleeping hypos.

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My doctor has told me this is one reason to be married. :D Living alone can have it's down side. What about a device called First Alert so I can wear a botton on my wrist for me to get for help when I need it. My diabetic aunt has this. Someone told me diabetic comas you cann't move and talk. Is this true?

 

Thanks, Rob

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Quit worrying! You have a good doctor. Sounds like you are on an MDI regimen. The bad doctors put their patients on one or two shots of a mixed insulin each day. And that doesn't work!

 

Learn how to match your premeal bolus insulin shots to your premeal BG plus the carbs you are planning to eat. Your evening basal shot can be taken in the morning avoiding the worry of a middle-of-the-night low. And all through your initial adjustment period, test, test, test.

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When I was on MDI, I took 2 shots of ultra-lente morning & evening and as many humalog shots as meals or high bgs required - averaged 4 a day I'd guess.

Mike

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I voted based on when I used to take shots. It varied, but I took 2 basal a day and 3-5 based on what I was eating and correction.

 

Taking more shots a day actually LOWERS your risk of having bad hypos. Instead of relying on unreliable long acting insulin to peak when you need it to, you're taking very short acting insulin exactly when you need it.

 

Type 2s, even those on insulin, aren't at a high risk of having severe hypos. Testing a lot will help you avoid severe lows.

 

Yes, get a second opinion, it's a good idea. But I doubt the opinion will differ much. The way your doctor has you doing things is pretty standard.

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I take a minimum of 5 shots a day but this can increase depending on whats going down on that particular day. Other times if I'm not eating well I might only have three. So I suppose a minimum of 2 Lantus shots and the rest as and when needed.

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I chose 5...I take lantus 2x daily, and if I eat three times a day then I total 5...some days it's less, some more.

I understand your concerns, I felt the same way when I went to more than 2 shots a day. You gain confidence as you go. Don't be afraid to test OFTEN, for that's how you'll learn how it's all working for you.

And it's true, you are less prone to hypos with more shots. My life was a nightmare all the years I only took two...since I switched over to this method I've got the hypos down to 1 or 2 a week, sometimes less, and I generally know when it will happen.

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I push my bolus button about 8 times a day, so do I get a vote? LOL

 

With that said, with modern insulin it's alot harder for you to suddenly drop for no reason. Lantus/Levemir has a pretty flat profile. If you are on Apidra/Humalog/Novolog then test right before bed and think on how long ago the last shot was of one of those. That will help to determine if you should drop lower overnight or not. If you think you might, set an alarm and wake up 2 hours later to test.

 

One key thing to remember with insulin is you should test EVERYTIME before you inject and then right before you go to bed. It's just a safety measure.

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When I was on multiple daily injections, I took as many as 6 per day. Is there a friend or someone you could have check on you from time to time? I also thought of those dogs that can sense lows, but not sure if that idea appeals to you or if you can have dogs where you live.

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I generally have 5 sometimes 6 or 7 depending what's available to eat but the size of me tells to say no and to take insulin accordingly. :( But hey I have an affair with Levemir. :D

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Quit worrying! You have a good doctor. Sounds like you are on an MDI regimen. The bad doctors put their patients on one or two shots of a mixed insulin each day. And that doesn't work!

 

Learn how to match your premeal bolus insulin shots to your premeal BG plus the carbs you are planning to eat. Your evening basal shot can be taken in the morning avoiding the worry of a middle-of-the-night low. And all through your initial adjustment period, test, test, test.

 

 

What is a MDI regimen?

 

Rob

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When I was on multiple daily injections, I took as many as 6 per day. Is there a friend or someone you could have check on you from time to time? I also thought of those dogs that can sense lows, but not sure if that idea appeals to you or if you can have dogs where you live.

 

Hi, I have two dogs now that stay with me in the house.

 

Rob.

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rob, i felt scared just like you when i first started on mdi (multiple daily injections), i too live alone.

 

i just had to make sure that i manage my BG's in a sensible manner, eventually i learned what my insulins would do for me, after a while i relaxed into it.

 

you will learn that insulin is the best thing for managing your D, and it is long term, you just need to learn what you can about it...and take it easy on yourself ;)

 

EDIT: i forgot to mention that pre-pumping i would take up to 8 shots per day, wasnt sure if i qualify to vote of not though ;)

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Rob, others have already said it really, but 4 shots or more means better control and you're LESS likely to have troubles with lows. Of course, when you first change you'll have to keep a close eye on things, but once you have your dosages sorted out it should be good for you.

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I checked (6) on MDI...some days as little as 4...some days more...depends on corrections, snacks and split boluses...which I do for dinner quite a bit.

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When I first replied to this, I was on one shot a day at bedtime. Since then, I am now up to 4 - 5 shots per day.

 

Regards,

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Depends on the day with me, can be as little as two ot three, could be as many as 8+ ---------depends on whether I'm feeling Piggy about food that day or not.

 

Normal is 5 or 6.

 

 

JediSkipdogg

 

I push my bolus button about 8 times a day, so do I get a vote? LOL

 

Hah, the Truth is out, Jedi Really is just a button pusher.:D

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I was alseep when i voted :o, i only choose 3 because i had only done 3 shots that day (missed breakfast) normaly i would do 4 + corrections if needed. ;)

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I don't have a specific quantitive routine as to how many shots I will have in a day. I always have at least one (my lantus) but if I don't eat the next day, or I am exercising all day long all I need is that one. If it's a heavy eating day I can give up to three shots per meal.

 

On average I would have to guess 6 a day.

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