Units injected per injection/day.

[Cumberland]

Basal is 220-230 units a day

Bolus ratio is 5 units to every 10g carbs

Both high but I was told there’s no upper limit

 

[KK123]

Craig, it matters not what anyone else injects. That is like trying to determine how much insulin a non diabetics body produces on a daily basis compared to another ones. Who knows??? Are you worried you are injecting 'too much' or that your body is too resistant to it? There is no such thing, you inject as much as you need to keep you alive and well. x

Edited to add - just read your earlier post. I am sure nobody would ever say 'this is too much or too little' if your A1c, daily readings and lack of serious hypos/hypers are within range.

 

[WuTwo]

Split Levemir basal of 9 units in the morning, 8 at bedtime.

Breakfast is 1:6, lunch 1:7 and dinner is 1:9

I take whatever I need to cover the carbs I'm about to eat. Sometimes a very small amount, another meal it'll be a hefty amount; it all depends on what I'm eating.

 

[MauroM]

24u - 28u of Lantus at night for basal
1u of Novorapid for every 15g of carbs for bolus (2-6 for each meal, around 12 daily)
I try to keep low carb and exercise, if my routine changed, I'd have to change the doses.

 

[Robinredbreast]

I tend to use around 110 units a day on average, but a comment was made to me recently that it seemed high. Just interested in the feedback from others, as I know it's not a exact science for everyone.

We all may have type 1, but, we are all so very different @Craig1978

 

[Craig1978]

We all may have type 1, but, we are all so very different @Craig1978

For sure, but it seems pretty clear from this that 'normal' is just what works best for the individual. I don't personally know any other people with T1, so it's always good to ask others in a similar situation.

 

[Robinredbreast]

For sure, but it seems pretty clear from this that 'normal' is just what works best for the individual. [/B]I don't personally know any other people with T1, so it's always good to ask others in a similar situation.

Type 1 's management is what is best for the individual, it's a very mixed bag, what's good for me, is unlikely to work for someone else. A good thread @Craig1978

 

[Circuspony]

Some of those doses would kill me! 8 units of Tresiba a day and about the same Novorapid depending on what I'm eating.

I'm very insulin sensitive and a little goes a long way.

 

[Grumpy ole thing]

Hi @Craig1978 , have to agree with @Fairygodmother, sometimes it does seem like it's dependent on your socks, minutes also have an impact, soo hate doing minutes and usually resort to kitkats to make it through the day . Bolus is 1:10 insulin:carbs, (+1 unit at breakfast for dawn chorus), and I cant go over 15 units in 1 go or I end up low. Basal I don't change as it takes too long to react, currently on 11 units am, and 14 units pm. If you're keeping your BS about right it really doesn't matter how much insulin you take.

 

[Craig1978]

Cheers guys for all the replies! I probably should have joined an information source like this years ago! I know I am pretty much on the right track after all these years, but after recent events it's good to hear advice and feedback from others in the same situation.

 

[kitedoc]

Hi @Craig1978, From my reading and experience of seeing many doctors and diet and insulin changes over 52 years:
Not as medical or dietary advice or opinion:
It you google amount of insulin required after a person has had their pancreas gland removed
you get all sorts of answers depending whether it is a child, a woman or a man.
What these answers do not seem to account for is variations in weight, diet, absorption and type of insulin, other hormone conditions etc.
The general rule of thumb I was given back in 1966 when first diagnosed was an adult male without
their pancreas gland would need about 40 units of insulin, presumably injected subcutaneously, per 24 hours.
What I have only realised later is that that assumed a normal weight range (whatever that was back then) and a 'normal diet'
which back then was about 200 g carbs plus per day. Occupation? unspecified - I am assuming it was not
a coal miner, a forester/log and tree chopper or a sheep shearer!!
Today what I am seeing is the following suggestions: Whether you inject insulin according to what you eat and the BSLs are
or eat food to best suit your response to insulin, the general thing is staying at a reasonable HBAC, BSL readings,
weight/BMI and hypo-free with whatever your regime is.
I must admit to becoming more interested lately in what diet works best for me and how one's bowel bugs affect insulin sensitivity and whether artificial sweeteners make this worse and whether particular pre-biotics and probiotics can help.
Best Wishes

 

[mike@work]

Hello there @Craig1978 !

Agree with people here above. Different people and situations, gives a lot of possible different doses.
I use Hypurin Bovine insulins, and at the moment (with keto-low carb with 20 - 25 g carbs/day), I use split basal at 4.5 - 5.5 IU in the morning, and 4.5 - 5.0 IU in the evening. Before meal I take between 0.5 and 1 IU short acting, depending on how my meal is composed.
But as you see, nothing with T1, is written in stone

 

[KK123]

Some of those doses would kill me! 8 units of Tresiba a day and about the same Novorapid depending on what I'm eating.

I'm very insulin sensitive and a little goes a long way.

Me too but then again I reckon I am still in the honeymoon period (diagnosed 2017) and I am also still producing some insulin so am getting 'help' from my body, who knows how it will pan out as time goes on. Another reminder that we are all in different positions. Are you still producing insulin yourself?, it may not just be down to insulin sensitivity but the fact you are still producing some which then adds to that which you inject.

 

[JMK1954]

So are Bovine insulins still being produced in Finland then ? @mike@work
Hope I've done that right. Not used it before.
I use Porcine (pork) insulin for mealtimes ie. for bolus injections, but have had real problems since Bovine (beef) insulins have been discontinued. The info from the company (Wochhardt ?) said that the ingredients to make it were no longer available.

 

[Antje77]

Agree, any dosage is fine.
But as you're curious, I take around 60 units of basal (Tresiba) and anywhere between 23 and 70 units of bolus (Fiasp). Most days aout 30 to 40.

 

[LooperCat]

Any and all doses are fine if they work for you.

FWIW, I fill my pump with 100u to last three days, and there's maybe 10u left when I change it, so I guess I'm using around 30u a day, and as I eat very low carb, 70-90% of my dose is basal rather than bolus.

My ratio for most of the day is 1u:10g but in the morning it's 1:7

 

[mike@work]

So are Bovine insulins still being produced in Finland then ? @mike@work
Hope I've done that right. Not used it before.
I use Porcine (pork) insulin for mealtimes ie. for bolus injections, but have had real problems since Bovine (beef) insulins have been discontinued. The info from the company (Wochhardt ?) said that the ingredients to make it were no longer available.

Edited to insert a hello, so

Hello, @JMK1954 !

Nope - they are produced in the UK
Bovine insulins have not been produced for a little while, but best before stamp is dated in May, and they are therefore still usable. I'm about to switch to Hypurin Porcine very soon, and they will be available also in the future, according to the producer Wockhardt UK Ltd. I think that if you have used Bovine (Lente?) before, there should not bee too much of a problem switching to Porcine insulins, meaning also the long acting, if you need that sort. Only possible noticeable effects/problems could be a bit different action curves, especially as Porcine's active time is about 24 hours, when Bovine Lente had an active time of up to 30 hours. Hypurin insulins are, by the way, the last non-synthetic insulins left in the western world, so it's in my opinion a bit strange they are not offered as an alternative for those, who have problems with other insulins - Big Pharma and profits?

 

[Circuspony]

Me too but then again I reckon I am still in the honeymoon period (diagnosed 2017) and I am also still producing some insulin so am getting 'help' from my body, who knows how it will pan out as time goes on. Another reminder that we are all in different positions. Are you still producing insulin yourself?, it may not just be down to insulin sensitivity but the fact you are still producing some which then adds to that which you inject.

I had a 2 hour mixed meal tolerance test last Nov which showed I'm still producing a bit of insulin, but with a very 'sluggish' response. Last week though my pancreas obviously woke up. A week of lows and a reminder that Tresiba is not flexible if you need to lower the dosage in a hurry.

I'm quite active which I think helps too with insulin sensitivity

 

[JMK1954]

Hello again @mike@work,
Thank you, that's the mystery solved then. I'm afraid the only basal Porcine insulin is Porcine Isophane. I found it more powerful than Bovine Lente when I was put on it once before years ago. My current specialist nurse has recommended too many units of everything I've tried over the last few months, including this. I may yet have to return to it, because I do not find Lantus is without problems either. The fact that it does not last 24 hours can sometimes be a problem. I agree that for those of us who have problems on other insulins, animal insulins should be available as a right. Unfortunately, the pharmaceutical companies have no interest in the relatively small numbers of us who need animal insulin, while doctors who have no experience of animal insulin being used seem to be really scared by it.

Hope your switch to a Porcine insulin goes smoothly and gives you stable levels. That's all any of us want.

 

[mike@work]

Hello again @mike@work,
Thank you, that's the mystery solved then. I'm afraid the only basal Porcine insulin is Porcine Isophane. I found it more powerful than Bovine Lente when I was put on it once before years ago. My current specialist nurse has recommended too many units of everything I've tried over the last few months, including this. I may yet have to return to it, because I do not find Lantus is without problems either. The fact that it does not last 24 hours can sometimes be a problem. I agree that for those of us who have problems on other insulins, animal insulins should be available as a right. Unfortunately, the pharmaceutical companies have no interest in the relatively small numbers of us who need animal insulin, while doctors who have no experience of animal insulin being used seem to be really scared by it.

Hope your switch to a Porcine insulin goes smoothly and gives you stable levels. That's all any of us want.

And hi @JMK1954 again!

I suppose I (and maybe you?) have to split our basal in 3 parts, partly because of Porcine Isophane's shorter duration. I'm going to try a split like morning, early afternoon, and late evening - we'll see how it turns out. And as a small reassurance and comfort - I once tried Lantus, and the effect it had on me was like I was walking around like a zombie. Did try to get it working, for almost 4 months...
And a little P.S. You can CLAIM to get animal insulins, as long as they are available, but you probably have to take a fight for your rights - I did that, to get my Porcine prescription.

Edited to add: Have you taken notice of the fact, that these animal insulins does not have a uniform action curve? Their initializing time is quite powerful, and levels out after a few hours. This means you probably have to compensate with a snack.