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<blockquote data-quote="Daibell" data-source="post: 1513134" data-attributes="member: 21149"><p>Hi. You are on the best regime i.e. Basal/Bolus with 4 to 5 injections per day. As you say you need to get these balanced. Can you let us know whether you inject the Lantus once or twice a day? The first thing to do is to get the Lantus balanced. As a very rough guide given to me by my excellent DN was to check that your blood sugar in the morning is between 5 and 7 mmol. The Lantus can be adjusted up or down from there but this must be done one unit at a time and then wait 2-3 days before further adjustment; use the meter to check levels to avoid a hypo. Next are you carb-counting with the NovoRapid? That means adjusting the number of units injected just before each meal to match the carbs in the food. Typically most of us were started on 1 unit of insulin to 10gm of carbs. Again use the meter to see how you are doing; check at least 2 hours after the meal. Although Basal/Bolus is the best regime for</p></blockquote><p></p>
[QUOTE="Daibell, post: 1513134, member: 21149"] Hi. You are on the best regime i.e. Basal/Bolus with 4 to 5 injections per day. As you say you need to get these balanced. Can you let us know whether you inject the Lantus once or twice a day? The first thing to do is to get the Lantus balanced. As a very rough guide given to me by my excellent DN was to check that your blood sugar in the morning is between 5 and 7 mmol. The Lantus can be adjusted up or down from there but this must be done one unit at a time and then wait 2-3 days before further adjustment; use the meter to check levels to avoid a hypo. Next are you carb-counting with the NovoRapid? That means adjusting the number of units injected just before each meal to match the carbs in the food. Typically most of us were started on 1 unit of insulin to 10gm of carbs. Again use the meter to see how you are doing; check at least 2 hours after the meal. Although Basal/Bolus is the best regime for [/QUOTE]
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