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any preference for mixed insulin
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<blockquote data-quote="EllieM" data-source="post: 2372581" data-attributes="member: 372717"><p>It just amazes me that doctors prescribe insulin without specifying how much to take! That is so negligent....</p><p></p><p>My understanding is that as a T2 you may need <strong>a lot</strong> more insulin than T1s such as myself. Insulin resistance is the reason that extra strong U300 and U500 insulins were produced. So it may just be that you were taking far too little levemir to make a difference. But because you are presumably still producing some of your own insulin you may be in a slightly different position to a T1.</p><p></p><p>If you haven't been using a basal how have your levels been overnight?</p><p></p><p>As regards the mixed dose/fixed dose insulin, it can work but as [USER=20373]@oldgreymare[/USER] and [USER=101136]@Jaylee[/USER] said you have to be very disciplined. It was all the rage 50 years ago when I was diagnosed as a child, but you had to have meals and snacks at fixed times with fixed amounts of carbs. And no real way to do correction doses. (Of course, back then there were no glucometers, so you didn't really know that you needed a correction dose.) The one advantage was that you only had to do one or two injections per day. It's basically a question of modifying your lifestyle to fit your insulin, whereas basal/bolus allows you to modify your insulin to suit your lifestyle.</p><p></p><p>Personally, in your position, I'd work on tweaking my levemir dose before giving up on it altogether, but you do need advice from your team, as dosage varies so much from person to person.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2372581, member: 372717"] It just amazes me that doctors prescribe insulin without specifying how much to take! That is so negligent.... My understanding is that as a T2 you may need [B]a lot[/B] more insulin than T1s such as myself. Insulin resistance is the reason that extra strong U300 and U500 insulins were produced. So it may just be that you were taking far too little levemir to make a difference. But because you are presumably still producing some of your own insulin you may be in a slightly different position to a T1. If you haven't been using a basal how have your levels been overnight? As regards the mixed dose/fixed dose insulin, it can work but as [USER=20373]@oldgreymare[/USER] and [USER=101136]@Jaylee[/USER] said you have to be very disciplined. It was all the rage 50 years ago when I was diagnosed as a child, but you had to have meals and snacks at fixed times with fixed amounts of carbs. And no real way to do correction doses. (Of course, back then there were no glucometers, so you didn't really know that you needed a correction dose.) The one advantage was that you only had to do one or two injections per day. It's basically a question of modifying your lifestyle to fit your insulin, whereas basal/bolus allows you to modify your insulin to suit your lifestyle. Personally, in your position, I'd work on tweaking my levemir dose before giving up on it altogether, but you do need advice from your team, as dosage varies so much from person to person. Good luck. [/QUOTE]
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