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<blockquote data-quote="phoenix" data-source="post: 345465" data-attributes="member: 12578"><p>I'm so sorry that you've had a horrible time of it recently. Stress and the steroids aren't going to help. TBH I'd try for a reasonable result with glucose levels. Over worrying about control isn't going to help <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> </p><p></p><p></p><p></p><p></p><p>It starts to work in about 20 min but its peak action is later</p><p></p><p><a href="http://www.novonordisk.co.in/documents/article_page/document/insulin_analogue_brands.asp" target="_blank">http://www.novonordisk.co.in/documents/ ... brands.asp</a></p><p></p><p> As it lasts from 3-5 hours , it doesn't make sense to think that glucose will be back down to before meal levels at 2 hours. If it was and you were say 5mmol/l before then you might very well be hypo at 3-4 hours. As AMBrennan says the target is usually said to be about 3mmol/l above the pre meal level.</p><p> If you start at 7mmol/l then that would be 10mml/l but I doubt many people get it right every time. </p><p> Your rise is 4mmol/l so not desperately huge. </p><p> . </p><p>I do know that quite a few people think that Novo doesn't have as fast an onset as they say. I have read that they have more success in lowering the post prandial by dosing a bit (careful, a bit means minutes not hours! ) before the meal rather than immediately before eating .I don't do it myself because I'm often in the 4s before a meal and it seems to work quite quickly for me. If I were higher pre meal I think that I would experiment with that.</p><p></p><p>I think that increasing your lantus might help keep background levels down. 5 units sounds a big hike and I can understand you feeling a bit worried. Unless you're going low at sometime of the day (or night) now, why not try increasing it just i unit at a time?</p></blockquote><p></p>
[QUOTE="phoenix, post: 345465, member: 12578"] I'm so sorry that you've had a horrible time of it recently. Stress and the steroids aren't going to help. TBH I'd try for a reasonable result with glucose levels. Over worrying about control isn't going to help :( It starts to work in about 20 min but its peak action is later [url=http://www.novonordisk.co.in/documents/article_page/document/insulin_analogue_brands.asp]http://www.novonordisk.co.in/documents/ ... brands.asp[/url] As it lasts from 3-5 hours , it doesn't make sense to think that glucose will be back down to before meal levels at 2 hours. If it was and you were say 5mmol/l before then you might very well be hypo at 3-4 hours. As AMBrennan says the target is usually said to be about 3mmol/l above the pre meal level. If you start at 7mmol/l then that would be 10mml/l but I doubt many people get it right every time. Your rise is 4mmol/l so not desperately huge. . I do know that quite a few people think that Novo doesn't have as fast an onset as they say. I have read that they have more success in lowering the post prandial by dosing a bit (careful, a bit means minutes not hours! ) before the meal rather than immediately before eating .I don't do it myself because I'm often in the 4s before a meal and it seems to work quite quickly for me. If I were higher pre meal I think that I would experiment with that. I think that increasing your lantus might help keep background levels down. 5 units sounds a big hike and I can understand you feeling a bit worried. Unless you're going low at sometime of the day (or night) now, why not try increasing it just i unit at a time? [/QUOTE]
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