Hi
@Tracie1212, As a T1D, not as professional advice or opinion. And I am not wishing to criticise any insulin just pointing out about
how an insulin's action, dosage etc needs to be tailored to the person, not have the person being a contortionist to fit in with what the insulin is supposed to do or what the HCPs think it should do.
As I recall you have been experiencing a number of health troubles recently.
One would think that with such troubles one would need one to have some flexibility in one's insulin doses and types.
My view on insulins reputed to last greater than 24 hours and nearer perhaps 36 hours in some people, and it is a personal view, is that it is so long acting that any correction in dosage might take days to show up. That is fine if day to day one's life is fairly even and the combo of short and long acting insulin balances things nicely But
long-long acting insulins could likened to a very long ocean liner that any move of the steering wheel takes ages to show a change in direction.
Add to that how does anyone know if these insulins last 28 hours in everyone or longer maybe? Just because the drug company blurbs might say 28 hours (and doctors and nurses might have read that) does not prove it with everyone. What if it lasts say 32 hours so that there is an overlap of say 8 hours with yesterday's injection of long-long acting insulin?
The dosages might be stacking up making hypos more likely.
My endo and diabetes nurse are always concerned that my diabetes control does not lead to recurring hypos, particularly at night.
Hypos, they both say, are more immediately dangerous than the high blood sugars. And your endo is saying put up with this for the next 6 months??
Yes, I agree that whilst tiredness from recurring hypos would certainly tire me out that other things need checking.
BUT - would your nurse perhaps listen to you about having a more flexible regime? You know that fiddling with your current long-acting insulin is not getting you anywhere fast except for further hypo risk.
Recurring hypos is one very legitimate reason to consider an insulin pump for example where at least flexibility is easier (usually)!! to achieve and hypos to be prevented ??
And those of one a pump know that the
basal insulin requirements vary say between morning and evening. One cannot as easily 'tune' one's long-acting insulin to account for this. Or perhaps a less long acting insulin which can be altered more easily to prevent hypos at night.
Also, my view, is that some. not all, doctors and nurses like to try new things - not on themselves but their patients!! There is the thought that being newer it should be better. But that is like saying that the new product is a fancy glove, if it fits perfectly well and good, but if it does not why try to have one's hand forced into it when it does not fit?
And is expecting you to undergo another 6 months of battling away on this long-acting insulin, just to 'deserve' say a pump or change to another insulin whilst hypos reign, a fair thing for you? The doctor and the nurse are not inconvenienced or facing evenings/nights with dread, are they?
Please consider what I have said as thoughts with which to decide if you wish to challenge the current situation you have been relegated to. It is just a point of view, that we are individuals each with different needs and our individuality needs to be fully acknowledged by HCPs.
Time does not always heal if we are placed on the wrong track. If you have someone who could advocate for you that might also help. I do not have that local knowledge but ? advocates for people seeking pumps or seeking redress about their treatment maybe??
Best Wishes to a more energetic and less hypo future!!