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Does this seem appropriate?

HICHAM_T2

Well-Known Member
Messages
1,447
Location
Morocco
Type of diabetes
Type 2
Treatment type
Diet only
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Nothing
Hi everybody
Does this seem appropriate?
 
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Mixtard 30 has a mix of fast and slow acting insulin and is usually taken twice a day.........so I don't understand why the quicker actrapid insulin has been thrown in the mix.....

Doesn't mean the combination wont work if the patient has the need for it.....
 
If that works for her, IE her BG are reasonable and stable then yes it's appropriate however and not knowing anything about your mother in law she might as well be on a proper MDI regime.

Update: assume the actrapid is there to cover lunch.
 
In theory it makes sense. The short acting components of the Mixtard doses supposedly covers the after breakfast and after dinner blood sugar peaks and the Midday actrapid does for the after lunch time lunch peak with the longer acting portion of each Mixtard supposed to cover the basal action over the 24 hours
What I wonder is how well does the evening Mixtard's long acting part deal with overnight and any Dawn Phenomenon?
Therefore what fasting BSLS and ? 4 am BSL are achieved?
 
hi and thank you everyone
She already has a high level of diabetes in the evening

I also wonder what is useful Actrapid
 
Hi again, @HICHAM_T2, There are other insulin combinations which might be tried if the prescriber is not a one insulin regime fits all type of character!!
 
Hello again. I used this exact insulin combination for 9 years. For me it was bad, because the speed of action of this insulin is so slow. It is totally okay to use Actrapid with lunch. That's what I did and that's what previous doctors approved
 
hi @kitedoc My Friend
what is type Or Kind do You Mean ?
Hi @HICHAM_T2, Apologies I missed your question. A basal bolus regime, short acting insulin before each meal (not Actrapid) and one or two long acting insulin shots. That way the doses can be better adjusted to deal things well the high BSLS in the evening.
 
Okay NP thank You For information
 
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