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Message: <blockquote data-quote="Katharine" data-source="post: 42608" data-attributes="member: 7958">The novomix is a combination of a long acting insulin and short acting insulin.If your blood sugar at 3am and 8am (with no breakfast) is more than 6.0 you gradually up the dose of the evening shot till it is below 6.0.  If your blood sugar at 1pm(before lunch) and 6pm (before your evening meal) is more than 6.0 you would gradually up the dose of the morning insulin.You are aiming for as normal blood sugars as possible (range 4-5.5) without going hypo/ low. Below 3.3 is truly low blood sugar but in order to give yourself some buffer zone and be safer with tasks such as driving you don't want to go below 4 if you can help it.The fast acting insulin component in each injection will last about 3.5 hours. This gives coverage for breakfast and evening meal carbohydrates but leaves you a bit short at lunch. To get round this, plan to have a meat/poultry/fish/cheese/egg salad or similar low carb meal at lunch for optimal blood sugar control.You can have toast, potatoes, rice, pasta, desserts, fruits, milk (carby foods) with breakfast and dinner but in small enough quantities to keep your two hour post meal blood sugar under control. Under 10 is a reasonable limit. Once you get the hang of things you can always tighten up a bit more.  If you stick with the forum for any length of time you will soon understand the importance of strict glucose control. Meanwhile I hope we can support you in just getting the hang of things a bit better.The site: <a href="http://www.dsolve.com" target="_blank">http://www.dsolve.com</a>  will be a help to you.</blockquote>

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