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Hypers and Humulin I

M

mebird1

Newbie
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4
Hello ,

I don't know of anyone else has the same problem as me but it is something that even the diabetes nurses haven't been able to help me with. I have had type 1 diabetes for 16 years and take humalog as my rapid insulin and humulin I as my long acting. My problem is that when I take my humulin at 9pm 8-12 units my bm normal 4.9-7 then a few hours later when I wake myself up to test its rocketed up to 17-20 which makes me feel rubbish and is not good at all. Whatever I try whether it be a shot of humalog 2 units with the humulin it holds the hyper off for a few hours but I still have a hyper or I wake up land walk my dog and end up having a hypo because of the humalog. I would just like to go the night without a hyper or an early morning hypo. Any suggestions would be greatly appreciated as I am so tired of this as I try so hard to have it under control. I have tired lantus and levemir but had a severe reaction to both that left me in hospital so can't switch so those.

Many thanks x
 
Not used either before but hold tight as someone will be along to help, Fridays and weekends can be a quiet so do be patient.
 
mebird1 said:
Hello ,

I don't know of anyone else has the same problem as me but it is something that even the diabetes nurses haven't been able to help me with. I have had type 1 diabetes for 16 years and take humalog as my rapid insulin and humulin I as my long acting. My problem is that when I take my humulin at 9pm 8-12 units my bm normal 4.9-7 then a few hours later when I wake myself up to test its rocketed up to 17-20 which makes me feel rubbish and is not good at all. Whatever I try whether it be a shot of humalog 2 units with the humulin it holds the hyper off for a few hours but I still have a hyper or I wake up land walk my dog and end up having a hypo because of the humalog. I would just like to go the night without a hyper or an early morning hypo. Any suggestions would be greatly appreciated as I am so tired of this as I try so hard to have it under control. I have tired lantus and levemir but had a severe reaction to both that left me in hospital so can't switch so those.

Many thanks x
Click to expand...

Hi,
have you thought aout or even tried changing the time of humalin? Perhaps bring it forward a couple of hours?
 
I have tried delaying it by having it later so it's at it's peak more during the night rather than early evening but may try it earlier and see if it works better a little closer to my tea time humalog. x thanks
 
When I mentioned some issues I had with profile of Humalin I to my DSN, he suggested splitting it into 2 doses, which I've done ever since. So, I'd ask for advice about that. I have found a proportion (half / half) and times (bedtime, around 10pm - midnight; on waking, around 6am - 9am) that suit me, but that won't suit all bodies and all lifestyles, hence why it's best to speak with a DSN or other diabetes health professional.
 
AS copeod say's a split my suit you better. But do discuss with your dsn.
Another and simpler option is to do a basal test then you can see exactly what is happening with your basal insulin and then you can make an informed decision as to what the next move is.

Here's a profile off insulin's for you to see http://www.diabetes.org.uk/Documents/Ma ... lchart.pdf it shows your insulin doesn't last 24 hours. So suspect as copeod says a split might work better.
 
Im on humilin I can take anywhere between 24 and 30 at night, when I say night, its the last thing i do before bed.

I have had no real issues with it, it does peak over a 4 to 6 hour period, then tails off quite a lot.

I think levemir was better, but refused to take it after a while.
 
CarbsRok said:
AS copeod say's a split my suit you better. But do discuss with your dsn.
Another and simpler option is to do a basal test then you can see exactly what is happening with your basal insulin and then you can make an informed decision as to what the next move is.

Here's a profile off insulin's for you to see http://www.diabetes.org.uk/Documents/Ma ... lchart.pdf it shows your insulin doesn't last 24 hours. So suspect as copeod says a split might work better.
Click to expand...

Stupid question - are we sure that chart is right? Levemir was claimed initially to be a 24 hour insulin but it's now acknowledged that it isn't. The chart has both Lantus and Levemir down as being 24 hour action...?
 
etmsreec said:
CarbsRok said:
AS copeod say's a split my suit you better. But do discuss with your dsn.
Another and simpler option is to do a basal test then you can see exactly what is happening with your basal insulin and then you can make an informed decision as to what the next move is.

Here's a profile off insulin's for you to see http://www.diabetes.org.uk/Documents/Ma ... lchart.pdf it shows your insulin doesn't last 24 hours. So suspect as copeod says a split might work better.
Click to expand...

Stupid question - are we sure that chart is right? Levemir was claimed initially to be a 24 hour insulin but it's now acknowledged that it isn't. The chart has both Lantus and Levemir down as being 24 hour action...?
Click to expand...

Levemir was marketed as a 24 hour insulin and many do use it as such. Even though many also split their dose. So yes the chart is correct. :)
 
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