insulin absorbtion in ex-peritoneal dialysis patient

[swat]

In brief ,I am 60,female,type 1 since last pregnancy (34 yrs ago!). Bolus 4 injections per day 3 of novorapid 1 of lanctus, circa 8,12,8 units per day,22 units at night (lanctus). Every complication in the book bar fatal heart attack/stroke. I repeat every complication including chacot foot and renal failure/transplant. Minor strokes and very nasty DKAs have left me with multi infarcts incuding "shotgun type " damage . I am struggling to manage and administer my blood sugars/insulin.I have been in hospital for 8 of the last 9 months with DKAs,minor stroke,fractured pelvis,broken hip....
When first in hospital control and administering of my insulin is taken away and done strictly to the book by nursing staff. My blood sugars improve and stabilise. When returned to my control and administration they seem to go awry mostly too high (20+), even though I am observed by nurses. There maybe one difference between nursing staff and myself when we inject. They favour upper arm/leg whilst I favour tummy. Prior to my kidney transplant in 2007 I undertook peritoneal dialysis (4 changes per day) for a year or so. After loosing 20 kilos last year my tummy could be described as "loose skinned",still a bit flabby.
So now to my question...... Is there any info/research/knowledge/answers out there regarding insulin absorbtion in someone just like me?

 

[WhitbyJet]

****BUMP****

Welcome to the forum, your post has deeply affected me, you have had a rough ride, I am so sorry.

I am of no use to you, I am type 2, no meds at present, but didnt want to ignore your post and wanted to say I care and that I hope and pray that things settle for you and that you can still enjoy life despite all the dreadful complications that this rotte, cruel disease has thrown at you.

I hope someone more experienced will come along to answer your questions.

Sending hugs x x

 

[noblehead]

As a suggestion Swat I'd think about changing injection sites, you say when the nurses inject you in the arms and thighs your bg improves and stabilses, it might be that you've over-used your tummy and have poor absorption when injecting there, the arms, thighs and buttocks are all available to use and might just improve your control at home.

As a rule insulin is absorbed fastest in the stomach, arms, legs and buttocks, I use the buttocks for my lantus and tummy, arms and legs for my Novorapid, rotating injection sites is a good way of avoiding injection site problems.

Sorry to read about all your problems and wish you luck for the future!