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Insulin doesn't work!!
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<blockquote data-quote="Pneu" data-source="post: 215699" data-attributes="member: 28827"><p>ok some comments here... </p><p></p><p>although some people may find the amounts you are inject massive and they are I was in the same position a few years ago... some evenings I would inject 150+ units of novorapid?! and still have out of control BG's... </p><p></p><p>You have a number of factors working against you here:</p><p></p><p>1. Your high starting BG's mean ALL of your insulin is less effective</p><p>2. Your carb intake is on the high side</p><p></p><p>I would not normally make such direct suggestions but I believe in your case I have lived through the same so I can tell you what I done...</p><p></p><p>1. In the short-medium terms you are going to need to reduce your carbohydrate intake drastically.. I would suggest 20 - 25g per meal initially. This will stop fuelling those high fasting BG's... you can find loads of ideas on low-carb food in the forum on here.</p><p></p><p>2. You need to get your fasting sugars under control.. what I would suggest is set a day aside.. make sure you have someone with you, glucose tablets and a testing machine with loads of test strips... Take a measurement of your BG's and start correcting.. test every 30 mins, keep going until you can get the readings down... for now aim for 10 - 12 mmol/l you need to be careful because as you drop the insulin will increase in effectiveness.. for your meals inject as usual and spend the whole day if you need to getting your bg's right.. </p><p></p><p>3. Inject you lantus as usual before bed... set your alarm for every 2 hours and test your sugars.. record what your bg's do... if your readings increase then you need more lantus.. so in your morning injection increase the units... then again its going to be a matter of testing and seeing what the bg's do.. This is going to take some time to get correct but you just keep monitoring your BG levels over fasting periods until they stay stable.. it doesn't matter to much now if that level is say 10 - 12 mmol/l as long as its consistent! This will probably take a couple of weeks until you get your lantus correct..</p><p></p><p>4. once you have stable basal you can begin to work on bringing those fasting sugars down.. start by working out your correct novo ratios... then day by day bring those 10 - 12 mmol/l levels down to 7 - 8 mmol/l.. as these levels drop your insulin sensitivity will further increase so keep a watchful eye and TEST TEST TEST...</p><p></p><p>5. now your levels are generally lower you will probably need to adjust your lantus so repeat step 3... then back on to step 4 and reduce your fasting levels until they are correct.. repeat and rinse as necessary.. </p><p></p><p>At one point I was taking 200 units+ levemir a day and could inject 300+ units of novo in a day and still have mid-20 BG's in the evenings.. Now I inject 55 units of Insulated and take around 30 units of Novo / Apidra for the whole day..</p></blockquote><p></p>
[QUOTE="Pneu, post: 215699, member: 28827"] ok some comments here... although some people may find the amounts you are inject massive and they are I was in the same position a few years ago... some evenings I would inject 150+ units of novorapid?! and still have out of control BG's... You have a number of factors working against you here: 1. Your high starting BG's mean ALL of your insulin is less effective 2. Your carb intake is on the high side I would not normally make such direct suggestions but I believe in your case I have lived through the same so I can tell you what I done... 1. In the short-medium terms you are going to need to reduce your carbohydrate intake drastically.. I would suggest 20 - 25g per meal initially. This will stop fuelling those high fasting BG's... you can find loads of ideas on low-carb food in the forum on here. 2. You need to get your fasting sugars under control.. what I would suggest is set a day aside.. make sure you have someone with you, glucose tablets and a testing machine with loads of test strips... Take a measurement of your BG's and start correcting.. test every 30 mins, keep going until you can get the readings down... for now aim for 10 - 12 mmol/l you need to be careful because as you drop the insulin will increase in effectiveness.. for your meals inject as usual and spend the whole day if you need to getting your bg's right.. 3. Inject you lantus as usual before bed... set your alarm for every 2 hours and test your sugars.. record what your bg's do... if your readings increase then you need more lantus.. so in your morning injection increase the units... then again its going to be a matter of testing and seeing what the bg's do.. This is going to take some time to get correct but you just keep monitoring your BG levels over fasting periods until they stay stable.. it doesn't matter to much now if that level is say 10 - 12 mmol/l as long as its consistent! This will probably take a couple of weeks until you get your lantus correct.. 4. once you have stable basal you can begin to work on bringing those fasting sugars down.. start by working out your correct novo ratios... then day by day bring those 10 - 12 mmol/l levels down to 7 - 8 mmol/l.. as these levels drop your insulin sensitivity will further increase so keep a watchful eye and TEST TEST TEST... 5. now your levels are generally lower you will probably need to adjust your lantus so repeat step 3... then back on to step 4 and reduce your fasting levels until they are correct.. repeat and rinse as necessary.. At one point I was taking 200 units+ levemir a day and could inject 300+ units of novo in a day and still have mid-20 BG's in the evenings.. Now I inject 55 units of Insulated and take around 30 units of Novo / Apidra for the whole day.. [/QUOTE]
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