Type 2 Insulin

[UsmanMo96]

Hi everyone

I am having problems understanding this insulin stuff.

so, whenever i take both Fisap and Tougeo i don't come down in sugar levels.
but, when i take Fiasp by itself i come down but of course since its a meal insulin i will go back up again after a few hours.

having asked the DN she told me to keep increasing and didn't answer my question. I am Type 2 so, i know its different

I also feel i am having some problems with my legs and i don't know if its nerve damage if theres is a way to diagnose that i will need to look into. i just have trouble with my legs and i click a lot and i feel some inflammation from walking and running i can no longer run since i straight away notice the problem. if it is nerve damage from diabetes then i can live with it since i have had many years of bad control.

I am trying my best to keep my levels down but i am failing my A1C has gone to 103... this is so bad. it is nice that the DN is calling me each week and that i have a oppointment booked with the specialist but it is so bad that i already am anticipating it will be all about INSULIN. i do hope my levels do improve but right now i am just in or around 14-18mmol fasting and in the 20s after meals.

whatever is going on i really hope to find a way to manage since i am starting to feel the side effects from the blood sugars.
and i am sure it will get much worse than just pain in my legs and fatigue and bad joint pain.


I don't know what to think.. i am just waiting for the endo appointment in few weeks time.

I hope everyone else is managing there diabetes and taking control.

 

[Fenn]

Hi, I understand being T2, doing everything you can and still nothing seems to work. It’s good you are seeing an endo, ask for a C-Peptide test.

What is your diet like? Do you low carb?

I have not taken either of your insulins and I’m far from an expert but it makes no sense to me why basal insulin would impede bolus insulin, weird.

 

[UsmanMo96]

Hi, I understand being T2, doing everything you can and still nothing seems to work. It’s good you are seeing an endo, ask for a C-Peptide test.

What is your diet like? Do you low carb?

I have not taken either of your insulins and I’m far from an expert but it makes no sense to me why basal insulin would impede basal insulin, weird.

I have had C-peptide test done 3x and i can get it checked again but it will probably be the same results -

 

[lovinglife]

I’ve next to no experience of insulin so can’t comment just wanted to say I hope you get sorted when you see the endocrinologist it sounds very frustrating and stressful for you

 

[alanj]

How many toujeo units do you take and when? Also how many units of fisap

 

[Antje77]

How many toujeo units do you take and when? Also how many units of fisap

The amount of insulin someone takes isn't relevant really.
Some people need only 10 units total, others need hundreds of units.

So the reply to this question won't tell us anything, the right dose is the dose that works for you.

@UsmanMo96 , finding the right dose takes time.
The only way to find out what is the right dose is by trial and error.
As a rule, people start at a relatively low dose which is titrated up until it works.
With your numbers, it looks like you haven't found the right dose yet.
It takes some patience, but better to go slow and safe than take too much and end up in a bad hypo.

having asked the DN she told me to keep increasing

This is exactly how it works!
The Fiasp acts quickly so you see the effect quickly.
The Toujeo acts slowly and you're still working at finding the right dose by increasing regularly.

 

[UsmanMo96]

The amount of insulin someone takes isn't relevant really.
Some people need only 10 units total, others need hundreds of units.

So the reply to this question won't tell us anything, the right dose is the dose that works for you.

@UsmanMo96 , finding the right dose takes time.
The only way to find out what is the right dose is by trial and error.
As a rule, people start at a relatively low dose which is titrated up until it works.
With your numbers, it looks like you haven't found the right dose yet.
It takes some patience, but better to go slow and safe than take too much and end up in a bad hypo.


This is exactly how it works!
The Fiasp acts quickly so you see the effect quickly.
The Toujeo acts slowly and you're still working at finding the right dose by increasing regularly.

Hi thank you

I don't want to go to high in my insulin use as i'd gain weight which i don't need or want.

 

[alanj]

Ante77

It tells me a lot when Usmanmo99 wrote " when I take both" that usmanmo99 is taking them together

As you said toujeo acts slowly, so let say 4
Units 4 times a day =16 should be taken in one go, as someone who has been taking toujeo for about 6 years now l take 20 units at bed

 

[alanj]

Antje77

Apologies for spelling your name wrong

 

[Jaylee]

Ante77

It tells me a lot when Usmanmo99 wrote " when I take both" that usmanmo99 is taking them together

As you said toujeo acts slowly, so let say 4
Units 4 times a day =16 should be taken in one go, as someone who has been taking toujeo for about 6 years now l take 20 units at bed

Hi,

Nobody can direct dosage on the forum.

Are you just prescribed Toujeo??

 

[alanj]

Jaylee

Please could point out the part in my post where I said amount of units to take. I was replying to Antje77 post I gave a sample of toujeo that should be given in one injection

 

[Antje77]

Hi thank you

I don't want to go to high in my insulin use as i'd gain weight which i don't need or want.

If you need the insulin you need the insulin.

And it's not a given you'll gain weight on higher doses of insulin. I'm on relatively high doses (100 to 120 units of basal, plus bolus as needed) and I haven't gained weight. (Haven't lost any either, I'm still in the obese category.)

 

[Jaylee]

Jaylee

Please could point out the part in my post where I said amount of units to take. I was replying to Antje77 post I gave a sample of toujeo that should be given in one injection

Your post appeared to be enquiring about splitting your basal…

Are you prescribed any other insulin other than Toujeo??

 

[alanj]

Usmanmo99

I would like to apologise for the way your post has turned out and if I mis understood your post. The reason why I ask about how many units and when you take them is to share some problems I experienced

 

[Bewildered]

Hi I was originally diagnosed type 2 but when I had rapid weight loss they tested and confirmed type 1. So I take fiasp when I have meals/food and I take my lantus twice a day as it’s long acting. I never take them at the same time and I do them different sides of my body. I was told they don’t work well if injected near each other ( by the diabetes nurse specialist). It might be worth just checking your routine and also have the nurse check your sites as these can sometimes get a bit hard and the insulin doesn’t get taken in so well. Also ask the nurse about how to check your bolus is the right dose - it’s about what you eat in the day on the day you check it - I don’t want to specify here as I’ll probably upset someone. But if you ask for more info from your nurse on these things it might help. Good luck

 

[Jwnich]

If you need the insulin you need the insulin.

And it's not a given you'll gain weight on higher doses of insulin. I'm on relatively high doses (100 to 120 units of basal, plus bolus as needed) and I haven't gained weight. (Haven't lost any either, I'm still in the obese category.)

Talk to your Diabetes team, I started eating less 1300 calories a day in Oct 22 and lost 14lbs in 3 months it was then supplemented by starting 1.2mg Victoza (meant to Ozempic but supplies interrupted last Dec) some side effects which dissipated after the first month. Was taking Humalog 200 at meal times totalling 120 units a day and Toujeo double star 40 units per day, since that time I have lost a further 16lbs and reduced my Humalog to 14 units 3 times a day 42 in total.

A win win situation - my overall health has improved dramatically as I approach my 74th birthday.

Give it go !
Good luck

 

[Glynis1]

I'm longstanding type 1 and been on Fiasp for a year now. Levemir also. I was put on Fiasp as I needed an insulin to work quickly for meals as I have high anxiety with blood sugar rises. Fiasp supposed to work within 10 minuites but for me up to 2 hours the same as my Novorapid. So it tells me insulin works at it's own pace not necessarily agreeing with what it's supposed to do. I hope you get it sorted soon.

 

[IanB07]

Hi, I understand being T2, doing everything you can and still nothing seems to work. It’s good you are seeing an endo, ask for a C-Peptide test.

What is your diet like? Do you low carb?

I have not taken either of your insulins and I’m far from an expert but it makes no sense to me why basal insulin would impede bolus insulin, weird.

If you inject into areas close to each other then unpredictable things can happen.

I was a T2 for 25 years and am now a T3c amd am learning the insulin game on my own so far.... It's a long story.

The previous poster is correct in that a c-peptide test will gauge how much, if any, insulin your body is producing. The low range is 340 from memory and I registered at 270.

I too had awful results after the DN took me off oral meds and put me on Lantus which I was allergic to and did nothing. I paid to see an endocrinologist who put me straight... Best 200 quid I ever spent. Though it did cause political and bureaucratic problems.

I am currently on Levimir but am going to be on Tresiba shortly, which I have been on before as a basal and am on NovoRapid as a bolus insulin and am a lot better. I still have issues but I'm getting there.

Push for the x-peptide test...