Long lasting + fast acting insulin.

[martwolves]

Hello, wonder if anyone could help me make an informed and balances decision?

I went to my diabetic nurse for my 6 monthly tests. All my GL, Blood Pressure levels and weight were almost perfect after a shaky start 3 years ago.

I take 30mmol in the day and 28mmol of novomix at current and had a few high redings. I requested a carbon counting guide, which I've used to good effect since wednesday and generally feel a bit better about myself and had a 3 mile lunchtime brisk walk yesterday and managed 2.25 miles today.
She suggested when I see my consultant in 2 weeks time, I enquire about having a long lasting base insulin to supplement my normal fast acting novomix. I currently have 2/3 injections per day and this means I could be having up to 5 with the base insulin + added bolus as and when I eat.
If anyone is on this, could you let me know your thoughts in terms of better or worse than novomix alone and the advantages and disadvantages, please and your general experience?
I often bruise on my stomach and because I'm slim and inject at my workstation I can't use my bum (obviously), legs or arms and the bruising when it occurs are dark, painful and last ages (2 weeks+).
I like the idea of a more sustained dose that releases slowly to better enable me to regulate, but not too keen on the idea of added injections, 35 per week vs 14!!!
If you have any experience in this, I'd like to hear from you.
Feeling good right now, use the stairs up and down 11 floors rather than lift and feeling fitter each day.
Thanks in advance.

Mart.

No p:ss takers please!

 

[Daibell]

Hi. My understanding of Novomix is that it is a mix of fast and long acting insulin. It seems to strange to me that anyone would suggest adding long-acting separately to this mix? I think I'm right in saying anyone on 4 injections a day would usually have one long-acting and up to 3 short-acting? I'm new to insulin and not an expert so could be wrong and perhaps others on 4 a day can comment. Are you a Type 1 with no natural insulin of your own in which case I can understand 4 injections a day. If you still have some insulin of your own then if it was me I would think about having the right level of basal once a day and then up to 3 bolus depending on meal pattern that day. I guess I'm querying the need for 5 or even 4 daily injections if these give you injection site problems.

 

[martwolves]

Hi, I produce no insulim at all.

I agree with 3 novomix with meals, the 4th would probably be a correction dose, if needed, I guess.

Is anyone out there already on a combination of basal and novomix, please? I'd love to hear from you!

Mart.

 

[iHs]

Hi

There is a way of achieving some degree of flexibility using twice daily insulins. There was a time when I used Humalog Mix 25 and because there were times when I was eating more carb at a meal time like going out for meal, my consultant also gave me some Humalog to use as a bolus. So if one of meal time carb allowance was 30g carb, if I was going to eat a lot more carb I could give myself 1u of Humalog for every 10g over the 30g limit.

Most days, I was a creature of habit and was happy to eat meals at certain amounts of carb.

I would think though that anything is possible in todays world with diabetes so you could try using a low dose basal with the twice daily or try what I used to do.

 

[martwolves]

That sounds sensible iHs. Were there any pro's or cons?

I appreciate your reply.

Mart.