Mixing Insulins

[olinmonsoon]

Hello, I follow a low carb diet and have had great results however I was on Novorapid and Levemir and the profile of Novorapid doesn’t match the protein conversion to glucose which takes approx. 4-5 hours. I asked the Diabetic specialist in the hospital in Inverness if it would be possible to use a mixture of three insulins on my regime.

Plan was to use Levemir for background, Novorapid for quick correction should an unexpected high occur and to battle foot to floor syndrome in morning and Actrapid for the profile matching of my slow digesting low carbs and protein.

She advised me that mixing insulins isn’t something they do and you should have one long acting and one short acting.

has anyone ever had a plan where they have two faster acting insulins? Say Actrapid and Fiasp? Or Novo and Fiasp?

It’s really frustrating to be refused based on them saying it’s not what THEY prescribe to others as it’s all about what MY blood sugars/lifestyles require

 

[Soplewis12]

Hello, I follow a low carb diet and have had great results however I was on Novorapid and Levemir and the profile of Novorapid doesn’t match the protein conversion to glucose which takes approx. 4-5 hours. I asked the Diabetic specialist in the hospital in Inverness if it would be possible to use a mixture of three insulins on my regime.

Plan was to use Levemir for background, Novorapid for quick correction should an unexpected high occur and to battle foot to floor syndrome in morning and Actrapid for the profile matching of my slow digesting low carbs and protein.

She advised me that mixing insulins isn’t something they do and you should have one long acting and one short acting.

has anyone ever had a plan where they have two faster acting insulins? Say Actrapid and Fiasp? Or Novo and Fiasp?

It’s really frustrating to be refused based on them saying it’s not what THEY prescribe to others as it’s all about what MY blood sugars/lifestyles require

Hi, I can't vouch for this as have not attempted it but quite interesting
https://www.diabetesnet.com/diabetes-tools/insulin-dose-guide/how-to-bolus-fat-protein/

 

[Antje77]

has anyone ever had a plan where they have two faster acting insulins? Say Actrapid and Fiasp? Or Novo and Fiasp?

Not two faster acting insulins, but I've recently started two different long acting insulins (Tresiba as my main basal, Levemir to tweak things on a day to day basis).

It took some convincing to get my endo on board, but I'm very lucky with her.
She started out explaining having people on more than two insulins isn't really a thing, but when I wanted to know why, she got stuck with "because we never do it" and started to laugh because she couldn't come up with a reason. So I got my extra prescription, but I'm pretty sure I wouldn't have with many other endo's.

I think your reasoning is very sound. Perhaps you can write an email to explain what happens now, on your current insulin, and why Actrapid would suit your day to day dosing better but don't want to lose the benefit of your NovoRapid for corrections.
Also, 'mixing insulin' can suggest you mean actually mixing them, not using one or the other at a given time. Can it be she misunderstood?

 

[Hopeful34]

I haven't personally, but I've read about someone who did, so it has been done before, and it sounds perfectly logical to me. Hope you can convince them that you need this.

 

[EllieM]

@MarkMunday from New Zealand used/uses 3 insulins, but he hasn't been on the forums for a year so I doubt he'll see that he's been mentioned. But he demonstrates that some people do indeed use multiple insulins. His profile states he was using lantus, actrapid and novorapid (NZ only prescribes lantus as a basal, unfortunately, I'd love to get hold of some levemir).

Good luck with your endocrinologist @olinmonsoon .

 

[Hertfordshiremum]

Hello, I follow a low carb diet and have had great results however I was on Novorapid and Levemir and the profile of Novorapid doesn’t match the protein conversion to glucose which takes approx. 4-5 hours. I asked the Diabetic specialist in the hospital in Inverness if it would be possible to use a mixture of three insulins on my regime.

Plan was to use Levemir for background, Novorapid for quick correction should an unexpected high occur and to battle foot to floor syndrome in morning and Actrapid for the profile matching of my slow digesting low carbs and protein.

She advised me that mixing insulins isn’t something they do and you should have one long acting and one short acting.

has anyone ever had a plan where they have two faster acting insulins? Say Actrapid and Fiasp? Or Novo and Fiasp?

It’s really frustrating to be refused based on them saying it’s not what THEY prescribe to others as it’s all about what MY blood sugars/lifestyles require

Hi Yes I had Novorapid and Fiasp for about 6 months. I was using Fiasp for first thing in the morning and pre dinner and Novorapid for lunch. Fiasp suited me better so I eventually dropped the Novorapid.