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new to novolog

Discussion in 'Type 2 with Insulin' started by cdpm, Sep 14, 2015.

  1. cdpm

    cdpm Type 2 · Well-Known Member

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    I began novolog on the 1st of sept. 4 u with each meal
    how does a person know when they would need more
    units with a meal then the 4u?
    based on pre meal or post meal numbers?
    or is it based on a higher carb meal?
    and
    how does a person convince their nurse that post meal
    numbers are important? that numbers in the high high 100's
    are still damaging? and that an a1c of 8 is not good?
    my goals are to reach 70-90 for fasting and less then
    130 after a meal
    I also use lantus and am at 20u but my morning fasting
    is still running near 135
    any help or comments would be appreciated
     
  2. ButtterflyLady

    ButtterflyLady Type 2 · Well-Known Member

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    I suggest you ask to see a different nurse, because if you are having trouble convincing him or her of basic stuff, there's probably not much you can do to change their skills/knowledge.

    The following article may answer your insulin questions. If not, let us know:
    http://www.phlaunt.com/diabetes/15478720.php
     
  3. cdpm

    cdpm Type 2 · Well-Known Member

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    hi
    I read it a few times but it didn't quite answer my questions.
    I'm kind of on my own with this as I don't have a dr just walkin
    ones and the time between nurse appts, is 2-3 months in which I still have
    all these high numbers but I do have "permission" from the prescribing
    dr to adjust the insulin
    and I read several articles about bolus and adjusting it and seem to only find
    ones relating to matching carbs or adjusting insulin when starting with only the 1 meal
    neither seem to apply to me
    I understand and adjust my basal insulin but need a little more help
    with the bolus adjustments to achieve a reasonable post meal result
     
  4. ButtterflyLady

    ButtterflyLady Type 2 · Well-Known Member

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    The T1s should be able to help you with that, but I'm sure they will also suggest you register with a GP practice and also ask to see your DSN sooner than the 2-3 months because you need help, and you are entitled to it.

    There is a DAFNE course people get sent on, which teaches them how to manage their insulin in the way you want to. There is also an online course or you could ask your DSN to teach you. I think there is a book about it - again, the T1s will know what to suggest.

    Basically the way they describe it is they take their pre meal BG and the carbs in their meal in grams, and apply a ratio and the result is the number of units to inject. The ratio depends on various factors and is usually worked out in conjunction with your DSN.

    We don't have many T2s on MDI insulin and I can't remember who they are but these T1s may be able to help @noblehead @Spiker @himtoo @urbanracer
     
  5. Ali H

    Ali H Type 2 · Well-Known Member

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    Keep your carbs low, that will help you find your way and sort out ratios. Avoid takeaways, pizzas, pasta as fat plus carbs is a nightmare to bolus for. Tons of low carb recipes online. Then, if you wish, up them a little along with your Novolog. A lot of us just eat low carb as a way of life to keep control.

    Ali
     
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