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Ratio of long to short acting insulins
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<blockquote data-quote="Tinkerbelly" data-source="post: 11337" data-attributes="member: 6179"><p>Hi Martin</p><p></p><p>An a1c of 6% is excellent in terms of overall control. People on MDI will have problems with hypos if they try to get their a1c much lower.</p><p></p><p>At the moment, I use a combo of fast and long acting stuff and my ratio is about 60% fast (Apidra) to 40% slow (Lantus). I inject the Lantus just once a day about 10pm. My last a1c in December was 6.4 so my control is now much better, but this is down really to watching my carb intake a bit more and doing more bg tests. I am always guided by what my bg is before breakfast as to how much Apidra I inject. Since switching to MDI, my ratios have varied from 80% fast to 20% slow to 50/50 lol. I never stay the same for too many months ! Different insulins will have different effects on how they lower bg levels according to their action. </p><p></p><p></p><p>I have been type 1 diabetic for over 40 years and on average my a1c has always been between 6.9 and 7.2, not brilliant I admit, but not bad either. I have had carpal tunnel syndrome needing surgery when I was in my late 20's and also had the misfortune to suffer with frozen shoulders in my mid 40's. However, neither my diabetic consultant or ortho consultant advised me to tighten up my control. They just thought that I was doing my best to look after myself and bent over backwards to help me, especially my ortho consultant who ended up doing 3 MUA's on my right shoulder and 1 on my left. I am now all ok lol <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> I hope I never get frozen shoulders again?</p></blockquote><p></p>
[QUOTE="Tinkerbelly, post: 11337, member: 6179"] Hi Martin An a1c of 6% is excellent in terms of overall control. People on MDI will have problems with hypos if they try to get their a1c much lower. At the moment, I use a combo of fast and long acting stuff and my ratio is about 60% fast (Apidra) to 40% slow (Lantus). I inject the Lantus just once a day about 10pm. My last a1c in December was 6.4 so my control is now much better, but this is down really to watching my carb intake a bit more and doing more bg tests. I am always guided by what my bg is before breakfast as to how much Apidra I inject. Since switching to MDI, my ratios have varied from 80% fast to 20% slow to 50/50 lol. I never stay the same for too many months ! Different insulins will have different effects on how they lower bg levels according to their action. I have been type 1 diabetic for over 40 years and on average my a1c has always been between 6.9 and 7.2, not brilliant I admit, but not bad either. I have had carpal tunnel syndrome needing surgery when I was in my late 20's and also had the misfortune to suffer with frozen shoulders in my mid 40's. However, neither my diabetic consultant or ortho consultant advised me to tighten up my control. They just thought that I was doing my best to look after myself and bent over backwards to help me, especially my ortho consultant who ended up doing 3 MUA's on my right shoulder and 1 on my left. I am now all ok lol :) I hope I never get frozen shoulders again? [/QUOTE]
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