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<blockquote data-quote="kegstore" data-source="post: 122631" data-attributes="member: 16530"><p>so if I get this right you're on basal/bolus, which means ignore the Lantus (your basal) and focus on the NovoRapid.</p><p></p><p>I was on NovoRapid for about 5 years, and have to say I never liked it very much, it always seemed very slow to kick in when I wanted (or needed) it to, but it also hangs around for quite a while which limits the correcting you can (or should) do early on. Occasionally it sent my bg plummeting into massive hypo territory for no discernible reason so I was very glad to change quite recently, my overall experience with it: erratic (and that's being <u>very</u> kind).</p><p></p><p>Although these timings will vary from person to person, NovoRapid starts working 15-20 minutes after injecting, peaks at around 90 minutes and can still be around 4-6 hours later which as I said limits your correction options before then. Are you carb counting, do you know your insulin/carb ratio and correction sensitivity? You need to take these factors into account and may need to do some experimentation with small correction dose numbers and monitor the results.</p><p></p><p>Another thing to throw into the mix - for the ultimate confusion - is the GI of what you're eating. Lower GI foods such as pasta, pulses and rice take much longer to raise bg levels - although again this varies between individuals - so you have to spread your dosage over a number of hours. Easy on a pump, less so if not.</p><p></p><p>So lots of variables to take into account, my advice would be to change just one thing until you get the result you're after, then move onto the next. Hard work, but definitely worth it.</p></blockquote><p></p>
[QUOTE="kegstore, post: 122631, member: 16530"] so if I get this right you're on basal/bolus, which means ignore the Lantus (your basal) and focus on the NovoRapid. I was on NovoRapid for about 5 years, and have to say I never liked it very much, it always seemed very slow to kick in when I wanted (or needed) it to, but it also hangs around for quite a while which limits the correcting you can (or should) do early on. Occasionally it sent my bg plummeting into massive hypo territory for no discernible reason so I was very glad to change quite recently, my overall experience with it: erratic (and that's being [u]very[/u] kind). Although these timings will vary from person to person, NovoRapid starts working 15-20 minutes after injecting, peaks at around 90 minutes and can still be around 4-6 hours later which as I said limits your correction options before then. Are you carb counting, do you know your insulin/carb ratio and correction sensitivity? You need to take these factors into account and may need to do some experimentation with small correction dose numbers and monitor the results. Another thing to throw into the mix - for the ultimate confusion - is the GI of what you're eating. Lower GI foods such as pasta, pulses and rice take much longer to raise bg levels - although again this varies between individuals - so you have to spread your dosage over a number of hours. Easy on a pump, less so if not. So lots of variables to take into account, my advice would be to change just one thing until you get the result you're after, then move onto the next. Hard work, but definitely worth it. [/QUOTE]
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