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Starting basal insulin - dosage

Discussion in 'Type 1.5/LADA Diabetes' started by Red_Fox22, Sep 23, 2020.

  1. Red_Fox22

    Red_Fox22 Type 2 · Active Member

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    I was diagnosed with LADA 3.5 years ago and have been managing with diet and for the past year, Trulicity but I fear the lockdown and other related issues have negatively impacted on my AlC so the nurse has suggested I try small amounts of basal insulin at night.

    I have particularly bad readings in the morning so we suspect I am prone to the dawn phenomena.

    Her suggesting was 6 units of Humulin. This appears to have had no effect for the past week I have been taking it.

    Am I correct in assuming this is a tiny dose and it probably needs seriously increasing to have any meaningful impact?

  2. Tophat1900

    Tophat1900 Type 3c · Well-Known Member

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    That's really a question for your DN, but starting doses are typically lower then what is really required for safety reasons. When adjustments are made, usually increases, they are in small amounts, not large amounts. Discuss it with your DN, we can't advise on what dosing you should be following.
    • Agree Agree x 1
  3. KK123

    KK123 Type 1 · Well-Known Member

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    Hi. Well as already said we can't advise on doses (which I realise you didn't really ask us to) but yes, essentially if the dose a person takes isn't doing what it should then it likely does need adjusting (under the guidance of a person's medical team obviously especially at the start). I started off on what would be classed as low levels (6 of basal insulin) and this went up and down by a unit or two until my levels were within range. You may find it doesn't need 'serious' increasing but that will be trial and error. What they seem to do is adjust by 1 or 2 units at a time then wait a few days to see the effects BUT please discuss with your Nurse before you do anything. x
    • Agree Agree x 2
  4. ert

    ert Type 1 · Well-Known Member

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    I guess the important question to ask is what is your bedtime BS compared to your waking BS? If your basal dose is correct, then they should fairly close.
    #4 ert, Sep 23, 2020 at 7:15 PM
    Last edited: Sep 24, 2020
  5. jamesfitz

    jamesfitz Type 1 · Well-Known Member

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    I was suspected type 1 in 2015 however to this date i am still on novorapid.

    by injecting when i eat i keep blood sugars between 4 and 7 which is hopefully preserving my remaining cells

    To me it makes more sense to use bolus first to prevent the spikes
    #5 jamesfitz, Sep 24, 2020 at 9:18 AM
    Last edited: Sep 25, 2020
  6. Daibell

    Daibell LADA · Master

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    Hi. I'm a bit confused? When someone is on Trulicity it is normally because they are overweight and T2. A LADA diagnosis would be the opposite of that. Also LADA can't be managed by diet alone as LADA (Late onset T1) means you are under-producing insulin and need to boost that or take insulin. Trulicity can help with increased insulin production but also helps with weight loss and alters the way the digestive system works. If you are not overweight I would ask the GP/DN to review the use of Trulicity; also it's use with insulin.
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