Type 1'stars R Us

[Nicola M]

@marie yes I am beginning to wish I was on a pump. It’s five am and I’m up yet again. Injected at three am and went back to sleep but still needed more. Hence the getting up. It is so much easier to get up, eat and start my day. The trouble is being unable to keep awake in the evenings. Starting to feel thoroughly cheesed off.

One of the many reasons I was suggested for a pump, no matter what dosage I did I’d always go into the high 20’s around 8-10 in the morning and I couldn’t split dose because it’d send me low all night. I’m forever grateful for the pump and dawn phenomenon is a thing of my past now!

 

[Marie 2]

DP is usually one thing that a pump is highly recommended for! There's just no good way to control it otherwise except waking up and injecting a dose. At least they recognize that's not the best option!

 

[becca59]

Re a pump chance would be a fine thing. Too well controlled apparently. Errr! Probably because I haul myself out of bed each morning and eat sensibly with very little fun deviation.

 

[Tony337]

Re a pump chance would be a fine thing. Too well controlled apparently. Errr! Probably because I haul myself out of bed each morning and eat sensibly with very little fun deviation.

I get it...
I graze and stay active all day all week and have more insulin and less food at weekends....
Whilst its no fun i do take solice in the fact i have taken responsibility for my condition.

6.5 this morning a bit higher than i would like but i can live with it and i'm just about to get my big ladder out so that job will bring the 6.5 down a bit.......

Have a fantastic Friday everyone

Tony

 

[Antje77]

Your post sort of links to mine as i have always found levemir suits my body where i can tinker without too much effect.
In years gone by reducing your background was a major thing as it took days to catch up!

You have my sympathy @becca59 and out of curiosity what back ground insulin are you on?

I'm due to change and am considering my options.

Thanks

Tony

You may be interested in my set up.
My main basal is Tresiba, I absolutely love it for its stability and forgiveness in timing (doesn't matter if I take it at 10 pm or 6 AM, it just keeps doing its thing).

Which means tinkering doesn't work, so I use Tresiba in the lowest basal dose I need, and top up with Levemir for daily tinkering.
Once my Levemir runs out I'll ask for NPH, which has a shorter action time than Levemir. I expect it will work even better than Levemir as a top up on days I need a little more basal.

The only problem with this set up is getting your endo to agree with this unusual approach of using two basals.

 

[Jaylee]

Pumps?

I personally need dosage less than 0.5u.
& more concentration on delivering correction dosage in the morning after I get up. Then dialing it all back to virtually nothing come the evening or active nights till the small hours?

I’ve seriously considered the personal financial outlay on a pump & funding consumables, myself..

 

[becca59]

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Pumps?

I personally need dosage less than [emoji[emoji6][emoji6]].[emoji6]u.
& more concentration on delivering correction dosage in the morning after I get up. Then dialing it all back to virtually nothing come the evening or active nights till the small hours?

I’ve seriously considered the personal financial outlay on a pump & funding consumables, myself..

This sounds identical to me.

 

[becca59]

@ANTJE[emoji[emoji6]][emoji[emoji6]] No way would my Gp prescribe three different insulins. I take so little basal that there would be a lot of wastage. NPH I’m just about to Google!

 

[Marie 2]

What are the Action Times for Common Insulins?​

Per Diabetesnet.com

Insulin Type	Starts (Onset)	Peaks	Ends (Duration)	Low Most Likely At	Primary Use
Humalog, Novolog, Apidra, Fiasp, Admelog, Lyumjev	10–20 min	1.5–2.5 h	4.5–6 h	2–5 h	Meals & high blood sugar corrections
Regular	30–45 min	2–3.5 h	5–7 h	3–7 h	Meals, delayed digestion, or use with Symlin
NPH	1–3 h	4–9 h	14–20 h	4–12 h	Intermediate background or nighttime insulin
Lantus	1–2 h	~6 h	18–26 h	6–10 h	Long-acting basal insulin
Levemir	1–3 h	8–10 h	18–26 h	8–14 h	Long-acting basal insulin
Toujeo	~2 h	None	~36 h	Varies	Flat, extended basal insulin
Tresiba	~2 h	None	~42 h	Varies	Ultra-flat, ultra-long basal insulin

NPH is considered an intermediate acting insulin. It's over the counter here (no script needed) at Walmart and sells for $25-30 a bottle. It's what used to be commonly used before the newer insulins came out. It's trickier.