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Type 2 on Humulin M3

M

maz21

Member
Messages
5
Type of diabetes
Type 2
Treatment type
Insulin
Hi I've recently started on Humulin M3 twice daily. I'm struggling to get my sugars under control. I don't eat breakfast but do have food around 2pm and again at about 7pm. Can I adjust when I do my injections according to my lifestyle. My sugars rise dramatically in the evening and overnight leaving me starting at around 15/16 first thing in the morning. Can anyone advise how I can bring these sugars down. I am not eating much at all after my evening meal. Help please
 
30/70% mix. when are you doing the injections? i'd of presumed would be 1 at breakast and one with evening meal. it might be worth asking if you could switch over to non mixed. that should enable you to have better management options available. to see if the long acting part of the dosage is enough.. pretty sure humulin is around 8 hour active time (for the intermediate acting part).
 
Hi and thanks for your response. I have been told to take half hour before breakfast and evening meal. I thought the fast acting only works 2-4 hours and I dont eat until around 2pm. My question is should I take my first injection at 1.30pm i.e. half hour before I first eat for the day.
 
When do you eat your evening meal? It would be normal for twice a day breakfast and dinner... Due to gap approx 8 hours or so which lines up nicely with that particular insulins active time...

I would seriously explain to Dsn/consultant what you eat and at what times and ask if Midi via long acting insulin such as toujeo and novarapid/fiasp maybe better suited to your needs especially if you plan on injecting sub 8 hour gap you may find that early than normal injections have a stacking effect...

It will likely be fairly difficult for the DSN/consultant to get dosing correct if injections are done considerably earlier than designed for.

One other advantage of using a long acting alongside fast acting is you would then be able to get taught correctional dose
 
maz21 said:
Hi I've recently started on Humulin M3 twice daily. I'm struggling to get my sugars under control. I don't eat breakfast but do have food around 2pm and again at about 7pm. Can I adjust when I do my injections according to my lifestyle. My sugars rise dramatically in the evening and overnight leaving me starting at around 15/16 first thing in the morning. Can anyone advise how I can bring these sugars down. I am not eating much at all after my evening meal. Help please
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Hi @maz21
First for openness, I am a type 1 diabetic using multiple daily injections (combination of long acting and short acting insulins) but upon diagnosis I was using Mix25 for almost 2 years. This was a 25/75 mix and so it's very similar to your 70/30 insulin.

I had exactly the same problems. I injected before breakfast, didn't have enough insulin in my body to cope with any carbs at lunch and if I did eat carbs my glucose would be super high by supper time.
I tried zero to very low carb lunches for a while. This helped but even protein will probably raise your glucose levels eventually.
Even on MDI I struggle with overnight highs and often awake with glucose levels in the teens unless I have a very low carb' evening meal. (Be wary that you need enough carbs and/or protein to match any insulin you've injected).

I don't know exactly what you are doing, are you taking equal amounts of insulin morning and evening? If so, maybe talk to your doctor/nurse about varying the dose ? ( I ended up taking a higher dose in the evening to try and offset the overnight highs). I cannot tell you specifically what to do, lest it is construed as "dosing advice" so please have a chat with your doc'.
 
Thank you both for your input. I think its good advice to talk to my dsn about the problems I'm having. I'm finding it extremely difficult. I'm using cgm and I feel like it's making me feel even more anxious about eating anything and my sugars going up. I appreciate your input. I don't have a great relationship with my dsn but I'll have to talk to her. I requested talking to a dietician but was refused.
 
maz21 said:
I don't have a great relationship with my dsn but I'll have to talk to her. I requested talking to a dietician but was refused.
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sorry to haer your relationship with your dsn isnt great has the hospistal/surgery got another dsn that maybe you could get on with better? :) really unsure why you would be refused dietician... could try ask gp for referrel for one if dsn is refusing or try bypass the dsn via asking your consultant or their secretary.

regards the anxienty that cgm perhaps makes more anxious i can see that happening when sugars high and indeed low ...

something could bear in mind is worry about something you have more control over rather than something that is currently beyond your control. try hard not to focus too much on numbers. it took me umpteen weeks of injections before they started to become much better controlled, dont be too hard on yourself. best wishes
 
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