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Type 2 What’s normal when you add another insulin?

Libby3781

Libby3781

Well-Known Member
Messages
162
Location
Bridgend, South Wales
Type of diabetes
Type 2
Treatment type
Insulin
Hi all,

I’m sorry, I’m bombarding the forum with questions, help & advice. Some of you will be aware I’ve had a new insulin added to my regime. Admittedly, today is only my second day on Novo Rapid (4 units, 4 times a day)accompanied last thing at night with Levemir ( 30 units).

I’m not seeing any changes with my bg levels before & after. Is that normal when you first have another insulin added?

Thanks all in advance x
 
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It can take a few days from what I've been told by endocrinologists, I dont have diabetes but my young son does and I do it all for him so i know when u make a change in insulin increase or decrease give it 3 days before u make a change for example if u were finding u were low near lunch or whenever your next blood check that one day don't change rightaway give it three lows (or highs) then adjust also depends on whether the carb count was correct and for long lasting insulin (Basal) can depend what u did that day and ate that day
 
Libby3781 said:
Hi all,

I’m sorry, I’m bombarding the forum with questions, help & advice. Some of you will be aware I’ve had a new insulin added to my regime. Admittedly, today is only my second day on Novo Rapid (4 units, 4 times a day)accompanied last thing at night with Levemir ( 30 units).

I’m not seeing any changes with my bg levels before & after. Is that normal when you first have another insulin added?

Thanks all in advance x
Click to expand...
Yes if you are insulin resistant. Which is what type2 is.
I started on those amounts of units and I weigh 134.00kgs now so take 300units of basal (levemir equivalent) and 3x 25units of novarapid.
You shouldn't get that high a need but I could no longer tolerate metformin which helps enormously, for me.
Just keep in kind if you are overweight you will need more units than type1s.
I sometimes uimmobile too so my insulin resistance gets worse. Then improves then gets worse. It fluctuates all my life.
Insulin unit needs do too.
Has nurse asked you to increase in 3s or 5 extra units of just seeing her soon?
 
Hi@Libby3781, In my experience it took a few days to see how things pan out. I always think of any additions and their doses as guessimates which are likely to need some adjustment depending on blood sugar levels (= feedback).
Also many of us who have been prescribed Levemir usually are advised to split the dose to am and pm as Levemir sometimes only lasts 16 hours and by having Levemir am and pm allows more adjustment to be made.
On an insulin pump my basal amounts during and overnight are quite different to during the day.
Please speak with your doctor or DSN about your BSLs in light of the added Novorapid to see what they suggest.
 
It took about two weeks with Novorapid on that dosage before I began to see numbers edging down from the high teens and about another two weeks before I saw my first 4 - 7 numbers reappear on the meters. Then I was given a set of ratios so I could adjust my doses to suit the carbs I was eating.
 
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