Which insulin to choose?

I would think any of the mentoned short/fast acting ones would be what you need, could check their 'quickness in acting' and their length of acting as this will inform your decision.

and carb count, adjusting insulin to suite, by testing, testing and more testing, perhaps a lot is trial and error with the insulin you choose, in of course discussion with a professional.

stay on this forum, cuase its brill and in the short time i have been using it, it (the peeps on it) have taught me loads!!!!!

good luck and take care

this might be so wrong, so be warned!!!!!!

I perhaps would not worry about type, perhaps asume your type 1, (as you need insulin)

test blood

do fasting ie first thing in am without eating, if its normal ie 4.00 - say6-7, then you may not need long acting as you say, if you eat and the sugar rises then you can treat with a bit (measured units) of the fast acting you choose.

there is a guide to how much insulin is needed for how many carbs you eat, but people are different so it is a guide, you unfortunatley can omly learn by trial

if you dont need long acting insulin, thats a major bonus so only need fast acting when you eat, should learn to adjust fast acting dose prior to eating, test blood prior to eating, if its higher than normal take this into account then plus the carbs your about to eat, calculate dose and JAB, then 2 hours after eating check levels agin and the result should guide you when you eat the same again.

hope that makes some kind of sense and is not patronising, its ment in good will,

I am not a DB professional, your clinic nurse, consultant, GP should help officially, though try not to worry re exact diagnosis, its your blood sugars and there treatment to bring them to normal limits that really matter (in my opinion)

best wishes

Smidge, if basal is intact I can see why insuman basal isn't much help. I posted a profile for that insulin here.
viewtopic.php?f=15&t=18161&p=165128&hilit=insuman#p165128
It's onset is far too slow to effect your meal in time even if taken 45 min in advance.
The rapid insulins work very quickly, the onset of action is 5-15 min, the peak action is at 1-2 hours and they last for 3-5 hours. It does vary between people. Some people seem to think that apidra is marginally faster and lasts for a shorter time.(and it is licensed for use after a meal which suggests this might be true)

how fascinating that you have that unusual insulin profile.

I found this: http://www.deo.ucsf.edu/types-of-diabet ... table.html
...not that it really helps because it doesn't explain them but at least you have some names of different unusual types of diabetes which perhaps you/your doc can look up in more depth?


(also, totally unrelated, but I found it while I was looking: vinegar makes you more sensitive to insulin. http://care.diabetesjournals.org/content/27/1/281.long. Right then. Big plate of fish and chips covered in vinegar for me!)