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Message: <blockquote data-quote="AskLana" data-source="post: 863606" data-attributes="member: 186002"><p>Ya know, years ago (err, 9 years ago, to be exact), when I got out of ICU (for the second time) after 2 bouts of DKA, my (then) endo put me on a whopping 40 units of Lantus and as much R (regular, but you can call it rapid!) as needed (sliding scale) and my blood sugar was always high. I did get an allergic reaction to the Lantus, though and went off. I was diagnosed with type 1 diabetes 15 years ago -- my (then) doctor put me on 30 units of NPH twice a day and R as needed (sliding scale), and my blood sugar was high all the time! I mean seriously dangerously high, in the 300s and 400s (US measure) on a regular basis, no matter how much R I took with meals  -- and absolutely NO hypos! After the Lantus scare 9 years ago, I went back on MDI of NPH and R with meals as needed and again, my blood sugar was very high. My (then) endo put me on 40 units of NPH twice a day and R as needed (sliding scale) and my blood sugar was better, but not by much and the worst part -- I started gaining a ton of weight (average 3 lb / month). It took some doing, but I finally managed to bring my blood sugar and A1c down by tweaking my insulin and redoing my meal plan complete. I forgot everything my doctor ever told me, went low-carb and completely omitted processed and preserved foods from my diet. I don't eat very much meat (in the form of poached or roasted chicken breast or boiled eggs); besides, meat makes me nauseous! So, I stick to mainly raw non-starchy vegetables and treat hypos with fresh fruit. I went from taking 40 units of NPH and as much R as needed with meals to now taking 24 units (twice a day) of NPH and 0 R with meals and my blood sugar is finally cooperating and my A1c went from 11% to 6% - in a matter of 6-9 months. I've been eating and treating this way for a year and a half and combat sudden spikes in BG (due to hormonal imbalance, but never due to bad food!) with exercise, which reduced inflammation (hey, we're human -- we get inflamed sometimes!), which fights insulin resistance and lowers blood sugar naturally. But, I was always concerned by the amount of NPH I take. Like I said, they started me on 30 units of NPH twice a day 15 years ago, changed it to 40 units of Lantus once a day 9 years ago and right back to 40 units of NPH, which gradually I reduced to 24 units of NPH twice a day and 0 R. I asked my doctor and the nurses and even my pharmacist if they think I'm taking too much insulin, and they all agreed taking 40 units was on the high (extreme) side, but even 40 units twice a day plus as much R as needed didn't help control my BG when I was eating "normal" meals. Do you suppose 24 units of NPH twice a day is still too much? I tried taking less than 24 units twice a day of NPH, but it made my BG very very high and R did not help control it! Basically, the only thing that seems to work with my body (and crazy lady hormones--I'm premenopausal at 40!) is the 24 units of NPH twice a day, 0 R and "rabbit food." Any suggestions? Thanks so much! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile    :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>

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