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Re: [IPk] Re: MDI

Hi Barbara,

How about gathering graphs of the 'insulin action profiles' available with 
several injection regimens, i.e.:

MDI w/four shots per day (i.e., 1 Humalog + intermediate-acting at 
breakfast, 1 Humalog at lunch, and 1 Humalog + intermediate-acting at 
dinner, and 1 of regular insulin at bedtime, for instance)


Lantus + corrections/injections for meals


the pump

Would that information help you explain to your doctor why you think Lantus 
is not the way forward _instead_ of a pump?

Something tells me you have not got graphs about insulin action and the 
figures about the variable durations of insulins to hand. If you do have 
them, use them! They will go a long way towards strengthening your case for 
a pump's flexibility re basal rates and boluses being better for your life. 
If you do in fact need some graphs, let me know. I will draw some on a piece 
of paper, scan in the document, and send it to you off-list as a picture 
file (.jpg). If you want such graphs, please tell me which insulins would be 
used and at what hour of the day the injections would be given for both the 
MDI 4xday and Lantus-based options.

Let me know if the above is unclear--my bg's a little low as I'm about to 
eat breakfast.


IDDM 9+ years; MiniMed pumper 6+ years
Co-ordinator, Oxford University Student Union Diabetes Network

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