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Re: longacting insulins was Re: [IPk] Glucowatch by Cygnus


I am interested in pump therapy, and I am in the process of arranging to see 
a specialist, but your post greatly interested me.  My long acting is just 
not working at the moment, which is very very frustrating (this morning I 
woke up at 16.5!). Not good.

I saw an endocrinologist about a year ago who suggested I try two doses of 
insulatard, but that didn't work for me, so I thought i would try two doses 
of ultratard (morning and evening) but this was less than ideal too.

How did you come up with your 3pm and 9pm shots?



>From: "Elizabeth OShea" <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: longacting insulins was Re: [IPk] Glucowatch by Cygnus
>Date: Mon, 21 Jan 2002 02:59:21 +0000
>Pat wrote: Why don't you look into a pump, which is much more widely
>available in the US than it is in the UK.  Being unable to find a
>long-acting insulin which is active enough during the morning, but not
>active during the night is a classic case of pump need!
>Hi Trina -
>I will never discourage anyone from getting a pump, but have you tried
>unconventional injection schedules for the long acting insulin? I'm coming
>in on this thread late, so I don't know what your son is on. When I was on
>injections, I used ultralente insulin. It's meant to last in the body 
>36 hours, but I needed a booster with it. I ended up taking my larger
>injection of it at 3pm and a booster at 8.30/9pm. I had a split (as an
>adult) of 12 units at 3pm and 3 units at 9pm. What this meant was that I
>didn't have an excess of long-acting during the night, from 10pm - 2am, but
>once the dawn phenomenon started working around 3am, the booster shot of
>ultralente was just getting to work.
>While you are arguing or waiting for a pump, or even instead of a pump, I
>urge you to experiment with the timing of the long acting insulins. Doctors
>always behave like there is only one way to use a given long acting 
>which is to the one schedule they dole out to everyone, but that is 
>Long-acting insulin is a tool that we have to customise to our own needs, 
>I did with my ultralente and as many people do with their Insulatard - many
>diabetes nurses and doctors will insist Insulatard should be taken in one
>shot once a day, but many people find it works better in a split dose.
>Good luck.
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