[Previous Months][Date Index][Thread Index][Join - Register][Login]
  [Message Prev][Message Next][Thread Prev][Thread Next]

RE: [IPk] Various 'lifespans' of insulin(s)

Thank you both Abi and Mellissa, I will try that and let you know

Joyce Jones

-----Original Message-----

Totally--it is in no one's best interest to put up with high bgs just
because that's what happens. It might be that you should take glargine
injections every 20 or 22 hours (or at some other interval) rather than
every 24 like clockwork. I don't know enough about glargine to say more
that. Or, as Abi says, you might need more insulin in the evening. Given
wacky idea of the other day, maybe a late-afternoon injection of a
couple of
units of Regular on top of whatever the glargine is doing would be of
Don't try that without checking with someone who knows something about
Lantus--I do not want to put you in A&E!! On the other hand, perhaps
carb. ratio for breakfast and lunch should be adjusted in the evening
(instead of, say, 1u. to 15g. carb., 1u. to 12g. carb.)? Do what Abi
and delay dinner for a couple of hours some night, testing every
between when you normally eat and when you sit down. If your bg rises on
own, you have a basal problem; if it stays constant, you need more
with dinner.

As Abi said, NPH/isophane is not predictable. It usually works for 8-12
hours. The people who developed it back in the day probably couldn't be
bothered over a 4-hour margin of error. With the results of the DCCT and

comparable studies, the advent of the pump, and the release of Humalog,
think Abi's right that NPH has had its day.

A laissez-faire response to high bgs resulting from an ineffective
injection regimen will only increase one's risk of complications and
one's doctor think one is noncompliant. When we notice patterns in bgs,
is imperative that we address them or we will only hurt ourselves. Will
doctor blame him/herself if a patient develops neuropathy or nephropathy
retinopathy? I think not! If a doctor doesn't like being told that what
he/she has prescribed is not working, I would reply that he/she can tell
body what 'should' work all day long but that won't fix my bgs. If a
insists that all insulins work the same way in everyone, that's wrong
you can find a lot of evidence to prove it.

Good luck,
be impatient,

IDDM 9+ years; MiniMed pumper 6+ years
for HELP or to subscribe/unsubscribe, contact: