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Re: [IPk] Constant basal requirement?

On Tuesday, July 22, 2003, at 07:44  pm, Sarah wrote:

> How did split dose insulatard work? My diabetes centre originally had 
> this
> and not lantus as a requirement for doing the DAFNE course on the 
> basis that
> it offered more flexibility becuase you can alter the doses of the 
> morning
> and night insulatard.

Is this common?  My DSN has told me not to alter my Insulatard dose 
more often than every three days, with the result that I don't alter it 
at all unless I think it needs changing permanently.  This is a pain 
because I quite often need extra insulin for a couple of days - before 
my period and at other times, sometimes for no reason that I can see.  
So I just increase my other insulins and that covers my extra need for 
most of the day - for the night, I omit my bedtime snack.  However, I'm 
finding that with the Novorapid it doesn't work so well - if I take 
more than I need for the food, I go hypo later in the evening and am 
still high at bedtime.  If I don't take extra, I'm just high.  And even 
though I skipped the snack, I'm still high in the mornings - if I do 
eat the snack, I'm even higher.  So it would be really helpful to be 
able to change my basal insulin temporarily.


(b. 1977, dx. 2002, Actrapid x 2, Novorapid, Insulatard)
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