Novolog 70/30 3 times a day - Page 2

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Novolog 70/30 3 times a day - Page 2


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Old 08-25-2012, 19:33   #11
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Quote:
Originally Posted by rudeboysti View Post
Your dosing will be set to suit your needs. My numbers were a little lower than yours if you are referring to fasting. I also have very little insulin resistance. If i was taking that high a dose, I would ask the doctor for separate basal/bolus treatment as it would probably be more accurate. If you were thinking of adding an afternoon dose, I would talk to the doctor first.

I am also very low carb. If you are not low carb high fat, I would personally look to that to lower my insulin requirements first. If I ate carbs I would need much more than I am using.
Thanks, rudeboysti. I am on a relatively high carb diet, but am trying to follow the GI index, and substitute low GI for high whenever possible. I'll give myself a little more time to adjust to taking insulin. It's possible I overreacted to my initial BG numbers that first weekend. I really appreciate the help.

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Old 08-25-2012, 20:11   #12
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Speaking from my own experience only, the GI based diet did not work for me to control my BG, even with insulin. What did work was dropping the carbs and increasing the dietary fats, in other words a low carb high fat diet. By doing that I went from well over 200 to less than 120 for postparandial numbers.

Perhaps something to look into?

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Old 08-25-2012, 20:25   #13
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I do not use the 70/30 mix but I do use Levemir and Humalog in separate injections. I need to use Levemir 3 times a day. It only lasts about 6 to 7 hours for me. There are times I still need to fill a gap with Humalog, but I am ok with that. I do not feel like taking Levemir 4 times a day, it becomes too inconvenient. If you read the paper inside the Levemir box (not sure what the 70/30 paper will tell you) Levemir, in Novo's tests, lasted anywhere from 5.7 to 23.3 hours. This is why so many people need to take it twice a day. I bet if people read the pamphlet and understand that it may only last 5.7 hours, I bet more people would take it 3 times a day. I think people do not like to take it 3 times a day because they don't think anyone is supposed to take that many basal injections. For anyone interested, Lantus says it lasts anywhere from 10.8 hours to > 24 hours. So even Lantus may not (and probably does not, since part of how long insulin lasts is depending on how much you take, the bigger the dose, the longer it lasts) 24 hours. So even when I was using Lantus, I took it twice a day. I like Levemir better because the peak is much less dramatic than it is with Lantus. So I am sticking to Levemir. I like that it really has almost no peak for me. I can't wait until Novo releases their new Degludec insulin. That is supposed to last a minimum of 24 hours with a max of 96. So maybe I can finally get a basal insulin to last a full 24 hours. FDA is supposed to meet in Nov. to decide on the release of Degludec.

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Old 08-25-2012, 20:25   #14
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If you recognize that your diet is high in carbs, and yet you have trouble reducing your blood sugar, why not lower your carb intake, dledford? The GI index is useless for treating diabetes, since it was developed for non-diabetic people. Read about it here.

But you have within your own power to take control TODAY by decreasing your carb intake. Use you meter to test every food you've been eating and your meter will tell you exactly whether or not you should continue eating it. If you are ready to control your diabetes, anything that bumps your blood sugar over 140 (7.7) will have to go, whether your doc/dietitian agrees or not.

You can, of course, also just keep eating as you have been and buying more insulin, but there are no guarantees that this method will prevent future complications like blindness and renal failure.




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Old 08-26-2012, 02:01   #15
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Thanks for all the advice. I use the Novalog 70/30 because that is the one my DR gave me. i don't have health insurance, so he gave me whatever sample he had. Both Novalog and Humalog have patient Assistance programs, so will have to go with one of them. Not sure what switching from Novalog to Humalog would do. As far as the GI diet goes, I'm more or less trying to cover all the bases until my BG levels out.

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Old 08-26-2012, 02:30   #16
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There is a website www.isletsofhope.com that can point you to all sorts of resources for insulin, testing supplies etc.

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Old 08-26-2012, 02:45   #17
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Your bg won't level out using the GI because those guidelines proceed on the premise that merely delaying the spike is acceptable & worthwhile. For diabetics the goal is to prevent the spike altogether; it's the high blood sugar which causes damage to blood vessels & organs, which in turn cause the dire complications. And the more you can control your blood sugar with adjustments to your diet, the less insulin you need, which saves those almighty dollars.

Get your hands on a carb counting booklet or use an online source. CalorieKing is one that many of us use, and the book is available from most bookstores for less than $10.




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Old 08-26-2012, 03:03   #18
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Novalog 70/30 is just Novalog's equivalent to Lantus (70%) and Novalog's equivalent rapid acting (30%). By taking it 3 times a day you are bolusing with 30% and splitting the basal 70% into three doses. Nothing wrong with doing it this way. Of course, being on a LCHF diet makes the bolus needs very low. The downside to this style of insulin dosage, is that if you miss a meal or delay a meal, it may throw your basal off. This is why I take bolus and basal separately - it just gives me more flexibility. Also, correction dosages get pretty complex using mixed insulins.

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Old 09-03-2012, 19:49   #19
 
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A pharmacist is not a clerk. A pharmacist is a licensed doctor trained in the prescription and distribution of medicine. As such, the pharmacist is OBLIGATED by law to verify the accuracy, appropriateness, and safety of the prescription to the patient.

Showing up with a prescription that is out of norm raises a flag that perhaps the prescription was incorrect. Don't underestimate how many wrong prescriptions get written. The pharmacist was just doing his job to warn of possible safety issues. My pharmacy has automatic flags to counsel patients in specific situations: sometimes how to correctly administer the medication, possible side effects, etc. The medication won't be released until the consultation is given.

They get involved with this a lot!

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Old 09-03-2012, 21:07   #20
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Um - a pharmacist is assuredly not a clerk, s/he is a trained & licensed professional in the field of pharmacology, but s/he is not a doctor either. Let's not muddy the waters.




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