Startling insulin

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Startling insulin


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Old 01-21-2016, 19:00   #1
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Default Startling insulin

I've maxed out my Metformin and am still spending all day between 125-155. It's not really a problem with my PP, just that I never see a number fasting or between meals under 110.

Doc finally is putting me on levemir. She wants me to do 5 units in the morning for a few days and report back, then if I look like I won't kills myself, add 5 units at night too.

I have been rereading The Diabetes Solution and 5 units seems high. I wonder if I just am messing up the math?

In chapter 18 he gives the following starting formula :

140/weight * 80 = amount 1 unit could lower BG
Smallest nighttime rise / above number = nighttime dose

So for me that's 140/255 * 80 = 44. Then 40/44 or about 1 unit.

Any suggestions?

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Old 01-21-2016, 22:50   #2
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for one thing that formula is for people that do NOT have insulin resistance. IE T1s 99.999% of the T2 are insulin resistant.

Is that formula is for fast insulin not basel insulin like Levamer and lantus.

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Old 01-21-2016, 22:56   #3
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The section where he used that formula was a a scenario of a 200lb t2 who had already maxed out on Metformin. He was figuring out a safe starting dose for a bedtime long acting insulin.

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Old 01-25-2016, 01:19   #4
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I took 1 unit today just to see how things go. So far I've been 20pts lower all day than normal, which is awesome! Just got a reading of 103 which is a 2 month low.

My first stick was amusing. I held it between my fingers like a dart and "threw it", I didn't feel it at all and wasn't sure it went in I pulled it out and yup, it did!

Pretty anti-climatic really.

Also, I think I'm going to find a new doctor, if I'm going to take insulin. I don't think my doctor has ever prescribed it before and has no clue what she's doing. First she prescribed a vial, but not syringes. Then when I called her (because neither insurance nor FSA will pay without a prescription) and said I wanted a pen and something to poke myself with, she just prescribed the pen, but not the needles. I got frustrated because this was taking days, and just bought the needles myself which was $50.

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Old 01-25-2016, 01:23   #5
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Gosh! As if we weren't already aware of how clueless some docs are . . . this certainly zaps that delusion!




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Old 01-25-2016, 02:40   #6
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I would do exactly what you are doing all by yourself. Start slow and low for a few days. Less is going to hurt you far less than too much. I am T1 and take 2 units at night and wake up the same as before bed. I started on 5 units and would drop from over 200 to around 100. This is prior to bolus (meal time) inulin. Basal is not 'designed' to work on food but it sure does. Be safe and go slow. Hypos are no fun.

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