Humalog for my diabetes

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Humalog for my diabetes


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Old 02-06-2018, 20:28   #1
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Default Humalog for my diabetes

When I was recently in the hospital, I mentioned that I had gone off my metformin amd Lantus while on a fast and was on the process of reintroducing them to my daily regiment.

Anyway, to make a long story short, there was some confusion on their end, the residant pharmacist did not order my meds, and I ended up having a 'oh No you don't' moment with the nurse when she showed up with a humolog needle.

But on second thought, I was 8.2 and she was going to give me 1 unit.

If my goal is to minimize my time on insulin, i wonder if humolog could actually be a better choice than lantus.

anyone with thoughts or experience with this?

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Old 02-06-2018, 20:45   #2
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Old 02-06-2018, 21:03   #3
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humalog is not a basal insulin, its a bolus and begins to work in 20 min. lantus is not fast acting but background/basal insulin lasting up to 24 hrs



Fast-acting
start 5-15 min
peak 1-3 hr
lasts 4-6 hr

Short-acting
start 30-60 min
peak 2-3 hr
last 6-10 hr

Intermediate-acting
start 2-4 hr
peak 4-10 hr
last 14-18 hr

Longer-acting basal
Peakless
lasts 24 hr

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Old 02-06-2018, 21:36   #4
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Quote:
Originally Posted by NSDad126 View Post

But on second thought, I was 8.2 and she was going to give me 1 unit.

If my goal is to minimize my time on insulin, i wonder if humolog could actually be a better choice than lantus.

anyone with thoughts or experience with this?
Interesting - I've been on a Lantus (Long Acting) and humulog (fast acting) insulins for a few years now.

If you were at 8.2 - Gee, I wouldn't bother taking 1 unit - for me personally it would make a negligible difference.

What I like about humulog, it minimizes BG spikes. For example - I'm getting over a wicked cold right now, when I tested myself this morning I was at 5 mmol/l or 90 mg/dl - I was pretty happy about that - by lunch I was still at an excellent BG level and then by mid afternoon I shot up to 17 mmol/l or 300 mg/dl. So I took an extra shot 10 units of humulog and now my BGs are back to a good level.

So thanks to humulog, I was able to minimize the length of time I was running high.

Humulog for Type 2s? I'm not a doctor nor am I a Type 2 - I'm a type 1 but having some humolog available would seem like a good idea if you hit Highs often. Eventually you would know what the correct dosage is for you and when best to take it (at what BG level)

But here again if my BGs were at your level at that time 8.2, I wouldn't even bother. If it was greater than 12 (this is my cutoff) I give another shot when or if I hit 12. For me 5 units would do the trick - but here again if you go this route don't go by my dosage - you may be much more sensitive to humulog than I.

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Old 02-06-2018, 22:18   #5
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In practice, larger insulin injections start working sooner, last longer, and have less predictable timing. I want to remain between 1 and 4 units humalog for my injections so i can rely on my correction factor of 1u humalog reduces 25 pts in glucose. if i use for example 6u humalog my correction factor goes from 25 pt drop per unit of insulin to over 30pt + correction

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Old 02-06-2018, 23:14   #6
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Quote:
Originally Posted by Hearts Jounrey View Post
humalog is not a basal insulin, its a bolus and begins to work in 20 min. lantus is not fast acting but background/basal insulin lasting up to 24 hrs
Sorry, I got that turned around. (Senior moment?)

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Old 02-06-2018, 23:27   #7
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there are two parts to my goal

i fast so that i can introduce periods of low sugar and low insulin. If I'm lucky I can eventually reverse my insulin resistance.

the other part is i'd love to get my bg numbers back to my honeymoon years where it was 5.5-5.8 premeal with 6.2-6.9 when I go looking for a spike. Sure 8.2 is pretty good but like someone here mentioned, it is still high enough to cause organ damage.

this, if lantus has a half life of 28 hours, it is counter productive to a 20hr fast. but of humolog has a half life of 1 meal, I could use it to fix a lunchtime spike yet by bedtime it might be out of my system.

am i out to lunch? or does this maybe make a bit of sense?

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Old 02-06-2018, 23:39   #8
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find out how many points your blood sugar drops by taking 1 unit humalog. i would give it 2 to 2.5 hours after taking the 1 unit humalog and do not eat anything during those 2 - 2.5 hours.

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Dx heart disease in 2000; triple bypass surgery
2 pancreas organ transplants 2001+2004 at Univ Minn & Univ Calif San Francisco med ctr
Dx with cancer twice 2007 & 2008, stage 2 & 3
Lost 2 transplanted pancreas; 6/2001 & 6/2015
Longtime advocate & member of diabetes & cancer support forums for 15 yrs. A1c 5.0
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Old 02-07-2018, 01:23   #9
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interesting idea. I'll run it past my FP and see if she thinks this is a good idea.

if it works, it might also depend on how well I am managing my diet and how my numbers are.

the real disadvantage might be that it isn't a good way to treat someone who is sloppy with their care.

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Old 02-07-2018, 03:39   #10
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I am not a big fan of fasting, especially when you are struggling with your meds....of course that's just me!

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