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Old 03-26-2016, 22:04   #21
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Yes i do take insulin before each meal. I was planning on calling my dr on monday im just not used to shaking unless my sugar is low.

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Old 03-26-2016, 22:36   #22
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Quote:
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As for basal insulin (slow acting) - the dose is calculated using your weight and body composition.
This was not the case with me, but each person and circumstance is different. Typically, as I understand it, basal will be started on a lower dose and increased gradually until desired fasting is reached, and continually tweaked afterwards as needed. If I was going low at night, personally I would not wait to gradually reduce my basal insulin.

As a new T1, your basal needs will differ from other T1s your exact weight and body composition depending how much insulin you could still be producing, if you have any insulin resistance and to what degree, etc. There are so many variables that determine insulin needs, that any formula is merely an average, starting point, with most people by definition falling on one side of that average or another.

BekahB3, I agree with MichelleL that your shakiness can well be your body adjusting to lower blood glucose levels. This is actually quite common, but it's a good idea to keep testing to make sure you're not going low.

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 03-26-2016, 23:01   #23
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Thanks, Moon. Is basal calculated differently for Type 1s and 2s?

I make no insulin at all - and the way it was explained to me (as a type 1) is to divide total body weight by 4 for the total insulin unit need per day. Half is taken as basal insulin once per day, and half is taken bolus with meals over the day. So, for example, if I weigh 100 lbs, 100/4 = 20 total units needed. 10 as basal, and 10 total bolus/day taken with meals ... of course it is tweaked for individuals according to body composition/lean muscle and other factors. Even if I don't eat at all, as a Type 1 I have to take insulin - both basal and bolus. There is so much to learn!

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Old 03-27-2016, 12:31   #24
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MichelleL, are you on a 70/30 insulin? Usually basal/bolus insulins are different insulins, sounds like are using the same for both.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
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Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
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Old 03-27-2016, 16:19   #25
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MichelleL, are you on a 70/30 insulin? Usually basal/bolus insulins are different insulins, sounds like are using the same for both.
Hi, mbuster - I take Levemir at night, Novolog before meals. (Soon to be Lantus at night - insurance won't cover Levemir).

I've had really good control over the past 7 weeks. Doctor said she's never seen anyone gain such control so quickly. Asked, "What are you doing?" I told her I ditched ADA/SAD diets, and am focusing on LCHF. She said, "Keep it up. It's working." I asked if it might be a "honeymoon" and she said she didn't think so. We lowered my basal by 2 units, calculated a 1:10 ratio for Novolog, and now I'm taking even more control on lowering carbs (and insulin) at meal time.

That's a lot more than you asked... but I wanted to say THANK YOU to everyone here. The guidance here has made a world of difference for me!

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Old 03-28-2016, 02:27   #26
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Congrats, sounds like you are getting it nailed down.

You can never divulge too much info. I'm a curious type 2 that knows next to nothing about insulin. As you can see, I'm easily confused. Your explanation ironed some of that out.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
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Old 03-28-2016, 03:08   #27
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That's super MichelleL getting things under control so quickly. And wonderful to have a doctor on your side. Yay!

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