11th November 2007
[QUOTE=miniheli;3301149].... So what am I doing wrong here. ... Should I change insulin?? ...
Changing insulins is not going to make any difference. Getting a pump won't make getting a handle on your control easier either. Your first priority needs to be establishing how much basal insulin you need. It is probably quite different to what the nurse started you on. As blondy2061h mentioned, your fasting blood sugar is a good starting point. Ensure that your blood glucose is in the target range before going to bed and adjust your Lantus until your morning blood glucose is also acceptable. To find out if this amount of Lantus is suitable for the rest of the day, skip a meal and see what happens. Your blood glucose shouldn't change much. If it does, you will have to change your basal insulin regimen, in terms of the timing, amount, type of insulin or using a pump.
When you have got your basal insulin sorted out, you will be able to refine your carb:insulin ratio and correction factor. There is not much point in doing this if there is too little or too much basal insulin action. The difference has to made up by adjusting your meal boluses, and you get hopelessly confused.
Having all those meals makes it difficult. Novolog peaks an hour after injecting it and acts over 5 hours, although most of it is after 3 hours. Meals need to be 5 hours apart to avoid an insulin stacking effect. Eating every 1.5 hours means that the insulin:carb ratio is meaningless and your insulin dosing is basically guesswork. Maybe changing the foods you eat will enable you to eat less often. You will also have to take physical activity into account as it increases insulin sensitivity. Good luck.
Mark
Changing insulins is not going to make any difference. Getting a pump won't make getting a handle on your control easier either. Your first priority needs to be establishing how much basal insulin you need. It is probably quite different to what the nurse started you on. As blondy2061h mentioned, your fasting blood sugar is a good starting point. Ensure that your blood glucose is in the target range before going to bed and adjust your Lantus until your morning blood glucose is also acceptable. To find out if this amount of Lantus is suitable for the rest of the day, skip a meal and see what happens. Your blood glucose shouldn't change much. If it does, you will have to change your basal insulin regimen, in terms of the timing, amount, type of insulin or using a pump.
When you have got your basal insulin sorted out, you will be able to refine your carb:insulin ratio and correction factor. There is not much point in doing this if there is too little or too much basal insulin action. The difference has to made up by adjusting your meal boluses, and you get hopelessly confused.
Having all those meals makes it difficult. Novolog peaks an hour after injecting it and acts over 5 hours, although most of it is after 3 hours. Meals need to be 5 hours apart to avoid an insulin stacking effect. Eating every 1.5 hours means that the insulin:carb ratio is meaningless and your insulin dosing is basically guesswork. Maybe changing the foods you eat will enable you to eat less often. You will also have to take physical activity into account as it increases insulin sensitivity. Good luck.
Mark