Type 1 Insulin Question

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Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 3/13/2007 3:27 PM (GMT -7)   
G'Day, All...

Sorry, I've been such a stranger lately - my life has been somewhat of a soap opera lately, to say the least :-(

I was hoping to pick some of you insulin advisor's brains to help me understand something....A few weeks ago I upped my Levemir doses from 12.5 to 13 units. Since then I feel like I'm eating snacks to "feed the insulin" in order to avoid the lows I'm seeming to get if I don't. With this half unit difference, my pre-meal BGLs are often below 4/(72) and even my 2 hour post-meal readings are often below 5/(90). Prior to the change I was often "fix dosing" along with my meal dose and my post-meal BGLs were higher than acceptable.

Is it possibly the springtime-metabolic-change that's occurs for many of us this time of year? Or could that half unit more of background insulin make that much of a difference? I've already upped my dinner I/C ratio to from 1:6 to 1:7 but don't want to play with those till I figure out the Levemir doses.

Any suggestions or ideas on how to address this one? Thanks for any and all replies.
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)

"What's Not Measured Is Not Managed"


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 3/15/2007 12:16 PM (GMT -7)   
Phish,
I'm clueless but I wanted to welcome you back. Sorry life is a bit rough lately... but I'd been missing your cheerie answers.
~ Jeannie
Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class!
Yours may be one of them...

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 3/15/2007 5:27 PM (GMT -7)   
Hi, Jeannie...thanks for warm greeting :-) All is OK - just life doing its usual modulation of feast or famine - LOL.

I know my insulin questions might be hard to answer, but I thought I'd throw it out there anyway. I'm not sure if there are many Type1s here? It's frustrating that I seem to react so drastically to such minimal changes to my schedule (doses, meal times, etc), after 2 years+ of this. Guess that's why they still call me "brittle". Guess they could call me worse - LOL.

Cheers,
- Kris
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


AMM
Regular Member


Date Joined Dec 2006
Total Posts : 234
   Posted 3/16/2007 9:47 AM (GMT -7)   
I've never used Levemir and I'm not really sure how it reacts. I used to be on Lantus and felt like I was always feeding the lantus. Now I am on an insulin pump and only take short acting insulin. I can adjust my basal rate to vary with the way my body varies. There are some times of the day that I require less insulin. I got very frustrated with the long acting insulin. I am extremely happy with my pump. (It was a life saver when I was sick and couldn't keep anything down.) Have you considered a pump? I eat now when I am hungry and not on a schedule and not to feed my insulin.
What doesn't kill you makes you stronger.  Shouldn't I be invincible by now?


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 3/17/2007 11:44 AM (GMT -7)   
Hi AMM... I used to be on Lantus for about a year before switching to Levemir. Need about 15% more Levemir and have to split it into 2 shots but it stings a lot less, I don't have to use vial & syringe (hated those 8mm/28 guage needles), way less peaks and valleys, and I don't have to throw out almost half my insulin because it expired (Lantus loses efficacy after 28 days exposed to air).

Was all set to go on the pump over a year ago (met all the criteria, education, etc.), but haven't been able to meet the financial requirements of getting one. $7,400 plus $250.00 a month (even with a financial plan), is just not a commitment I can make at the moment. I'm up to speed and ready to go if/when my situation changes but, until then, I'm content with the "poor man's pump" :-)

Been trying a few things out recently so, I'm anxious to get my latest bloodwork results at my appointments this week. I think I might just do better then I expect (I'm either an optomist or I've got really low expectations - LOL)

Take Care
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


AMM
Regular Member


Date Joined Dec 2006
Total Posts : 234
   Posted 3/17/2007 1:11 PM (GMT -7)   
I understand your situation. We didn't have any insurance for quite a while and that is why I couldn't be on a pump sooner. Now we have very good insurance and our out of pocket was only $600 for the pump and the supplies are now running me less a month than the supplies for the shots were. It really stinks to not be able to get the best treatment for you because of finances.
What doesn't kill you makes you stronger.  Shouldn't I be invincible by now?

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