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The Question
08/25/09 05:15 AM

"Would taking Humulin N insulin at bedtime and then again 12 hrs later be better than the oral pills and intermediate insulin at bedtime regime? "
Asked By: helen@morris  
Category: Insulin

Background Info Hide
I am a type 2 within the normal range of my ideal weight; I am moderately active most days; currently taking 5 (500mg each) metformin pills (2 at bkfst, 1 at lunch, 2 at supper) and 21 units of Humulin N insulin at bedtime. Getting normal glucose control with pills (6.4, 6.8, etc.) but only with very strict adherence to portion and content of a meal (diabetes diet)--sorry no delayed meals . I experience after eating ups and downs in energy levels. I would like to switch to a regime of all insulin as I seem to feel more energetic and have a better more normal, sleep pattern when the Humulin N is in my system and don't mind the needle one bit! Wouldn't taking Humulin N at 12 hour intervals be more beneficial to me as it appears (based on my own body response to the bedtime insulin) I feel just great when the insulin is circulating in my body! My pharmacist says that if I have to make a choice between pills and insulin, I'm better off with all insulin. What do you think?

Expert Answers (1)

08/25/09 07:05 PM

Dear helen@morris, Personally, I don't think it should be an eitiher/or situatin. We use nph (N) insulin with daytime pills all the time. Two shots of nph twice daily in my opinion, is not an optimal regimen for most people. If you want mealtime insulin coverage of the carbs you are eating, I would look into twice daily 70/30 insulin. Then you have insulin working at B, L, S, and overnight. This is a much better fit than two shots of nph without any pills at meals.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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