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The Question
10/01/09
07:10 PM
"Is there a sliding scale for the use of both Humalog & Lantus"
Asked By:
richardt
Category:
Insulin
Background Info Hide
I have had several surgeries over the last few years mainly because of infections from a peice of glass that I stepped on at the beach... After trying several different types of Insulin My doctor put me on LAntus & Humalog I am doing better then before but I am still having high evening readings. Sometimes I wake up in the middle of the night sweatiing, I check my level and I have a very low ( 57 ) reading...
Expert Answers (1)
10/02/09
03:14 PM
There are basic formulas used to calculate insulin dosages, based on your weight, present insulin usage, and insulin sensitivity. These formulas serve as a starting point in finding what insulin dosages work best for you. Many people with Diabetes are then given ratios to help them determine how much rapid acting insulin to take, based on their blood glucose levels and the number of Carbohydrates they eat. If your Doctor has not provided you with an Insulin to Carbohydrate Ratio (I:C), or an Insulin Sensitivity Factor (ISF) ask if they are accustomed to providing these for their patients, and if not, why? Sometimes they are uncertain of your ability to calculate the Carbohydrate content of your food intake, and may recommend you see a Dietitian for help in learning Carbohydrate Counting. If you are dissatisfied with your Doctors willingness or ability to help you in use of insulin ratios, it may be time to look for another Doctor. It is also important that you tell your Doctor about your low blood glucose levels during the night. . . as they can help you determine if the drop in blood glucose is related to your Lantus insulin dosage, or you evening Humalog injection.
Answered By:
Claire Blum
Accreditations: MS Ed, RN, CDE, CPT
Sources Show
(1 Answer)
Community Answers (1)
10/07/09
01:47 PM
I can recommend an excellent book. It is called "Using Insulin" It explains how to count carbs and how to figure out the amounts of insulin to use. I am currently reading it and am almost done and have learned so much just from the book. I also highly recommend an educator well versed in food and carbs. I have done both and it has really helped me understand this insulin thing.
Answered By:
mamared
FLAG
SourcesShow
(1 Answer)
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