Thanks for the reply, I do have some knowledge about the way the two
versions of
Insulin work. What prompted my question was a posting on
this newsgroup a few years ago which, rightly or wrongly, gave a ratio
to start working from. I have been type 1 diabetic for about five years
now (diagnosed at 67) and have been very successful in controlling my
blood sugars until recently when I broke my neck of femur. After 5
months it has still not healed (blamed on the diabetes!) and it looks
like I am heading for a false hip. I currently have more blood sugar
variation than I had before my accident but I still stay within the 4-8
range about 85% of the time. After all the surgery is over and I am
considered "fixed" I hope the sugar levels return to "normal" but in
case they don't I was looking for a logical approach to determining the
correct doses. I do have a good Endocrinologist who will obviously guide
me but I like to handle things myself and to do that I need to know the
most up to date approach.
Thank you once again for taking the time to reply to my query, which I
now realise needed a bit more explanation.
DD
ted rosenberg wrote:
> DD wrote:
>> I am taking Lantus and NovoRapid anyone know what is considered
>> the correct ratio or how to establish the correct amount of Lantus to
>> inject based on historical blood glucose levels?
>> DD
> I would worry about a doctor who didn't tell you.
>
> first: Lantus is long acting and takes a long time to take effect. You
> take enough to drop the lowest point in your day to normal. Takes a lot
> of trial and error, and you should be very careful not to use too much.
> approach the point very slowly, ass there are a number of variables
> which effect you in any given day, and you do NOT want to go hypo
>
> Novorapid begins in 15 min, peaks in 2-3 hours, and has little or no
> effect by 6-7 hours. You take this before meals. Again meter, trial,
> and error. Be VERY careful. particularly if you are T1. Some TR1's
> get huge results from a very small amount if insulin, and some T2's pour
> the stuff into the with slow results.
>
> The Novo and Lily sites both have activity curves on them and detailed
> prescribing info.
>
> Read that then go to the ABMS website and find a competent Endo in your
> area. A doctor who turned a patient loose with questions like yours
> should be shot. I patient who doesn;t DEMAND prompt answers that they
> understand is asking for trouble.