Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 > First of all, I want to thank Kathy for her Glucosecharts.xls > spreadsheet. I started using it about a month ago and it works > great! When I gave my doctor the charts, all he could say was that > he wished he had more patients like myself - organized! All I can > say is that the charts really provide a good picture of how good (or > bad) I am doing. Thanks again Kathy! Cool! Thanks, Bill, that was sweet! > Have a normal day!! Gotta say I love this! Kathy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 > First of all, I want to thank Kathy for her Glucosecharts.xls > spreadsheet. I started using it about a month ago and it works > great! When I gave my doctor the charts, all he could say was that > he wished he had more patients like myself - organized! All I can > say is that the charts really provide a good picture of how good (or > bad) I am doing. Thanks again Kathy! Cool! Thanks, Bill, that was sweet! > Have a normal day!! Gotta say I love this! Kathy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Bill, I'd start with 1 unit of Humalog for each 15 grams of carb to be eaten, injected in the abdomen (works faster) about 15 minutes before your meal. To do it accurately take a couple of meals on different days and test every 30 minutes from the time you first start eating until you see your bg start lowering again, if it goes up. The perfect dose will allow your bg to remain the same before and after your dinner, but that doesn't happen very often. My Humalog dosing varies with different meals. I don't eat carbs for breakfast, so I don't use any then, and I use 1 unit to 20 g. carb for my midday meal, if I'm going to be very active in the afternoon. Dinner I stick with the 1unit to 15g carb and eat low carb. You're right though, it's very YMMV. Barb > The doctor has agreed to add the Humalog to my regime at meals. I > know that many of you have posted this info in the past, but at that > time I didn't pay attention to the amount/carb should be taken. I > know that this is going to be a test, test, test and YMMV situation, > but where do you guys and gals think a person should start at? Also, > is there anything I should be aware of - unusual side effects, etc? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Bill, I'd start with 1 unit of Humalog for each 15 grams of carb to be eaten, injected in the abdomen (works faster) about 15 minutes before your meal. To do it accurately take a couple of meals on different days and test every 30 minutes from the time you first start eating until you see your bg start lowering again, if it goes up. The perfect dose will allow your bg to remain the same before and after your dinner, but that doesn't happen very often. My Humalog dosing varies with different meals. I don't eat carbs for breakfast, so I don't use any then, and I use 1 unit to 20 g. carb for my midday meal, if I'm going to be very active in the afternoon. Dinner I stick with the 1unit to 15g carb and eat low carb. You're right though, it's very YMMV. Barb > The doctor has agreed to add the Humalog to my regime at meals. I > know that many of you have posted this info in the past, but at that > time I didn't pay attention to the amount/carb should be taken. I > know that this is going to be a test, test, test and YMMV situation, > but where do you guys and gals think a person should start at? Also, > is there anything I should be aware of - unusual side effects, etc? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Bill, I'd start with 1 unit of Humalog for each 15 grams of carb to be eaten, injected in the abdomen (works faster) about 15 minutes before your meal. To do it accurately take a couple of meals on different days and test every 30 minutes from the time you first start eating until you see your bg start lowering again, if it goes up. The perfect dose will allow your bg to remain the same before and after your dinner, but that doesn't happen very often. My Humalog dosing varies with different meals. I don't eat carbs for breakfast, so I don't use any then, and I use 1 unit to 20 g. carb for my midday meal, if I'm going to be very active in the afternoon. Dinner I stick with the 1unit to 15g carb and eat low carb. You're right though, it's very YMMV. Barb > The doctor has agreed to add the Humalog to my regime at meals. I > know that many of you have posted this info in the past, but at that > time I didn't pay attention to the amount/carb should be taken. I > know that this is going to be a test, test, test and YMMV situation, > but where do you guys and gals think a person should start at? Also, > is there anything I should be aware of - unusual side effects, etc? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Thanks. That was what I thought I remembered being posted earlier in the year, but just wanted to make sure. I start tonight. Bill, I'd start with 1 unit of Humalog for each 15 grams of carb to be eaten, injected in the abdomen (works faster) about 15 minutes before your meal. To do it accurately take a couple of meals on different days and test every 30 minutes from the time you first start eating until you see your bg start lowering again, if it goes up. The perfect dose will allow your bg to remain the same before and after your dinner, but that doesn't happen very often. My Humalog dosing varies with different meals. I don't eat carbs for breakfast, so I don't use any then, and I use 1 unit to 20 g. carb for my midday meal, if I'm going to be very active in the afternoon. Dinner I stick with the 1unit to 15g carb and eat low carb. You're right though, it's very YMMV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Thanks. That was what I thought I remembered being posted earlier in the year, but just wanted to make sure. I start tonight. Bill, I'd start with 1 unit of Humalog for each 15 grams of carb to be eaten, injected in the abdomen (works faster) about 15 minutes before your meal. To do it accurately take a couple of meals on different days and test every 30 minutes from the time you first start eating until you see your bg start lowering again, if it goes up. The perfect dose will allow your bg to remain the same before and after your dinner, but that doesn't happen very often. My Humalog dosing varies with different meals. I don't eat carbs for breakfast, so I don't use any then, and I use 1 unit to 20 g. carb for my midday meal, if I'm going to be very active in the afternoon. Dinner I stick with the 1unit to 15g carb and eat low carb. You're right though, it's very YMMV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 Thanks. That was what I thought I remembered being posted earlier in the year, but just wanted to make sure. I start tonight. Bill, I'd start with 1 unit of Humalog for each 15 grams of carb to be eaten, injected in the abdomen (works faster) about 15 minutes before your meal. To do it accurately take a couple of meals on different days and test every 30 minutes from the time you first start eating until you see your bg start lowering again, if it goes up. The perfect dose will allow your bg to remain the same before and after your dinner, but that doesn't happen very often. My Humalog dosing varies with different meals. I don't eat carbs for breakfast, so I don't use any then, and I use 1 unit to 20 g. carb for my midday meal, if I'm going to be very active in the afternoon. Dinner I stick with the 1unit to 15g carb and eat low carb. You're right though, it's very YMMV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2002 Report Share Posted February 5, 2002 -Hi, I started on Lantus about 6months ago. started at 7units at bedtime I now take 70units at bedtime. I also take humalog 20units at meals unless my bgs are low and I know Im not going to eat many carbs. this seems to work for me real good my bgs are usually 96 to 130 so I think this is good. i also take glucophagexl 1500mgs at night. i tried the actos but it wasn't good for me made me gain weight. well anyway good luck. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 That's a good plan, Bill. Let us know how it goes. Vicki << I may stay with 5 units for a few days, eating basically the same meals, to see how the numbers work out and then increase as needed. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 That's a good plan, Bill. Let us know how it goes. Vicki << I may stay with 5 units for a few days, eating basically the same meals, to see how the numbers work out and then increase as needed. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 You know, Marc, there are ways to satisfy your sweet tooth without eating " sweets " -- by that I assume you meant candy, cookies or coffeecake or some such " forbidden " food-- Something that always works for me is ricotta cheese with some flavor -- any flavor -- DaVinci lowcarb syrup smushed together. . There are lots of lovely flavors, all sweet...and won't raise your BG at all. I'm sure you'd rather try " alternative sweets " then take insulin. A little discipline is what's needed here, smile. Vicki << At 8pm I had some sweets, had a wild craving and went downstairs to my neigbour to get it. An hour or so later I was at 9. So that I was higher than six wasn't a big surprise, but normally my fasting bg is closer to 5.5, been 5.1 a few times. Would you say that Humalog would be something I should think about? I don't think so, plus I'd rather not be injecting myself if not needed. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 You know, Marc, there are ways to satisfy your sweet tooth without eating " sweets " -- by that I assume you meant candy, cookies or coffeecake or some such " forbidden " food-- Something that always works for me is ricotta cheese with some flavor -- any flavor -- DaVinci lowcarb syrup smushed together. . There are lots of lovely flavors, all sweet...and won't raise your BG at all. I'm sure you'd rather try " alternative sweets " then take insulin. A little discipline is what's needed here, smile. Vicki << At 8pm I had some sweets, had a wild craving and went downstairs to my neigbour to get it. An hour or so later I was at 9. So that I was higher than six wasn't a big surprise, but normally my fasting bg is closer to 5.5, been 5.1 a few times. Would you say that Humalog would be something I should think about? I don't think so, plus I'd rather not be injecting myself if not needed. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 You know, Marc, there are ways to satisfy your sweet tooth without eating " sweets " -- by that I assume you meant candy, cookies or coffeecake or some such " forbidden " food-- Something that always works for me is ricotta cheese with some flavor -- any flavor -- DaVinci lowcarb syrup smushed together. . There are lots of lovely flavors, all sweet...and won't raise your BG at all. I'm sure you'd rather try " alternative sweets " then take insulin. A little discipline is what's needed here, smile. Vicki << At 8pm I had some sweets, had a wild craving and went downstairs to my neigbour to get it. An hour or so later I was at 9. So that I was higher than six wasn't a big surprise, but normally my fasting bg is closer to 5.5, been 5.1 a few times. Would you say that Humalog would be something I should think about? I don't think so, plus I'd rather not be injecting myself if not needed. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 This is true...and probably the reason many people connect insulin use with weight gain. Because, of course, if you eat as much of whatever it is you want and cover with insulin, if you eat more calories than you burn, you'll gain weight. Pure and simple. Vicki << One of the great things about injecting insulin is that you could eat pretty much anything you want, and just adjust your insulin to cover it. That is not what I would recommend, but it could be done. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 This is true...and probably the reason many people connect insulin use with weight gain. Because, of course, if you eat as much of whatever it is you want and cover with insulin, if you eat more calories than you burn, you'll gain weight. Pure and simple. Vicki << One of the great things about injecting insulin is that you could eat pretty much anything you want, and just adjust your insulin to cover it. That is not what I would recommend, but it could be done. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 This is true...and probably the reason many people connect insulin use with weight gain. Because, of course, if you eat as much of whatever it is you want and cover with insulin, if you eat more calories than you burn, you'll gain weight. Pure and simple. Vicki << One of the great things about injecting insulin is that you could eat pretty much anything you want, and just adjust your insulin to cover it. That is not what I would recommend, but it could be done. >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > I had to laugh yesterday when I picked up the humalog at the pharmacy. > There was a substitute pharmacist on duty. He saw that the prescription was > " use as directed " and was concerned about the dosage to be used. I assured > him that the doctor and I had discussed it and that I was fully aware of how > to use the stuff. I got the feeling that he was really uncomfortable giving > me the humalog and not being able to tell me exactly how much to take at > each meal. Oh well, he'll get over it. :>) ***I'm sure it's because if you take too much and go way low, it potentially can kill you. This is true with any insulin (and some meds as well). Another reason for test, test, test and keep good notes. Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > I had to laugh yesterday when I picked up the humalog at the pharmacy. > There was a substitute pharmacist on duty. He saw that the prescription was > " use as directed " and was concerned about the dosage to be used. I assured > him that the doctor and I had discussed it and that I was fully aware of how > to use the stuff. I got the feeling that he was really uncomfortable giving > me the humalog and not being able to tell me exactly how much to take at > each meal. Oh well, he'll get over it. :>) ***I'm sure it's because if you take too much and go way low, it potentially can kill you. This is true with any insulin (and some meds as well). Another reason for test, test, test and keep good notes. Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 > I had to laugh yesterday when I picked up the humalog at the pharmacy. > There was a substitute pharmacist on duty. He saw that the prescription was > " use as directed " and was concerned about the dosage to be used. I assured > him that the doctor and I had discussed it and that I was fully aware of how > to use the stuff. I got the feeling that he was really uncomfortable giving > me the humalog and not being able to tell me exactly how much to take at > each meal. Oh well, he'll get over it. :>) ***I'm sure it's because if you take too much and go way low, it potentially can kill you. This is true with any insulin (and some meds as well). Another reason for test, test, test and keep good notes. Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Bill wrote: > I started last night with 5 units of humalog. My BG's were down > somewhat 2 hours after the meal (143 compared to 175 before), but not > as far as I want. I may stay with 5 units for a few days, eating > basically the same meals, to see how the numbers work out and then > increase as needed. Bill, that sounds like a good plan. When you do start increasing the dosage, do increase it larger than two units at a time... In other words, bump your 5 units to 7, 6 units to 8, 8 to 10, etc. You will notice a change in your readings each time you make a change in the units. You just want to make sure that you don't " overshoot " and wind up seriously low. Good luck with the Humalog. It has made a huge difference for me. I have have several readings in the 90's recently and quite a few in the low 100 - 110 range. This is down from high 100's to mid 200's earlier this year. I really like the convenience of it too. It has gone very well, except last night. I was fixing dinner as my wife is still trying to get over pneumonia. I was so busy getting everything ready and on the table that I forgot to take my shot. I had just put one piece of baked ham in my mouth when I remembered! Thankfully, with Humalog, I was able to run and take a shot and come right back and eat. Try that with " Regular " ! Rick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Bill wrote: > I started last night with 5 units of humalog. My BG's were down > somewhat 2 hours after the meal (143 compared to 175 before), but not > as far as I want. I may stay with 5 units for a few days, eating > basically the same meals, to see how the numbers work out and then > increase as needed. Bill, that sounds like a good plan. When you do start increasing the dosage, do increase it larger than two units at a time... In other words, bump your 5 units to 7, 6 units to 8, 8 to 10, etc. You will notice a change in your readings each time you make a change in the units. You just want to make sure that you don't " overshoot " and wind up seriously low. Good luck with the Humalog. It has made a huge difference for me. I have have several readings in the 90's recently and quite a few in the low 100 - 110 range. This is down from high 100's to mid 200's earlier this year. I really like the convenience of it too. It has gone very well, except last night. I was fixing dinner as my wife is still trying to get over pneumonia. I was so busy getting everything ready and on the table that I forgot to take my shot. I had just put one piece of baked ham in my mouth when I remembered! Thankfully, with Humalog, I was able to run and take a shot and come right back and eat. Try that with " Regular " ! Rick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Bill wrote: > I started last night with 5 units of humalog. My BG's were down > somewhat 2 hours after the meal (143 compared to 175 before), but not > as far as I want. I may stay with 5 units for a few days, eating > basically the same meals, to see how the numbers work out and then > increase as needed. Bill, that sounds like a good plan. When you do start increasing the dosage, do increase it larger than two units at a time... In other words, bump your 5 units to 7, 6 units to 8, 8 to 10, etc. You will notice a change in your readings each time you make a change in the units. You just want to make sure that you don't " overshoot " and wind up seriously low. Good luck with the Humalog. It has made a huge difference for me. I have have several readings in the 90's recently and quite a few in the low 100 - 110 range. This is down from high 100's to mid 200's earlier this year. I really like the convenience of it too. It has gone very well, except last night. I was fixing dinner as my wife is still trying to get over pneumonia. I was so busy getting everything ready and on the table that I forgot to take my shot. I had just put one piece of baked ham in my mouth when I remembered! Thankfully, with Humalog, I was able to run and take a shot and come right back and eat. Try that with " Regular " ! Rick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Rick wrote: > Bill, that sounds like a good plan. When you do start increasing the > dosage, do increase it larger than two units at a time... In other > words, bump your 5 units to 7, 6 units to 8, 8 to 10, etc. You will > notice a change in your readings each time you make a change in the > units. You just want to make sure that you don't " overshoot " and wind > up seriously low. You know, sometimes I wish that my Netscape had a MORON-checker in addition to SPELL-checker. I meant to say above DO NOT increase your dosage in larger than two unit bumps! Sorry! Rick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2002 Report Share Posted February 6, 2002 Marc wrote: > Rick, an others, > I've been doing rather well with my bg, this morning it was > between six and seven, too lazy to go reread my meter. At 8pm I had > some sweets, had a wild craving and went downstairs to my neigbour to > get it. An hour or so later I was at 9. So that I was higher than six > wasn't a big surprise, but ormally > my fasting bg is closer to 5.5, been 5.1 a few times. > > Would you say that Humalog would be something I should think > about? I don't think so, plus I'd rather not be injecting myself if > not needed. Marc, Whether to use Humalog or not depends primarily on what your readings are after you have eaten. I reread your earlier posts and if I' correct, you are currently only taking Glucophage. A fasting reading of 5.5 is excellent, so if that is normal for you, you are doing great in that department. What are your BGs like after you eat? If your readings are 10 or above two hours after eating, Humalog could be a benefit to you. You should check your BGs after meals quite a few times to get a feel for what happens when you eat. If the numbers are low, it would not be much of a concern. If your numbers are consistently high, some type of intervention would be in order - more carb reduction, additional oral meds, Humalog, etc. If you are comfortable to do so, please let us know what your post-meal readings are. Rick Quote Link to comment Share on other sites More sharing options...
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