Re: Dawn Phenomenon problems again

[Guest guest]

> Sure, Kat, there's an answer. You need to take short acting

insulin,

> such as Humalog or NovoLog, to cover your meals and dawn rise in

> addition to the Lantus. The Lantus is basically for between

meals. I'm

> surprised your doctor didn't tell you about this. It will

definitely

> solve the problem.

Hi and thanks for your response. Could you explain how this would

work making my morning numbers lower? I am a little confused

because throughout the day my numbers are pretty much okay if I

watch what I eat. Wouldn't taking a short-acting insulin make me go

too low during the day? Kat

[Guest guest]

> Hi and thanks for your response. Could you explain how this would

> work making my morning numbers lower? I am a little confused

> because throughout the day my numbers are pretty much okay if I

> watch what I eat. Wouldn't taking a short-acting insulin make me go

> too low during the day? Kat

Hi Kat,

I use Lantus (currently taking it in two injections to see what effect that

has, if any, since even the Lantus people said that their information is that

it lasts from 10 to 24+ hours depending on the individual), and I shoot humalog

for meals and the dawn rise. My dawn rise is substantial, and sometimes I

shoot as much as 20 units of humalog at 7:30 am. I eat a protein/fat only

breakfast at about 9-9:30, and at 11:30, my BG is between 95 and 110 and stays

there or even might go down a few points until I eat lunch at 1-1:30 pm.

The fast acting humalog gets in and out of your system in 4 hours (ok, for

someit's a bit quicker and for some a bit slower, but for most it's about 4

hours), and if you figure out how much to inject for your dawn rise, you won't

go

low. I've been doing this only a couple of months, but except for my problems

with exercise numbers bottoming out and rebounding I've never had a low blood

sugar from injecting humalog for my dawn or morning rise.

Stacey

[Guest guest]

>Vicki wrote:

> >Most type 2s seem to need about 1 unit of fast-acting insulin for each

> >15 carbs, but like anything else about diabetes, YMMV.

Stacey wrote:

>I use about 1 unit for 4 carbs, give or take.

As a T1, my ratio pretty much matches Stacey, i.e., 1 unit Humalog for

about every 4 grams of carb.

Sandy

T1 - 1979

[Guest guest]

Okay, you're right. Why do I keep forgetting about YMMV?

There are a FEW people that do okay with NPH or regular. But after 7

years on diabetes lists, I feel I can safely say that NPH and regular

cause more problems than they solve. Most people don't like to be tied

to the strict eating schedule that NPH requires. Further because of the

uneven peaks, someone taking NPH is forced to " feed the insulin, " that

is, eat when you don't feel like it, in order to keep from going low.

Which often happens anyway. And when you feed the insulin, eating even

when you're not hungry, you gain weight. Which is one reason people

don't like to go on insulin.

This simply doesn't happen when you use a fast-acting insulin such as

Humalog or NovaLog. You take it when you eat, period. And you eat when

you feel like it.

Vicki

Re: Re: Dawn Phenomenon problems again

>

> Vicki, you can't say this absolutely. I know two people whose bodies

> work better on

> regular. Also, if you are having problems, on a high protein diet,

> with high numbers

> after a meal, like 2 hours for instance, a regular insulin might work

> better for you.

> There are no absolutes. Everything is YMMV when it comes to diabetes.

>

> Anne

>

> --- whimsy2 wrote:

>>

>> You absolutely do NOT want to use NPH or regular insulin.

>>

>> Vicki, LADA type 1 diagnosed 1997, UL and Humalog insulin and lotsa

>> testing, no complications.

>

>