Re: Re: My menu and numbers

[Guest guest]

Kat,

When you tried insulin, how much were you using? I'm curious because it

sounds very odd that it didn't work in getting your numbers down. Is it

possible

you weren't using enough?

Stacey

Who fought the battle of using a lot of insulin and finally has accepted that

her insulin resistance is quite high. I am on the pump and use about 85-105

units daily. Pre pump, I used 140-160 units. I eat usually about 60 grams of

carbs a day.

[Guest guest]

In a message dated 4/21/2005 6:38:03 PM Eastern Standard Time,

kpaulmt@... writes:

>

>I was using 25 units of Lantus and 30 units of Novolog. A lot more probably

would work, >but I have not accepted it yet. I saw my endo yesterday and

she convinced me to go >back on the Lantus because my numbers were better

when I was using it. I did not go >back on the Novolog though because it never

made any difference and it made me >starving.

>>>>>>>>>>>.

I was on lantus before the pump, and while I had thought I was seeing the end

of the titration at 35 or 40 units, I was wrong. I ended up at 88 units

before the pump, and I still had high numbers like crazy. If I had had to, I

would have kept going up, though I was having some lows at night. Might have

traded the lantus for UL at a certain point.

Be patient and keep at it - there is a way to make those numbers come down.

Stacey

[Guest guest]

In a message dated 4/21/2005 6:38:03 PM Eastern Standard Time,

kpaulmt@... writes:

>

>I was using 25 units of Lantus and 30 units of Novolog. A lot more probably

would work, >but I have not accepted it yet. I saw my endo yesterday and

she convinced me to go >back on the Lantus because my numbers were better

when I was using it. I did not go >back on the Novolog though because it never

made any difference and it made me >starving.

>>>>>>>>>>>.

I was on lantus before the pump, and while I had thought I was seeing the end

of the titration at 35 or 40 units, I was wrong. I ended up at 88 units

before the pump, and I still had high numbers like crazy. If I had had to, I

would have kept going up, though I was having some lows at night. Might have

traded the lantus for UL at a certain point.

Be patient and keep at it - there is a way to make those numbers come down.

Stacey

[Guest guest]

In a message dated 4/21/2005 6:38:03 PM Eastern Standard Time,

kpaulmt@... writes:

>

>I was using 25 units of Lantus and 30 units of Novolog. A lot more probably

would work, >but I have not accepted it yet. I saw my endo yesterday and

she convinced me to go >back on the Lantus because my numbers were better

when I was using it. I did not go >back on the Novolog though because it never

made any difference and it made me >starving.

>>>>>>>>>>>.

I was on lantus before the pump, and while I had thought I was seeing the end

of the titration at 35 or 40 units, I was wrong. I ended up at 88 units

before the pump, and I still had high numbers like crazy. If I had had to, I

would have kept going up, though I was having some lows at night. Might have

traded the lantus for UL at a certain point.

Be patient and keep at it - there is a way to make those numbers come down.

Stacey

[Guest guest]

>When you tried insulin, how much were you using? I'm curious because it

sounds very odd that it didn't work in getting your numbers down. Is it

possible

you weren't using enough?

Stacey

Who fought the battle of using a lot of insulin and finally has accepted that

her insulin resistance is quite high. I am on the pump and use about 85-105

units daily. Pre pump, I used 140-160 units. I eat usually about 60 grams of

carbs a day.

Hi Stacey,

I was using 25 units of Lantus and 30 units of Novolog. A lot more probably

would work, but I have not accepted it yet. I saw my endo yesterday and she

convinced me to go back on the Lantus because my numbers were better when I was

using it. I did not go back on the Novolog though because it never made any

difference and it made me starving.

Kat

[Guest guest]

>When you tried insulin, how much were you using? I'm curious because it

sounds very odd that it didn't work in getting your numbers down. Is it

possible

you weren't using enough?

Stacey

Who fought the battle of using a lot of insulin and finally has accepted that

her insulin resistance is quite high. I am on the pump and use about 85-105

units daily. Pre pump, I used 140-160 units. I eat usually about 60 grams of

carbs a day.

Hi Stacey,

I was using 25 units of Lantus and 30 units of Novolog. A lot more probably

would work, but I have not accepted it yet. I saw my endo yesterday and she

convinced me to go back on the Lantus because my numbers were better when I was

using it. I did not go back on the Novolog though because it never made any

difference and it made me starving.

Kat

[Guest guest]

You know, Kat, what's really important is to take however much insulin

you need to get your numbers lower -- whatever that is. You may have

high insulin resistance like Stacey so you simply need more exogenous

insulin than other diabetics. It certainly doesn't mean you've failed or

anything like that.

It sounds like you might need a little attitude adjustment, then

hopefully everything else will fall into place.

Vicki

Re: Re: My menu and numbers

>

>

>

>

> >When you tried insulin, how much were you using? I'm curious

> because it

> sounds very odd that it didn't work in getting your numbers down. Is

> it possible

> you weren't using enough?

>

> Stacey

> Who fought the battle of using a lot of insulin and finally has

> accepted that

> her insulin resistance is quite high. I am on the pump and use about

> 85-105

> units daily. Pre pump, I used 140-160 units. I eat usually about 60

> grams of

> carbs a day.

>

> Hi Stacey,

> I was using 25 units of Lantus and 30 units of Novolog. A lot more

> probably would work, but I have not accepted it yet. I saw my

> endo yesterday and she convinced me to go back on the Lantus because

> my numbers were better when I was using it. I did not go back on the

> Novolog though because it never made any difference and it made me

> starving.

>

> Kat

[Guest guest]

You know, Kat, what's really important is to take however much insulin

you need to get your numbers lower -- whatever that is. You may have

high insulin resistance like Stacey so you simply need more exogenous

insulin than other diabetics. It certainly doesn't mean you've failed or

anything like that.

It sounds like you might need a little attitude adjustment, then

hopefully everything else will fall into place.

Vicki

Re: Re: My menu and numbers

>

>

>

>

> >When you tried insulin, how much were you using? I'm curious

> because it

> sounds very odd that it didn't work in getting your numbers down. Is

> it possible

> you weren't using enough?

>

> Stacey

> Who fought the battle of using a lot of insulin and finally has

> accepted that

> her insulin resistance is quite high. I am on the pump and use about

> 85-105

> units daily. Pre pump, I used 140-160 units. I eat usually about 60

> grams of

> carbs a day.

>

> Hi Stacey,

> I was using 25 units of Lantus and 30 units of Novolog. A lot more

> probably would work, but I have not accepted it yet. I saw my

> endo yesterday and she convinced me to go back on the Lantus because

> my numbers were better when I was using it. I did not go back on the

> Novolog though because it never made any difference and it made me

> starving.

>

> Kat

[Guest guest]

You know, Kat, what's really important is to take however much insulin

you need to get your numbers lower -- whatever that is. You may have

high insulin resistance like Stacey so you simply need more exogenous

insulin than other diabetics. It certainly doesn't mean you've failed or

anything like that.

It sounds like you might need a little attitude adjustment, then

hopefully everything else will fall into place.

Vicki

Re: Re: My menu and numbers

>

>

>

>

> >When you tried insulin, how much were you using? I'm curious

> because it

> sounds very odd that it didn't work in getting your numbers down. Is

> it possible

> you weren't using enough?

>

> Stacey

> Who fought the battle of using a lot of insulin and finally has

> accepted that

> her insulin resistance is quite high. I am on the pump and use about

> 85-105

> units daily. Pre pump, I used 140-160 units. I eat usually about 60

> grams of

> carbs a day.

>

> Hi Stacey,

> I was using 25 units of Lantus and 30 units of Novolog. A lot more

> probably would work, but I have not accepted it yet. I saw my

> endo yesterday and she convinced me to go back on the Lantus because

> my numbers were better when I was using it. I did not go back on the

> Novolog though because it never made any difference and it made me

> starving.

>

> Kat

[Guest guest]

Compared to what I've heard from other people who use Lantus, 25 units

is just a tiny bit. Could be that working on the acceptance issue

should be the front burner item right now.

CarolR

[Guest guest]

Compared to what I've heard from other people who use Lantus, 25 units

is just a tiny bit. Could be that working on the acceptance issue

should be the front burner item right now.

CarolR

[Guest guest]

>You know, Kat, what's really important is to take however much insulin

you need to get your numbers lower -- whatever that is. You may have

high insulin resistance like Stacey so you simply need more exogenous

insulin than other diabetics. It certainly doesn't mean you've failed or

anything like that.

>It sounds like you might need a little attitude adjustment, then

hopefully everything else will fall into place.

Vicki

Yes, I am giving the Lantus another try. I have to increase it very slowly

and dread doing so because it keeps me awake most of the night whenever I start

it or increase it. I don't recall ever reading anyone having this effect from

insulin. After 2-3 nights of sleeplessness, I adjust, and then am okay again.

Then it's time to increase it again. ugh

Kat

[Guest guest]

>You know, Kat, what's really important is to take however much insulin

you need to get your numbers lower -- whatever that is. You may have

high insulin resistance like Stacey so you simply need more exogenous

insulin than other diabetics. It certainly doesn't mean you've failed or

anything like that.

>It sounds like you might need a little attitude adjustment, then

hopefully everything else will fall into place.

Vicki

Yes, I am giving the Lantus another try. I have to increase it very slowly

and dread doing so because it keeps me awake most of the night whenever I start

it or increase it. I don't recall ever reading anyone having this effect from

insulin. After 2-3 nights of sleeplessness, I adjust, and then am okay again.

Then it's time to increase it again. ugh

Kat

[Guest guest]

>You know, Kat, what's really important is to take however much insulin

you need to get your numbers lower -- whatever that is. You may have

high insulin resistance like Stacey so you simply need more exogenous

insulin than other diabetics. It certainly doesn't mean you've failed or

anything like that.

>It sounds like you might need a little attitude adjustment, then

hopefully everything else will fall into place.

Vicki

Yes, I am giving the Lantus another try. I have to increase it very slowly

and dread doing so because it keeps me awake most of the night whenever I start

it or increase it. I don't recall ever reading anyone having this effect from

insulin. After 2-3 nights of sleeplessness, I adjust, and then am okay again.

Then it's time to increase it again. ugh

Kat

[Guest guest]

Kat, you do not have to take your lantus at night, why not try it in the

morning, or even mid-afternoon?

Novalog did not work for me; humalog does.

Helen

[Guest guest]

Kat, you do not have to take your lantus at night, why not try it in the

morning, or even mid-afternoon?

Novalog did not work for me; humalog does.

Helen

[Guest guest]

>If you give the Lantus a fair try and it still seems to be keeping you

awake, you might consider trying Ultralente as your basal. Very few

doctors ever prescribe this -- it actually doesn't even need a

prescription since it's an old insulin, and it's a lot cheaper than

Lantus. It has a reputation as being unpredictable but IMHO, this is

because most doctors don't understand how to use it to best advantage,

i.e. twice a day, 12 hours apart. Also, it takes some experimentation to

get the dosing correct. Very often the a.m. dose is half the p.m. dose.

I get excellent basal control with it, as do quite a few others here.

Vicki

I'm not familiar with Ultralente. Is that like Humulin N?

Kat

[Guest guest]

>If you give the Lantus a fair try and it still seems to be keeping you

awake, you might consider trying Ultralente as your basal. Very few

doctors ever prescribe this -- it actually doesn't even need a

prescription since it's an old insulin, and it's a lot cheaper than

Lantus. It has a reputation as being unpredictable but IMHO, this is

because most doctors don't understand how to use it to best advantage,

i.e. twice a day, 12 hours apart. Also, it takes some experimentation to

get the dosing correct. Very often the a.m. dose is half the p.m. dose.

I get excellent basal control with it, as do quite a few others here.

Vicki

I'm not familiar with Ultralente. Is that like Humulin N?

Kat

[Guest guest]

>If you give the Lantus a fair try and it still seems to be keeping you

awake, you might consider trying Ultralente as your basal. Very few

doctors ever prescribe this -- it actually doesn't even need a

prescription since it's an old insulin, and it's a lot cheaper than

Lantus. It has a reputation as being unpredictable but IMHO, this is

because most doctors don't understand how to use it to best advantage,

i.e. twice a day, 12 hours apart. Also, it takes some experimentation to

get the dosing correct. Very often the a.m. dose is half the p.m. dose.

I get excellent basal control with it, as do quite a few others here.

Vicki

I'm not familiar with Ultralente. Is that like Humulin N?

Kat

[Guest guest]

If you give the Lantus a fair try and it still seems to be keeping you

awake, you might consider trying Ultralente as your basal. Very few

doctors ever prescribe this -- it actually doesn't even need a

prescription since it's an old insulin, and it's a lot cheaper than

Lantus. It has a reputation as being unpredictable but IMHO, this is

because most doctors don't understand how to use it to best advantage,

i.e. twice a day, 12 hours apart. Also, it takes some experimentation to

get the dosing correct. Very often the a.m. dose is half the p.m. dose.

I get excellent basal control with it, as do quite a few others here.

Vicki

Re: Re: My menu and numbers

>

>

>

>

> >You know, Kat, what's really important is to take however much

> insulin

> you need to get your numbers lower -- whatever that is. You may have

> high insulin resistance like Stacey so you simply need more exogenous

> insulin than other diabetics. It certainly doesn't mean you've failed

> or

> anything like that.

>

> >It sounds like you might need a little attitude adjustment, then

> hopefully everything else will fall into place.

> Vicki

> Yes, I am giving the Lantus another try. I have to increase it very

> slowly and dread doing so because it keeps me awake most of the night

> whenever I start it or increase it. I don't recall ever reading

> anyone having this effect from insulin. After 2-3 nights of

> sleeplessness, I adjust, and then am okay again. Then it's time to

> increase it again. ugh

>

> Kat

>

>

>

>

[Guest guest]

If you give the Lantus a fair try and it still seems to be keeping you

awake, you might consider trying Ultralente as your basal. Very few

doctors ever prescribe this -- it actually doesn't even need a

prescription since it's an old insulin, and it's a lot cheaper than

Lantus. It has a reputation as being unpredictable but IMHO, this is

because most doctors don't understand how to use it to best advantage,

i.e. twice a day, 12 hours apart. Also, it takes some experimentation to

get the dosing correct. Very often the a.m. dose is half the p.m. dose.

I get excellent basal control with it, as do quite a few others here.

Vicki

Re: Re: My menu and numbers

>

>

>

>

> >You know, Kat, what's really important is to take however much

> insulin

> you need to get your numbers lower -- whatever that is. You may have

> high insulin resistance like Stacey so you simply need more exogenous

> insulin than other diabetics. It certainly doesn't mean you've failed

> or

> anything like that.

>

> >It sounds like you might need a little attitude adjustment, then

> hopefully everything else will fall into place.

> Vicki

> Yes, I am giving the Lantus another try. I have to increase it very

> slowly and dread doing so because it keeps me awake most of the night

> whenever I start it or increase it. I don't recall ever reading

> anyone having this effect from insulin. After 2-3 nights of

> sleeplessness, I adjust, and then am okay again. Then it's time to

> increase it again. ugh

>

> Kat

>

>

>

>

[Guest guest]

If you give the Lantus a fair try and it still seems to be keeping you

awake, you might consider trying Ultralente as your basal. Very few

doctors ever prescribe this -- it actually doesn't even need a

prescription since it's an old insulin, and it's a lot cheaper than

Lantus. It has a reputation as being unpredictable but IMHO, this is

because most doctors don't understand how to use it to best advantage,

i.e. twice a day, 12 hours apart. Also, it takes some experimentation to

get the dosing correct. Very often the a.m. dose is half the p.m. dose.

I get excellent basal control with it, as do quite a few others here.

Vicki

Re: Re: My menu and numbers

>

>

>

>

> >You know, Kat, what's really important is to take however much

> insulin

> you need to get your numbers lower -- whatever that is. You may have

> high insulin resistance like Stacey so you simply need more exogenous

> insulin than other diabetics. It certainly doesn't mean you've failed

> or

> anything like that.

>

> >It sounds like you might need a little attitude adjustment, then

> hopefully everything else will fall into place.

> Vicki

> Yes, I am giving the Lantus another try. I have to increase it very

> slowly and dread doing so because it keeps me awake most of the night

> whenever I start it or increase it. I don't recall ever reading

> anyone having this effect from insulin. After 2-3 nights of

> sleeplessness, I adjust, and then am okay again. Then it's time to

> increase it again. ugh

>

> Kat

>

>

>

>

[Guest guest]

At 08:22 PM 4/21/2005, you wrote:

>Compared to what I've heard from other people who use Lantus, 25 units

>is just a tiny bit. Could be that working on the acceptance issue

>should be the front burner item right now.

>

>CarolR

I just started insulin again about a month ago - Lantus at Bedtime, Humalog

pre-meal. My Lantus at bedtime is currently 60 units, and I still don't

think it's quite enough. I may need 25 more! :o/

Bedtime bg - 127, next morning waking - 149

Bedtime bg - 95, next morning waking - 116

Bedtime bg - 99, next morning waking - 136

I've gotten my Humalog doses set very well. Lunch usually around 40 units,

dinner winds up being around 50. This is all with very low to moderate

carbs - lunch 15 - 20 and dinner 20 - 25. If I have a higher carb meal,

ie... add a baked potato (rare!!!), I need 65 - 70 units.

I think these numbers show that I have quite a bit of insulin resistance.

In the morning I will typically take 15 units of Humalog with no food, just

to get my bg down below 100.

My last Hba1c (a month ago) was 10.4 (no throwing stones!!!). Since I've

been keeping my bgs close to a hundred or slightly less, after bringing my

morning bg down, I'm sure my next Hba1c will be significantly better.

[Guest guest]

At 08:22 PM 4/21/2005, you wrote:

>Compared to what I've heard from other people who use Lantus, 25 units

>is just a tiny bit. Could be that working on the acceptance issue

>should be the front burner item right now.

>

>CarolR

I just started insulin again about a month ago - Lantus at Bedtime, Humalog

pre-meal. My Lantus at bedtime is currently 60 units, and I still don't

think it's quite enough. I may need 25 more! :o/

Bedtime bg - 127, next morning waking - 149

Bedtime bg - 95, next morning waking - 116

Bedtime bg - 99, next morning waking - 136

I've gotten my Humalog doses set very well. Lunch usually around 40 units,

dinner winds up being around 50. This is all with very low to moderate

carbs - lunch 15 - 20 and dinner 20 - 25. If I have a higher carb meal,

ie... add a baked potato (rare!!!), I need 65 - 70 units.

I think these numbers show that I have quite a bit of insulin resistance.

In the morning I will typically take 15 units of Humalog with no food, just

to get my bg down below 100.

My last Hba1c (a month ago) was 10.4 (no throwing stones!!!). Since I've

been keeping my bgs close to a hundred or slightly less, after bringing my

morning bg down, I'm sure my next Hba1c will be significantly better.

[Guest guest]

At 08:22 PM 4/21/2005, you wrote:

>Compared to what I've heard from other people who use Lantus, 25 units

>is just a tiny bit. Could be that working on the acceptance issue

>should be the front burner item right now.

>

>CarolR

I just started insulin again about a month ago - Lantus at Bedtime, Humalog

pre-meal. My Lantus at bedtime is currently 60 units, and I still don't

think it's quite enough. I may need 25 more! :o/

Bedtime bg - 127, next morning waking - 149

Bedtime bg - 95, next morning waking - 116

Bedtime bg - 99, next morning waking - 136

I've gotten my Humalog doses set very well. Lunch usually around 40 units,

dinner winds up being around 50. This is all with very low to moderate

carbs - lunch 15 - 20 and dinner 20 - 25. If I have a higher carb meal,

ie... add a baked potato (rare!!!), I need 65 - 70 units.

I think these numbers show that I have quite a bit of insulin resistance.

In the morning I will typically take 15 units of Humalog with no food, just

to get my bg down below 100.

My last Hba1c (a month ago) was 10.4 (no throwing stones!!!). Since I've

been keeping my bgs close to a hundred or slightly less, after bringing my

morning bg down, I'm sure my next Hba1c will be significantly better.