hello! so I have been a diabetic 1 for only 6 months now and I am on a small dose of Lantus each morning.. I take only 11 units if Lantus in the morning and no other insulin with my meals. I find that after I eat a meal usually around 45 carbs or less that my sugar spikes to 200+ and stays there for At least 3 hours before it slowly makes it way back down to 150 ish... but at other times my Lantus does the job and my sugars stay down after I eat. is it what I am eating or does this just sometimes happen?
does anyone feel like I should be adding my mealtime insulin in so that my sugars do not sky rocket and stay that way for a long period? my Dr did OK me to start using if my sugars stayed this way but I'm just not sure I need it yet.
the one time i tried it before I ate my sugar was 145 and I had eaten a small sandwich with 1 unit Lantus and my sugar dropped rather low about 2 hours after. are u suppose to snack again an hour after your meal?
Thanks for taking the time to help so please help :-)
I stand corrected, Jen. I didn't know 1/2 unit pens existed! Which insulin is it and what's it called? I have a pump, but it's good info to have if someone else needs it!
We use humalog and humulin N, both in 1/2units. Our pens are not disposable tho, they hold the cartridges and we change them out monthly. We also give lantus by syringe, as those pens are disposable and only available in 1u increments. The 1/2u pens are usually marketed under a 'pediatric' pen.
Thanks, Jen; I had no idea that humalog came in 1/2 units. I've been on a pump since January 2011 and last week I ran out of sets and had to use shots for 2 days. I really hated how inexact the one unit doses were and with the syringe it was hard to even get that right!
I was not aware of Humalog being available in a pediatric pen. Novolog is available in a pediatric version, it is called the Novopen Junior. The Novopen Junior allows dosing in 1/2 unit increments, although I do believe the minimum dose is 1 unit. NovoNordisk also has a new pediatric product called the NovoPen Echo, but I've not found it readily available in the US. The Echo also has half unit dosing and some other cool features.
That is good to know I will have to look into that because as of now I just have the per one unit pens. we will see what my doctor says next week! thanks :-)
I think that learning to accurately count carbs is hard, even if you have been doing it a while. I can look at a meal and I consider myself lucky to be able to estimate within 20% what the carbs are in the meal. And then when you factor in all the other variables, the time of day, whether I have just exercised. It is just not an exact science.
I've been using insulin for a year and a half. I still have stuff to learn, but I feel a lot more competent and confident about what I am doing. I can get my fasting numbers where I want and I can manage my after meal blood sugars really well. You've been given some key advice and the people here are really helpful. I'm sure you have wonderful success at this.
As a general rule, I think most people do take their bolus before they eat. It sounds like some endos suggest doing it after, but I don't get it either. I keep increasing the length of time between injection and eating to try and find the sweet spot so I have no spike, but I have a hard time not digging into the food!
I think with kids, they don't want you to wait too long before they eat. Probably lots of factors at play with that decision. I also don't want to push it too far for myself, but I'm still experimenting.
Sounds like you're on top of everything & Quinn is doing great!
Editing to add that with younger kids, I believe they inject after eating because you can never be certain how much a young child is going to eat. Don't want to dose for x number of carbs and then find out they'll only eat 1/2 that! You probably don't have that problem with Quinn. :-)
I think you are deffinitely still in the honeymoon phase! I also use Lantus (basal) (27 units in the morning) and I have worked out my insulin to carb ratio pretty nicely, using Apidra (bolus, rapid acting) (1 unit per 5gram of Carbs), although when I eat more than 30grams of Carbs the ratio tends to change. I like to stick to very low carb eating, and therefore never eat more than 30grams of Carbs per meal. I stick to 3 meals a day, at least 4 hours apart, because my Apidra works +- for 4 hours, and I don't like to inject my insulin over each other (while the one bolus is still in my system - if that makes sense?) I usually eat about a total of 60grams of carbs a day only.
My sugars are normally 5 (morning), 6 (lunch), 6 (dinner), 6 (bed time), 5 (during the night).
Just some information - More or less:If I tested my sugar bed time, and it was in range, but the next morning it is high, then I know its my Lantus. If I test my sugar 4 hours after I have eaten and it is high, then I know its my Apidra.
Hope this helps a little ;-)
VikkiToria (Type 1 - 26 years)
It's a lot of information but you should write down a list of questions for your doctor - I know from experience that if I don't write them down I'm sure to forget something!
All great information from everyone I am definitely going to write down a list of questions because I know I would forget them too! Thanks