I left town suddenly tonight and forgot to bring my lantus with me! I have no long-acting insulin right now and I'm freaking out. What can I do for tonight to get by without it? I usually take 12u at bedtime, but all the pharmacies are closed!
Do you have/are you near a 24h pharmacy? Your doctor should have a service who will contact him, or an on-call colleague, immediately, and they would be able to rx you supplies, via phone direct to the pharmacy, for you to pick up.
kind of like mimicking a pump...i was thinking the same thing. it could get you by. even so, maybe you should just call your doctor and speak with him/her. certainly you will want to stay well-hydrated.
Anthony is correct! Pretty much what a pump does. I do like .9U/ hr for my basal insulin so maybe break down your basal into chunks and fire away. Maybe an ER could hook you up too? If it's some kind of rx issue, you might score some NPH for $20/ bottle too?
I once went all day without any fast acting insulin and I ate twice. Its not going to be pretty but you can get through it. Lantus is only to maintain your liver producing sugars which if your only taking 12 units doesnt sound like much. I think you will be alright with taking very small dosages of fast acting like suggested. Try not to stress about it because we all know stressing makes your sugar increase....Good luck!
Does insulin require a prescription? Maybe it varies by state.
I agree with the advice of the previous comments about using several doses of rapid acting insulin. That should work well. I would set my alarm and get up a few times to check your BG and then dose insulin.
To estimate your dose I would divide your total daily dose of Lantus by 24 hours. This would give you the approximate units/hour of the short acting insulin. I would set my first alarm for 2 hours after going to bed if you take "basal insulin" right before bed.
It'll be interesting to see how you do. Good luck!
I had to take some correction humalog before bed. My fasting blood sugar was 158 this morning, which is not *too* bad, but not ideal... But I think if I can take 1u of humalog every 2 hours or so I should be fine until I can get some lantus in me. I'll be able to call the endo at 9 and ask him to call in a prescription to my nearest pharmacy.
Thanks you guys! I was really afraid it would shoot up to like 300 without lantus for the night...glad to see I was wrong.
Great to hear everything is ok. 158 is not too shabby.
And don't forget, Walmart sells NPH without a prescription in every state (except Alaska). Many in big areas have a 24 hour pharmacy and you can just pick up a vial and a box of syringes and be good. While NPH is not optimal as a basal insulin, it is better than nothing.
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