If I have a 300+ BG reading and it is time for a AM or PM dose.
I should take the Dose (7R and 13NPH) as scheduled or
because of the high glucose should I add to the regular dose
an additional amount to compensate for the spike in BG?
for exapmle BG is 300+ do I take (13R and 13N) instead of 7R 13N?
what to do?
I just got an RX for Humalog... $145 a vial.
But I am excited to carefully use it for correction.
yes, I would consider a more efficient insulin, but I am uninsured and
the R and NPH are the cheaper than most other insulins.
I do use the I:C ratio to plan my meals and sliding scale to correct.
I am planning to use Humalog for quicker correction.
I appreciate your input, I get so much help from this site..
more than my doc or ex doc as I put it, as of today!
Only problem with getting a vial of humalog is once it is opened, it is recommended to use within 28 days. If you are just using it for corrections then I am afraid it will "expire" and not be as active if you try to use it too carefully. There are 1000 units in a vial, so 28 days worth is 36 units a day.
I too have gotten so much help here, and I asked a question not long ago how long people actually keep their vials of lantus or humalog and with the cost at $145 a vial, I can understand using the less expensive options for insulin. Check the discussions http://www.tudiabetes.org/forum/topics/do-you-really-throw-out-lant... I got a lot of good responses and learned a lot from it. Just copy and paste the link and the discussion should come up.
I switched endos after 20 years and am thrilled with my new one. The clinic I go to also has a refrigerator filled with "salesman samples" for lack of a better term. I took advantage of some freebies and tried Apidra which is another fast acting insulin. I like it better than the humalog I had been taking but both are equally good for bringing down a high blood sugar.
If you are going to use humalog slowly it makes sense to get the humalog pens. For a while they were giving them away for free with coupons in ADA Forecast and other places. Even if you can't get the samples, a box of pens will be better because each pen only has 300 units so that there is less waste.
For Humalog, I buy the insulin cartriges for pens, but then use a needle to withdraw the dose. else i use the prefilled pens due to small dose. As long as keptat relatively stable temperature, I find these last well beyond 30 days. I live in Manila (hot), but in 5 years of using humalog have never had a cartridge 'go bad', even with using a single one for more than 2 months. I use humalog for rapid insulin and nph for basal. I find regular works slowly / requires more planning (not my thing), and don't use it.