So, tonight when I checked my B.S. it was 11.5. This is rather high for me, usually around 6.0. Naturally I won't be having a snack but the question I want to ask is: how much NPH (slow acting insulin) should I take?

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Comment by jrtpup on October 18, 2012 at 9:13pm

ElCyd, welcome to the TuD family.

I don't think that question can be answered without knowing your correcton factor, or ISF (Insulin Sensitivity Factor). We're all different. My correction factor from 12a-12p is 1:35, and 12p-12a 1:40. So in the morning, 1u of (fast-acting) insulin will bring me down 35 ml/dl, and 40 in the afternoon evening.

If you haven't figured out your ISF, it's definitely worth doing!

Comment by Brian (bsc) on October 19, 2012 at 5:41am

Actually, NPH is an intermediate insulin, really rather slow. It won't bring your blood sugars down for hours. You need a rapid insulin, like Regular (R) or even better, one of the newer ones like Humalog, Novolog or Apidra. As jrtpup notes, you take a correction to restore a normal blood sugar based on your individual situation.

I found the books "Using Insulin" by Walsh and "Think Like a Pancreas" by Scheiner really helpful in understanding proper insulin dosing.

Everyone on insulin is different, different types of insulin, different sensitivities. You probably won't get any helpful specific answer, but we can help inform you so that you can figure it out.

Comment by karebear1966 on October 19, 2012 at 2:30pm

NPH is intermediate as Brian says, Did you not get your Dr or nurse to get your correction dosages???
If I was at 11mmol 2 hours post meal I would correct with Rapid acting insulin of 2 units. The NPH is just to keep you balanced through the day and night not ofr corrections.

Comment by karebear1966 on October 19, 2012 at 2:34pm

PS A quick way to bring your BG's down is to drink some water and go for a walk.. 11.5 really isnt all that high in the D world. Not to ignore it for sure but fairly easy to bring down without a shot. Also... when did you test??? how long after you ate??? what did you eat??? anything different??? Make notes!!!

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