Re: New here.., Need Help
Humulin N? Your blood sugars are running in the 400's and all you've been on is Humulin N????? Sounds like you may need to switch doctors, as this one is still in the dark ages.
It's very difficult to get good control using just a basal insulin. Most of us on insulin now use some combination of a long-acting basal, such as Lantus, along with a rapid-acting bolus insulin, such as humalog. You do need to learn how to count carbs, however, as the amount of rapid-acting insulin depends on the number of carbs you'll be eating at that particular time. And, this means you usually have to take at least 4 shots a day. BUT...you can achieve excellent control that way.
Humulin N is also notorious for it's unpredictability...it's onset of effectiveness is anywhere from 1-2 hours, and it peaks at anywhere from 4-6 hours. It was a lousy basal insulin, but for a while that's all we had. It's been a long while, however, since Lantus came out. And, whether you use Lantus or Levemir as a basal, either one would be better than humulin N.
If your insurance would cover it, you may also want to look into an insulin pump. With a pump you only need to use one type of insulin (rapid-acting), and the pump delivers a steady drip as a basal, while you program it to bolus as much as you need to cover meals. It, too, requires that you learn to count carbs, but you only have to change the insertion site once every 3 days or so.
If you're not seeing an endocrinologist, I recommend that you do so. Whatever you decide, Syrenna, you need to get those numbers down as soon as possible, no matter how much insulin you have to take. But I suspect that if you were on a better regimen, it wouldn't take as much to get you to better numbers.
Last edited by SamQKitty; 03-04-2007 at 09:07 PM.