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Old 07-27-2008, 10:41 AM   #1
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twokatss HB User
Question Best Way To Use Insulin To Keep Numbers Down

Some are on long lasting only. Some are on rapid only.
I happen to be on both.

What is the best way to control it? Both--long and rapid? or just long or rapid?

There are some very informed people on here who can tell me the answer please and Thankyou very much....

 
Old 07-27-2008, 10:57 AM   #2
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Re: Best Way To Use Insulin To Keep Numbers Down

I have been on both long and rapid, and only rapid. The long and rapid both method is by far the best. It requires much less regimentation and provides
some help for things like "dawn phenomenon" when your liver decides that you need glucose overnight and you don't have the chance to counteract with the rapid "coverage".

The best method for coverage is the "Mayo Clinic" method where you estimate the carb load you are about to eat and give yourself the coverage shot right then. It puts the fast-acting insulin and the food at the tissue barriers roughly at the same time. If I do this and keep my diet good, I can hold a 125 FBS.

I am a 20-year type 2 and can maintain HbA1c of 6.3 even though I don't always practice "Mayo Clinic" mode, I sometimes revert to "coverage" mode where I measure at the meal and cover before eating the next one.

I am on Lantus and Humalog .... I tried natural insulin for a while, but it was much tougher and I had to shoot really heavy about 4 times a day. Although if I really had to, I think I could do it. Right now, I have insurance coverage and I am taking the "easy way out".

 
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Old 07-27-2008, 06:26 PM   #3
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Re: Best Way To Use Insulin To Keep Numbers Down

It's definitely better to take long and rapid insulin. It allows you so much greater freedom in your eating schedule as well as keeping your numbers in much better range. Insulin has peaks, and taking only long acting won't cover the highs between peaks, or postprandial highs. You have to wait for the next peak to kick in before your numbers come down.

 
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