Re: Insulin Users---question
I am male, 5' 11" 260. I inject 30 units of Lantus at night before bed, and am on Metformin 1 g 2x a day. With 45 grams of carb per meal I would need hardly any coverage at all.... maybe 2 units. I can maintain FBS of 115-120. With HbA1c of 6.3. I am going to take a guess that I could go to 35 units of Lantus and not cover at all on this carb intake.
You may be pretty susceptible to "dawn phenomenon".... do you take other readings during the day? What is your HbA1c? Are you on other medication? These are the relevant questions which are germane to the answer you seek.
If you don't have the answers, let me recommend this. Shoot 2 units
at the same time you eat your meal. Do this for a week, and see where your FBS goes. If it doesn't change, you will need either the HbA1c before you go to your doc to make an adjustment or at least some postprandial reading data taken at about 2-2-1/2 hours after you eat.
I base this guess on your average being about 9.5 mmol. And since you are pretty "normal" weight and height, a standard sliding scale.
The best way to control diabetes, as you know, is to stay on a steady injection rate and caloric distribution, and use the HbA1c to adjust.
Last edited by tfkeel; 08-01-2008 at 06:43 AM.