|
|
 |
|
Reply
| | | From: Pat (Original Message) | Sent: 6/15/2006 7:27 PM |
I'm on an insulin pump and have a hard time keeping my after meal BG from going thru the roof. I've tried several things such as low glycemic foods and I wait 20 min to a half hour after I bolus to eat. Breakfast and lunch are the main problem - dinner is fine. My doctor tried me on 3 different fast acting insulins but they all seem to work the same. I'm thinking about waiting longer than the 1/2 hour recommended by my doctor and diabetes educator. Does anyone feel that the insulin doesn't seem to start working for them as quickly as its supposed to. I'm really getting disgusted with this because I can't get my AIC below 8 and I don't eat in between meals or any junk foods. The endocronologist suggested putting me on Symlin along with the insulin but I'm not crazy about that idea. I'm just wondering if anyone else has this problem and I should mention that my pre meal readings are good on average, but I run high in between. Any help will be appreciated. Thanks. |
|
 First
Previous
2-7 of 7
Next
Last
|
Reply
| |
Hi Pat I'm guessing you are a T1, because you are on a pump. But if you are using Humalog in your pump, you shouldn't have to wait a half hour to eat. Humalog (and novolog--more or less the same animal!) works immediately, and peaks within a half hour. After 2 hours, it has reached its full effectiveness. So 2 hours after a meal, you should know whether your bolus was sufficient. Now I'm basing my information on what I know of humalog/novolog, and not the pump--I'm not a pumper. Hopefully, someone with a pump can give you a more precise answer. sheryl |
|
Reply
| | | From: Julie | Sent: 6/15/2006 8:31 PM |
Pat, I was going to suggest the Symlin, which has solved that very problem for me, but I read on to see that your doctor has beaten me to it! I used to have to bolus ahead also and my post-prandials would still be high - my A1C was in the same range as yours. Now that I have adjusted to the Symlin, it really has solved those problems. Sheryl, I was told (and I beleive the package insert also says this) that Humalog and Novolog both take about 15-20 minutes to start working and I have found that to be the case with me. They peak in two hours and they don't wear off for 4-6 hours. Different people may react differently to them, but those times are average times. Julie |
|
Reply
| |
| I also was gonna suggest Symlin. |
|
Reply
| |
Maybe, and this is just a thought, your insulin to carb ratio is too low for breakfast and lunch? What I mean is if your ratio is 1 unit for every 12 carbs, then try 1 unit for every 10. Maybe also try increasing your basal during your breakfast and lunch. |
|
Reply
|  0 recommendations | Message 6 of 7 in Discussion |
|
| This message has been deleted by the author. |
|
Reply
| |
Have you tried the Rule of 500? Take your TDD of both basel and bolus and correction (all the insulin you take in one 24 hour period) Divide it by 500 Say you take 40 u of Insulin a day in basels, bolus and correction. You divide that by 500 (40/500) which equals to be 12.5.. Which is where your baseline C:I ratio should be. Pumping Insulin Book by John Walsh, PA-C, CPT, and Ruth Roberts MA. John is a practicing Physician Assistant in a busy endocrinology clinic and a pumper himself (he wears a Animas pump in silver)... Kitty Loves, Type 1 28 years Deltec Cozmo Insulin pump |
|
|
First
Previous
2-7 of 7
Next
Last
|
|
|
Free Forum Hosting
Important Announcement
Recommend
Recommend
Return to Insulin Question