Using 2 different type of insulin?

By nzingha Latest Reply 2011-05-21 14:38:11 -0500
Started 2011-05-18 21:29:19 -0500

I have just been told today that I have to go on insulin as the Doc is not impressed with the readings based on the oral medication.

I was put on Humulog 3 times daily and Lantus at night. But I am reading the instructions and here it says. of Lantus …" Must not be mixed or diluted with any other insulin. Mixing or diluting can chnage its time/action profile and mixing can cause precipitation'. What does that mean? Can you be taking 2 different types of insulin at the same time? This is depressing me and I am confused.

25 replies

realsis77 2011-05-21 13:05:03 -0500 Report

Hi. The instructions mean don't mix the insulins in the same syringes. I also take lantus and I take humulinR. I've not had any trouble. I wish you the best! :)

Steam hammer
Steam hammer 2011-05-20 11:03:15 -0500 Report

Yes yoy can take two types of insulin at the same time I Novolog be 4 meals and Lantus at night. Novolog is a fast acting insulin that suppose to bring your sugar down after you eat & Lantus is as low acting insulin that works 24 hrs suppose to help lower your sugar while your fasting at night so you should have a normal reading in the morning.

nzingha 2011-05-20 11:54:37 -0500 Report

Now I'm learning this but the readings are very high still and the units are low so clearly they seem they have to be increased as we go along. I am eating like a bird and eating what they say are the right foods. For example I ate for dinner yesterday..steamed cabbage, broiled chicken, pak-chow with string beans …no carb, cucumber juice, no sweetner.. and my reading was 228 this morning???!!!. For breakfast I ate small bowl of raw oats with low fat milk, 1 boiled egg and an apple… reading 2 hours after 331! I am hungry now so I had an apple…must i eat grass to live now ? This is becoming very stressful for me. Today is my birthday and eating out would be the way to end my day..I've told people dont even mention the word food…I hate food's poison to my body.. I feel like just rolling all over the floor and bawl!

vvanata 2011-05-21 13:52:37 -0500 Report

Oats and fruit will spike blood sugar that's why it was so high, sounds like you will need more lantus. instead of fruit as a snack try some cheese, or almonds or something without carbs. in the mornings i would try just protein and very little carbs, just the egg make it two if you have to and then have a half a piece of toast. ask your dr to get you to someone that can teach you how to count carbs so you can take your humalog according to how many carbs you eat.

nzingha 2011-05-21 14:03:00 -0500 Report

but always heard that oats isso good for u… this morning i had fish with some carbs..small amount and a small piece of mango, cup cafine, low cal milk..small amount and reading has been going down.. for lunch i've done some carb with chicken.. i'll see what happens later…thnks for that info…

vvanata 2011-05-21 14:25:35 -0500 Report

oats are good for you, but being a diabetic is a whole other story. you can eat them it just has to be in moderation. i would gather the apple and fruit you eat is going to have more affect on you than the oats. everyone is different so you have to figure out what works for you and what foods do what. i dont eat much fruit because it will spike my sugar and i do not ever have juice unless i have a low reading.

nzingha 2011-05-21 14:38:11 -0500 Report

out it goes! i'm still learning now that the diabetes is full blown… before it was it taken on a viciousness i've never seen before! lol! but i'm going to fight it back into its place!

Graylin Bee
Graylin Bee 2011-05-20 13:54:53 -0500 Report

Happy Birthday!!
I can't eat oats, they spike my BG.

nzingha 2011-05-20 14:34:50 -0500 Report

thanks for the birthday greetings . I am trying to be happy today …! I cant eat anything it seems..but guess what I'm going out to eat some fish at the Port right now..!

Steam hammer
Steam hammer 2011-05-20 13:19:15 -0500 Report

Yes I know this is very stressful & yes you will have to up the units if insulin try upping the humulog by units before meals if that doesn't help try upping it more unlts somes u have to experiment with it if that doesn't work call ur Dr.

nzingha 2011-05-20 14:20:25 -0500 Report

Can I increase the units myself? Isn't that something that the Doc would have to instruct? I did indicate to my instructor and she said give it 3 days because I'm really at the lowest level on the humulog but clearly it is not enough..neither the amount for the long duration one..which is also low! the readings continue to be high!

nanaellen 2011-05-19 19:20:03 -0500 Report

Hey don't feel alone in this at all!! I've been dealing with this for 6 years and I started out with 3 shots of humalog and lantus at night. I got myself off the 3 shots of humalog and went to just the lantus. Now I'm back to the 3 shots of humalog and the lantus at night. Just found out about a month ago that I could take the both of them at the same time just not in the same syringe or the same spot!! I LOVE this site you'll learn everything you need to know here!! Good luck to you! Ellen :)

nzingha 2011-05-19 20:11:07 -0500 Report

well the #s today r not encouraging…still high..but then i have started ayt the lowest levels… so will be monitoring

nzingha 2011-05-19 06:33:19 -0500 Report

I am so grateful to have found this site and thanks to everyone for the encouragement and the insights. I tried hard to keep this thing under control. I have forgotten what sugar tastes or even looks like, I deprived myself of so many luxuries in food and I excercise.. I try to walk no less than 3 times for the week.. which is outside of my usual plan and is caused from the very hectic and stressful job that I have. I used to say that any work that cuts into my excercise program has to go..but with the economy the way it is..I have not had the luxury to choose something less demanding. Now I think I need to revisit that and to make some serious adjustments..I am feeling much better this morning and heading out to do my 1 hour of walking and stretches.. a good day to all..and thanks again..!

Armourer 2011-05-19 01:05:24 -0500 Report

I take both Lantus and humalog for the past four years. The point is not to mix the insulin together. I inject one type on one side and then to the other side. Move your injection sites around. I didn't know until 9 months ago that one should move the site around or else you "may" cause the fat cells on one side to grow and one will become lop-sided, this happened to me. My left side has nerve damage from an accident, so it doesn't feel as much as the right. Well my left side of the stomach I notice after three years that it was larger then the right. Insulin is a type of growth hormone. Because I take such a large amount of Lantus, 110 units, my doc has me breakup the insulin 55 mornings and 55 at bedtime. At breakfast just inject on one side and then inject on the other. And do not inject more then 60 units at a time, say one has 83 units, half it in injections one after the other, or half in the morning and the other at night. Check with doc first before doing this.

ZannaSu 2011-05-19 00:25:39 -0500 Report

I've been on insulin for about 4 -5 years now, but was dignosed as diabetic over 30 years ago. The whole approach to using insulin has dramatically changed in even the last five years. It truly is no longer a defeat to go there. Whatever will most effectively get your blood sugar scores to their healthiest levels is the best possible thing for you if you really want to minimize and/or postpone other bad things continuing high blood sugar levels do to your body. I was advised much longer ago (10-12 years back) that insulin might be the best approach for me and I was really resistant. I'm dealing now with some side issues I might not have developed, or at least not developed until much later, at least in part because of that delay in getting those numbers where they need to be. I know it's a shock when they first tell you, but these days it really isn't all that bad.

I take 2 insulins like you. I take Levemir (similar to Lantus) in the morning and at night. That is a longer acting insulin, so it tries to get and keep my blood sugar score at a more regular level around the clock. But when I eat, my body will react to the carbs I take in and my blood sugar will raise too high and then drop, potentially too low, so I take Novolog (similar to Humulog) before each meal and have to calculate my dose around how many carbs I'm going to eat and where my blood sugar score is at that time. Sounds like yours is a bit easier if you just do the Humulog 3x daily.

You might want to check out some of the videos on this site as well as some of the other discussions. There are some amazing and knowledgeable people sharing out here. (Like Majikinfl!) You aren't in it alone.

Have a good cry, let the fear and frustration wind on out. We've all been there and done it, or wanted to. But tomorrow will be better. Write down questions as they come to you. (There are no dumb questions.) Ask here online, ask your doctor, but ask. I still am finding answers to questions I was too shy to ask years ago.


Cookie Roma
Cookie Roma 2011-05-19 00:35:52 -0500 Report

I take 3 oral meds and take 2 instinct. Levemir I do 28units when I'm getting lunch. Then before meals I use an equation based on my bg#s, carbs in my meal and add to that answer.

ZannaSu 2011-05-19 01:01:41 -0500 Report

My doctor calls this approach "Intensive Insulin Therapy". I take Metformin 2x daily but no other diabetes related oral meds. Of course, the pain issues have meds, as does my high blood pressure, and my … Seems like the list just keeps getting longer and longer doesn't it? Life was much simpler before all this, but I've gotten fairly adept at keeping on top of it. Are you using flexpens or vials and syringes?

majikinfl 2011-05-18 21:56:23 -0500 Report

It just means if mixed they precipitate…BUT you make take them at same time or same day just not mixed together in same syringe as your other insulin. You will need to take each one using a fresh needle and syringe each time. I am in doubt about precipitate individually but if you see any don't use it and call your Pharmacy for replacement. Follow package directions re temperature and whether or not they should be refigerted all the time. I use two insulins and in the morning I take both the short acting one and the intermediate acting…I just make sure I am using the right dose and the right vial. I tape a red flag to the intermediate acting one just so I know its different. Hope you can get a hang of this. It takes a few days to get a routine. Write if you have queries I or someone else here will be happy to help you. I am a retired RN and becoming diabetic was a shock to me just a few months ago and I still struggle with it. Take care…we are all here to help.

Purple Princess
Purple Princess 2011-05-19 02:46:12 -0500 Report

Thank you so much for the information. I just got put on 2 different insulins. One before dinner which is clear and one before bedtime which is cloudy. I was useing one syringe for both. Plus I think I took the wrong insulin yesterday, so your idea about marking one is great. Thank you again for these tips.

nzingha 2011-05-18 22:31:30 -0500 Report

I wasnt sure if they meant the actual mixing.. as in using the drugs together..or as u described thanks for this lead.. I will administer it now as they say you have to do it at a said time. I certainly would not be actually mixing anything..just the thought of having to use insulin…i bust out in tears this afternoon..felt like curling up in my bed and just be bawling…thnks again…

Blessed617 2011-05-20 15:11:19 -0500 Report

I can relate to the crying. When I was in high school my band instructor had to inject insulin and I said I'd rather die than have to give myself a shot. When my parents were diagnosed with diabetes I SWORE I'd never be diabetic and took some steps to avoid it. When I was diagnosed I was initially in denial. The last time I was hospitalized I ended up on insulin. I dealt with it then because my numbers were so good compared to the metformin. When I go into the hospital I am taken off the metformin. I was fine with the insulin until I came home. I never let it show but giving myself a shot really got to me. I felt like such a failure. I've always heard that insulin was a last resort kind of thing. Now I'm finding that it is not a last ditch effort and it's OK to be on insuilin. It's better to give myself shots than to suffer the effects of high readings. Now, as I work to get a better handle on my carb intake and move more the numbers are coming down. My family doctor has put me back on metformin and has decreased the units in the novolog. My goal is to get off the insulin completely. I encourage you to keep going on this journey. You will find the foods that spike your numbers and then the foods that don't. I was ever so happy to find that I can eat potatoes, in moderation, and not have a spike like whole grain pasta and brown rice. Broccoli and salads also keep my numbers low. My husband can eat white rice like crazy and still have low numbers. Each person is different. Having diabetes is kind of like a long term allergy test. We try different foods and see how the numbers react. Please keep in mind that stress will increase your numbers and have other adverse reactions in your body. Do your best to relax and take this one day at a time, one reading at a time. When you look at your numbers, be positive. Yeah, the reading might be in the 300's, but at least it's not 500 or more. Yes, you could have better numbers, but you also could have much higher numbers. Be encouraged and continue to join the discussions here. This is an AWESOME support group where you can find a lot of good information and help. Looking forward to hearing about our progress on this journey.

Purple Princess
Purple Princess 2011-05-19 02:54:34 -0500 Report

We all go through this so don't beat yourself up about it. I've been diabetic for about 15 years and am still learning things. They put me on 2 insulins last month and I really dreaded it. But I'm learning new things reading these postings. Iearned I should be useing 2 syringes not 1 I have been useing. So have a good cry and start again tomorrow. Things will look better tomorrow. Good Luck