Fast Acting Insulin Users .. Question please.

By JoleneAL Latest Reply 2012-09-22 11:49:11 -0500
Started 2011-06-17 11:01:03 -0500

I started using Novolog about 3 weeks ago and began chasing my highs until, duh, I became more pro-active and have gotten them wrangled into better control.

Here is the question. I have read many different ways to handle meals. Some say after you've figure out the carbs and ratio to use, take before meal; some say half way through, some say after.

Can you all tell me what has worked best for you?

Thanks In Advance!

15 replies

KerwinF 2012-09-22 11:49:11 -0500 Report

I remember dealing with changing insulin and figuring out times and ratios for dosing. I have been Type 1 since 1970 and am happy to say, things have greatly improved for treating this disease.

What I found to be the key, above all else, is testing. You cannot test too often! Started on the old pork insulin, Regular and NPH, then on to a few different humulin types and then to Novolog and Lantus. The latter were the best until I switched to a pump, with Novolog, 2 years ago.

As long as you test your BG frequently, as often as once per hour in the beginning, you can better understand how different types of carbs effect you and how to best give your insulin.

As painful as it is, BG TESTING IS THE KEY!

christophuzz 2012-09-15 18:28:09 -0500 Report

I'm T1 and have been successfully following Dr Bernstein's methodology: 6g of carbs at breakfast , 12g at lunch and 12g at dinner. I use Levemir for Basal and 1/2 to 2 units of Novolog right before eating. I'm keeping my glucose mostly between 75 and 95 and rarely go over 100. For me the key to successful control has been minimizing carb intake. By doing that I also take small doses of Novolog and minimize the risk of going too low.

katiedid:) 2012-09-03 13:42:31 -0500 Report

My doctor makes me take it before meals but I don't really like this cuz I feel like I am always havin to worry if I'm eating enough!

type1wontbeatme 2012-08-14 13:26:44 -0500 Report

When I left the hospital they had me injecting before and within 15 minutes after eating… before for correction based on a sliding scale, and after based on my carbs. I now do correction and carb counting injectiongs together before I eat (like my doctor said, why stick yourself twice? correct and treat with one pen needle). Your fast acting insulin peaks around an hour/hour and a half after you inject so as long as you're eating right away it'll be effective. It all depends on what I eat though… if I have fruit or dessert I inject after.

samiks82 2012-08-09 11:26:14 -0500 Report

I do the insuln/ carb/ bloodsuger thing too. If my sugers are high i take the correction dose before i eat then imediatly after take my food insuln. When low or normal i take it right after i eat.

MoeGig 2012-08-03 16:50:19 -0500 Report

Novolog to me is like handling dynamite. When I've guessed wrong, then my wife ends up calling 911 (usually in the early morning) to iv some glucose because my BG is in the 20's-30's. Very dangerous, you can "wake up dead" as they say. I have solved the problem by setting the alarm every night at 2am to check my sugar. (The problems always happen at 4am). I take 5 units of Lantus at 6pm and check before bed. If it's under 250, I go to bed. Over, take 2 units of Novalog…coupled with the 5 Lantus at dinner, and I'm good. This formula works best if you strictly minimize carbs at dinner. Anyway, that's my (relatively successful) formula.

Type1Lou 2012-07-24 08:38:43 -0500 Report

I was on MDI of Novolog and Lantus before going on a pump last August (pump using Novolog only). While on MDI, I would routinely take my Novolog right before each meal. My dosage was calculated using MY carb to insulin ratio and using a sliding scale if my before-meal BG's were high (my pump does all those calculations for me now.) If my pre-meal BG's were low (70 or below), I would wait to inject until after I'd eaten to avoid having a dangerous hypo episode. Opted to go on the pump because I was having too many hypo episodes and it has given me more stable control. I still achieved my best A1c of 5.9 (back in 2004) while using MDI…don't know if I'll ever get that low again! Hope this helps!

Sidehack 2011-08-19 14:23:02 -0500 Report

Sometimes, if I don't have it w/ me & I eat out I take it after I get home…sometimes 2 or 3 hours later. This may not sound wise but; take only 10 units & check my BS after 30 minutes…repeat if necessary. Thank God for Novolog!

JoshSoccer4 2011-08-19 13:28:51 -0500 Report

I've been on Novolog for awhile now and for me, it doesn't matter. I take it before ad after depending on if I know what I'm going to eat or not. Novolog is great because you can eat what you want! Good luck!

kdroberts 2011-06-17 20:27:03 -0500 Report

Depends on you and what your eating, trial and error is key. Usually I'll inject within 5-10 minutes of eating. If it's a high fat meal I'll wait about 15-30 minutes after I eat to inject and maybe split the injection and take 1/3-1/2 of the total amount an hour later.

Harlen 2011-06-17 19:17:03 -0500 Report

If your T1 just before
If your T2 30 min before
Seams to work well that way
Best wishes

DeedeeBellae1958 2012-08-03 13:31:32 -0500 Report

Hi I've really enjoy reading on ur pages I have learned a lot I still have issues what amount of carbs a day and calories I'm type2 I'm on novo log bedtime 52 units hums log 7units 3 times a day and was on metaphor men until my. Bs is staying around 250 I swimm walk ive lost 11 lbs but I need to lose so much more I started to gain weight when I started on insulin strange huh I said the wrong thing I'm on lantus at bedtime 52 units humolog during the day I have a liver disease so I'm off metiformen until g I dr says ok to take what is the carb amount daily and calories plz help

the diabetic camper
the diabetic camper 2011-06-17 11:06:05 -0500 Report

I take my bolus after meals and depending on the meal I might stagger it 2 hours if it is like pasta or something I have not eaten before.

JoleneAL 2011-06-17 12:03:03 -0500 Report

Ah, I see what you're saying. Well today by the time I got back to the office with my lunch, my sugar was crashing down to 47 - so I haven't taken any fast yet. Going to wait a couple hours and see how it is then. But I'm wondering if for lunch & supper if it would be better to take it after I eat, depending on the reading before the meal. Mornings are different since I spike after I get out of bed and have to push that down right at the start of my day.

Thank you for responding. I know each person is different but I figured input would help me figure out what was best for me.