Determining bolus insulin dosages

By Khumbo Latest Reply 2012-08-06 23:31:09 -0500
Started 2012-08-06 12:25:07 -0500

Hi all. I am new to the group. I am type one diabetic and have been on protaphane and actrapid in the morning, actrapid at lunch and actrapid and protaphane in the evening. I have been having difficulties to get my readings during the day within my goals.I have hypos (between 1.7 and 3.5 mmol) just before lunch and also have hypos 3 hours after lunch same ranges as b4 lunch. I hve told my Dr about this and she advises me to eat more at breakfast. This seems to help with the lunch hypos but I continue to have hypos soon after lunch. Can any one help me how I could deal with hypos

3 replies

jayabee52 2012-08-06 15:21:23 -0500 Report

Howdy Khumbo. WELCOME to DiabeticConnect!

MOST of us here on DC are based in the USA and use a different measurement for our Blood Glucose (BG) readings. So that you may follow along and understand better what we mean by saying our BG level is 80 (or something like that,) you could use the calculator to convert the one reading into the other (and back again). Find it here ~

As far as hypos, perhaps you need to eat more protein at lunch and the evening meal. If you eat more carbs, you will digest them faster (especially the "simple" carbs) and you'll run out of "fuel" for your body faster bringing on a hypo.

BTW, where in the world are you located?

Blessings to you and yours, from Las Vegas, NV, USA!

James Baker

Type1Lou 2012-08-06 14:41:52 -0500 Report

Welcome to DC Khumbo. I had to look up "protaphane" and "actrapid" since I was unfamiliar with those terms. My efforts revealed the protaphane is the equivalent of NPH insulin in the US (longer acting) and actrapid is like fast-acting Novolog or Humalog insulin here…at least, that's what I gleaned from my inquiry. Nearly 10 years ago, I had been on 2 shots of NPH daily then was switched to one shot of Lantus (24-hour long acting insulin) and meal-time boluses of Novolog. The Lantus/Novolog routine freed me from being tied to the clock for my meals…I could eat when I chose to and not risk a hypo episode. Then, two years ago, I started experiencing scary morning lows and my Lantus shot was changed from evening to morning which helped some. I eventually started on an insulin pump a year ago and that has given me greater stability in managing my BG's. Are you seeing an endocrinologist for your diabetes. There may be other combinations of insulin that might work better for you but only an expert in diabetes can put you on that path. Hoping you find the answers you need since hypos are scary and dangerous.

Khumbo 2012-08-06 23:31:09 -0500 Report

Thanks Jaybee52 and Type1 lou for the information. I am based in Malawi, Africa and we dont have many endos here. I am not seeing an endo but I only see one when things really get tough.I will try out your suggestions and see how it goes.

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