Questionable New Instructions

Monica1972
By Monica1972 Latest Reply 2013-09-24 22:45:26 -0500
Started 2013-09-18 16:33:10 -0500

I went for my follow up appointment today and the doctor told me he wants me to take two units of insulin with each meal and six units of Lantus at bedtime. This just doesn't sound right to me. Please give me some input on what instructions to rest of you were given to treat your diabetes.


8 replies

IronOre
IronOre 2013-09-24 22:45:26 -0500 Report

5 units at each meal (per below) is reasonable, I take around 6+ units.
If I was you I would consider going to a diabetes clinic because they will teach you about carbs and insulin, which will make this whole thing much more understandable.

hpcdiabetes
hpcdiabetes 2013-09-21 19:25:21 -0500 Report

My insulin intake is based on a sliding scale, which has been very effective for me. I also take Lantus, initially told to take at bedtime, but found taking in the morning proved more beneficial.

20u Lantus in the morning.
Sliding scale is based on BGL levels
150-200 2u
201-250 4u
251-300 6u
301-350 8u
351-400 10u

The sliding scale is becoming sort of out dated by many endocrinologists standards, but it has proved to work great for me.

Talk to your doc, and make sure both are agreeable in your treatment.

Gabby
GabbyPA 2013-09-19 23:04:27 -0500 Report

I would go and talk to your doctor to make sure you guys are on the same page. If something doesn't sound right to you, you have the right to ask and get an answer that makes sense. Get them to tell you why and what...not just to tell you to do it. Don't be afraid to stand up for yourself. You pay your doctor, not the other way around. So make sure you are getting your money's worth.

Type1Lou
Type1Lou 2013-09-19 17:36:27 -0500 Report

Your meal-time (fast-acting) insulin should be calibrated based on the amount of carbohydrate you are consuming at each meal…taking a set amount at every meal without accounting for the carbs can lead to either too low BG's (no fun) or too high numbers…both are dangerous. (Lantus is a 24-hour insulin and provides a near steady basal level of insulin in your blood) Are you seeing an endocrinologist or letting your primary care physician handle your diabetes? I asked my PCP for an endocrinologist referral in 2010 after a particularly bad low BG episode. I was not comfortable with the PCP's handling of my diabetes. I'm convinced that seeing an endocrinologist saved my life. Some specialize in treating diabetes and will get you on the right track with diabetes education and nutritional counseling. With the right medical team, diabetes can be a very manageable chronic disease. A book that might help you understand how your body is functioning…or not…is Gary Scheiner's "Think Like a Pancreas"…it had lots of good info. Wishing you well…don't get discouraged…learn as much as you can and you'll do OK!

kimfing
kimfing 2013-09-18 22:11:19 -0500 Report

What were you instructed as to what your carb to insulin ratio? My recent instructions were half unit per thirty carb eaten. I take four units of levimir at night and metformun two times a day. How many carbs per meal did they say to eat for that amount in insulin?

Next Discussion: Newly diagnosed »