Blood sugar

By Flustrated Latest Reply 2014-03-17 05:31:49 -0500
Started 2014-03-13 12:24:37 -0500

Where can I find a fast way to determine how much insulin to take before my meal? How many carbs does one unit of novolog cover? I am trying to be better at counting carbs before meal. Not to good all the time.

16 replies

MrsCDogg 2014-03-17 05:31:49 -0500 Report

Your doctor should have already done that. I'm on a specific amount of long-acting Levemir twice a day and then a sliding scale of Apidra. Call your doctor like NOW!

lorene1212 2014-03-16 21:29:46 -0500 Report

Flustrated has your dr. given you amounts of insulin to take.???? We cannot tell u how much to take.. I am on sliding scale. I would say call your doctor A.S. A. P todaylll find out how much to take per bs meters.. No one can tell you your dr. must do this.. Not even a nurse… !!!!
Please know I have your best interest with my answer.

Please do not listen to any one that tells you different. Very important is for you to call your dr…

Lorene Barrows

lorene1212 2014-03-15 22:01:15 -0500 Report

I am on a sliding scale, which is when my sugar goes over 151 I take 10 milligrams, 20 12 m. 251 14 inits ect////

Jeanette Terry
Jeanette TerryPA 2014-03-15 15:26:45 -0500 Report

There isn't some standard amount. You need to have a medical professional help you find the right amount of insulin ratios and scales for your body.

jigsaw 2014-03-15 13:05:27 -0500 Report

My endo simply gave me a starting point with insulin, and a sliding scale to use before meals. Depending on where my blood glucose is before meals, is the determining factor for what end of the sliding scale I utilize. My endo also said it was perfectly safe for me to adjust beyond his prescribed limits by 1unit at a time, and gradually over a few days. I don't think he would say that to everyone though. My primary care phyisician agreed, and he happens to have diabetes.
It's an easy method, and I find it's working great so far.

"Sue" 2014-03-14 18:07:57 -0500 Report

Your dr. is the best person to advice you of how much insulin to be taking. And they might want you to start seeing a diabetes -food specialist.

Trudie Ann
Trudie Ann 2014-03-13 23:00:42 -0500 Report

I don't take insulin, only Metformin so I don't know the answer. I see that there are some people who have answered, and it looks like they have given you good advice. Especially that everyone is different and to please be sure and ask your doctor. It's good that you are trying to count your carbs before your meals. That has always been a problem for me, but I also am trying. I do know how hard it is.

Jan8 2014-03-13 18:20:31 -0500 Report

My doc tells me to take 7uNov before breakfast,3 units before lunch and 6 units before dinner. I am on a sliding scale . If my BG is 200 I take 2 u if it is 300 I take 3 units 400 4 u. So I add for example 2 more units than the normal 7u at breakfast =9u before breakfast if my bg is above 200 and so on. It gets very simple. Every doc and every patient is different.

lorene1212 2014-03-16 21:31:42 -0500 Report

You are different that Flustrated.??? Body wise we are all different and require different amounts…


Type1Lou 2014-03-13 17:15:22 -0500 Report

Every individual diabetic is different which is why there is no "one right answer" for everyone. The answer for YOU will depend on your insulin sensitivity. Your doctor/health team need to help you calculate what yours is. I am highly sensiitive to insulin with a sensitivity factor of 120 which means that one unit of Novolog would lower my BG by 120 mg/dl if I ate nothing. The amount of meal-time insulin (bolus insulin) you take will be governed by YOUR carbohydrate to insulin ratio. Again, this will vary by individual. For me, my breakfast and lunch ratios are 25:1. That means that for every 25 grams of carb I eat, I need to take one unit of insulin. My dinner ratio is 23:1. Again, this is something you need to discuss with your doctor. You can increase your insulin sensitivity by losing weight (if you have a weight problem) and by being more active. And, yes, accurate carb counting has been essential for me to keep control of my BG's. I find I am able to maintain my weight at 120 lbs by limiting my daily carbs to no more than 120 grams…but that will also vary by individual. It would be so much easier if "One size fits all". It can be done, though. Wishing you well!

valentine lady
valentine lady 2014-03-13 15:02:15 -0500 Report

Dear Flustrated: I see that you use Novolog. Is that in a prefilled Flex pen? Novolog is usually given that way. Along with it you should have been given a "sliding scale"…it tells you exactly how much insulin to take once you've finished your finger stick. As an example, for a BS of 175 you would take 2 units of Novolog. Talk to your Dr. about a sliding scale. It by far is the fastest and easiest way to go. As far as your carb count, yes it can take a lot of time to do it the way your going about it. I plan my meals in the morning for the day. 60 carbs a day will maintain your weight and keep your A1C fairly normal to low. That's what we all strive for, right…don't spend all your time calculating everything. You'll soon grow board with it and give it all up. I log down my BS readings each time I poke my finger, I make up a daily menu in my head and I stick to it. You really don't base your insulin on carbs persay. But, rather where your BS is at. I agree with margokittycat, everyone is different. Be sure to talk to your Dr. or your diabetic educator as soon as possible. Good luck to you and a bunches of hugs too.

robertoj 2014-03-13 13:15:32 -0500 Report

It's a hard question to answer. Every body is different. Different carbs act different;y on different bodies. Exercise also plays a vital role. When I started on insulin the original dose was a bit low. I took the dose for two weeks before I increased it a little. The next adjustment has been the same i've used since. Carbs are important and I try to make sure I use ones that maximize the nutritional values. How many meals you eat in a day also has an impact. Six small meals a day is a good goal. Testing helps gauge how carbs affect your BS.

Flustrated 2014-03-13 14:01:07 -0500 Report

Thanks the both of you. I'm going to the diabetic educator soon but I just want to see what I can do by using log and watching diet and exercising. I'm hoping to be in the 7 A1C. Keeping track of everything is time consuming.

lorene1212 2014-03-16 21:40:54 -0500 Report

Keeping track is # 1 for all of us, althou, it takes long time to get it that way, and I think diabetic educator is by far your best answer. I hear they walk and talk with you and treat you like a human being going thru a major change in your life. Once you accept it which takes couple years. I must say your in the right place to slowly and gradually grasp on to the fact that life brings us many places.. ohhh the solitude of it all.. to breathe in and appreciate the little things, for this too shall pass and you will become very learned here. Wonderful people here that are willing to try their best to help you..Dont always trust everything, take a nugget at a time and try to find out slowly dear.
When you write I hear panic in your words… Slow down relax, stop your mind from the roller coaster.. Flustrated your no different than we are and your very much like a lot of us too!
I am so glad you friended me…

Thank you so much you have brought me back to this site again..


IronOre 2014-03-13 12:35:54 -0500 Report

Well, that is really something you need to discuss with your doctor.
For some 1 unit of Novolog covers 15 grams of carbs, for me it is more like 12 grams of carbs.