insulin injections

By realsis77 Latest Reply 2011-09-07 11:08:26 -0500
Started 2010-08-31 11:28:06 -0500

Hi family I hope its ok to ask this questions but I was wondering how many other people inject insulin like myself? How often? I'm on a "sliding scale" sometimes I inject twice a day. How about you?

51 replies

Jim Edwards
Jim Edwards 2011-09-07 11:08:26 -0500 Report

I inject with Humalin (sp?) twice a day. 50 in the AM, 30 in the PM with a Metformin at noon…Yummmm The Humalin is a 70/30 combo or a 30/70 combo. Part quick acting, part slow.

ShellyLargent 2011-09-07 10:48:05 -0500 Report

I use Regular and NPH. I inject NPH twice a day, 25 units in the AM and 35 units at bedtime. The regular I inject about 15 to 30 minutes before a meal on a sliding scale. I use a 1 unit : 10 carbs ratio and that seems to work for me. I will also give myself a correction injection (just like a pump) if I test after a meal and my numbers are too high. I use 1 unit : 15 points over 120. That also seems to be working for me pretty well.

CLynn2u 2011-09-06 22:39:08 -0500 Report

I do the same. Each day is different, I use 2 different insulin's. You'll get use to this. Keep your chin up…

mustangpeg 2011-09-06 20:03:39 -0500 Report

I am on Novalog with 12 units 3 times a day and Levamir 37 units once a day. What other places can you inject. My belly is getting scar tissue and don't know where else you can do it? So 4 times a day…

NavyNerd 2011-09-06 20:03:20 -0500 Report

I take 4 shots of Humulin R (U500) a day.. not much of a slide I do 16 to 20 units, but no more than 20.

Abby888 2011-09-06 19:46:28 -0500 Report

I have 50 units of Levemir twice a day and my Humalog is 40 (breakfast) 20 (lunch) 30 (supper). I'm hoping by my next office visit that I will be on a sliding scale of Humalog.

taz324 2010-12-18 12:41:46 -0600 Report

i am very insulin resistant and when i was on novalog and lantus i was giving myself a total of 8 shots a day and now that i am on u-500 i only have to give myself 3 shots per day so i am very happy for that.

NavyNerd 2011-09-06 20:06:07 -0500 Report

I am so glad to find someone else who has these issues too (not glad we have them, but you know what I mean :) I was taking huge bolus doses of Levamir XL every morning and every night and novolog in between, and my A1C was still 15. I think I may have gotten yup to 400 units a day just of the levamir… now that I am on teh U500, its awesome- sugars getting under control, it works better, and no more lypodystrophy (My injectable doses were so big it was causing problems when I injected anywhere but my tummy)

mas14years 2010-12-18 13:30:41 -0600 Report

Hello, I am currently on the insulin pump using humalog. I was on lantus and humalog before the pump and my sugars were awful and to be honest they still are. I was taking 8 shots a day myself using a crazy aamount of insulin. On the pump i am using anywhere from 30 to 65 units a day. I wanted to ask you what the u-500 insulin is about.. I am not sure I have heard of it. I am wondering if it would help me too. If you have the time Id appreciate if you could get back to me.. Thanks a lot and God bless,

kdroberts 2011-09-06 22:05:12 -0500 Report

They probably wouldn't let you use u-500 in a pump because it's not a rapid acting insulin and could very easily be stacked into very dangerous quantities. Plus, in your case, you don't use enough insulin to need the u-500. Usually it's reserved for people who are injecting several hundred to maybe even 1000+ units per day. For you it would be too strong and you wouldn't have enough control over the amount you needed to inject.

realsis77 2010-12-18 14:37:25 -0600 Report

Hi what I understand is u500 is the concentration of insulin and you have to be very careful with it. You would have to get special syringes to match the u500. Right now most our insulin is u100 and our syringes are marked acording. If we take 8 units at u 100 then we are taking 800 units however if we take two units at u500 we are taking 1000 units. Does that make since? So it is much more concentrated. You can talk to your doc about it but be very careful. 3 units at u500 is 1500 unts. As opposed to 3 units at u100 would be 300 units. Good luck and God bless and I hope I helped you understand the differences.also our syringes are marked fr u100 so you would need u500 syringes. Or it would be a disaster! Be careful and I truely hope you find your correct dose! It might be worth looking into so you would take less units because one unit at u 500 is like taking 5 units of u100. Best wishes and merry Christmas!

taz324 2010-12-18 13:56:17 -0600 Report

ok it is Humulin R U-500 it is 5 times stronger than regular insulin i take only 21 units of this for breakfast but when you figure that out it is 105 units of insulin but because it is less of a dose it is easier on you also it takes a half hour to start working and it lasts for 10 hours and my b/s has been very good sinse i started using it. with this my numbers have stayed around the 120 point with some lows and very few highs

amd2662 2010-12-18 10:09:35 -0600 Report

Hello. My husband has had Type 2 diabetes since 2005 and until yesterday was treating it with oral medication only. As of yesterday he was put on insulin once a day at 10cc. The doctor told us to continue the oral medications until his sugar levels, yesterday his level was 411 and this morning it is 313, come down. He has an appointment with the VA pharmaceutical nurse on 12/30 to learn how to do the "sliding scale". According to the doctor he will slowly wean him off the oral medications one his levels stabilize.

I feel a little guilty because my husband has been requesting various desserts starting on Thanksgiving Day and stopping yesterday. When he was first diagnosed I studied up on the condition and actually prepared a menu plan based on what he needed to stabilize his sugar levels. But, over the years he has continually slipped from following the "diet" - do not mention this word when cooking because he will not eat it. He equates "diet" with no meat, no… In other words his sabotages his health quite often by eating large portions of foods that contribute to his diabetes.

I have several questions concerning the use of insulin?

1. My husband has experienced this situation twice before - once he had the flu and the second time he had an extreme allergic reaction to a medication he was put on for allergies. Is there any information on illness affecting diabetes? I ask because once he is well his sugar levels stabilize.

2. Has anyone ever been taken off of insulin once they were prescribed it?

3. Does anyone on this site have heart disease, diabetes and GERD? My husband developed heart disease in 2002. He was diagnosed with GERD on 12/7. We have difficulty with a diet that helps with all these diseases.

4. Do any of you use the Mediterranean diet?

Sorry to be so long winded but I am extremely worried about him and want to do everything I can do to get him healthy and keep him that way.

Thank you for whatever insights you can give me to this disease.

realsis77 2010-12-18 14:47:50 -0600 Report

I know that being ill or under great stress can and will raise the blood gluclose. So any illness has the ability to do so. You might find some good diets in diabetic cookbooks. They have came in very handy for me! I also take insulin and I'm not sure if I can or anyone can get off once started. I'm sure its possiable.its up to your health care provider and what ever they think is best for you. Work closely with them and they can advise you on what's best! Good luck and merry christmas.

amd2662 2010-12-18 14:56:50 -0600 Report

Thank You.

We plan on taking it one day at a time. Right now we are preparing a meal from a diabetic website. He keeps telling me he looks forward to trying it. Right now he is determined to get his diabetes under control so I know we will do okay for a long time. However, once his sugar levels are back to normal he start cheating again but for now he will do what is necessary to get healthy.

He knows I am a worrier and until we get him as close to normal as a diabetic can be I willbe a pain in the butt about him eating healthier.

realsis77 2010-12-18 15:43:19 -0600 Report

That's good that your dedicated to helping your family!buy a few books online about diabetic cooking and you'll be suprised at the choices you have! I got mine very cheapon ebay and amazon! I have several! Good. Deal! Best wishes!

olefart2 2010-12-18 07:41:52 -0600 Report

Hi There. I'm a type 1 that used to inject up to 5+ times a day. That all changed when I got the mini-med pump. What a change. Now I change infusion sites once every 3 days. Let me know if you want to chat about it. Thanks

sc1boy 2010-12-18 09:03:13 -0600 Report

I am like you i used to inject at least 2 times unless needed other wise but that all changed a year age when I got my mini-med pump. I have the paradim which do you have just wondering. I like mine I had up to 5 ketos in a 3 year span and haven't had one yet since I got the pump.

olefart2 2010-12-18 10:00:23 -0600 Report

I have same pump as you. I LOVE the 43'' tubing that came out. It gives you so much more freedom. At bed time I just lock the key pad and toss it anywhere in the bed. I iron patches to the inside of a pocket t-shirt, put a little slice in it for the tubing. I work outdoors and had to find a way that the tubing wouldn't freeze.(I'm is Wisc). Any time you want to chat just let me know. When you're a type 1 it's hard to find someone to talk to about it.

swanslake54 2010-12-15 10:55:57 -0600 Report

I inject my humalog 3 times daily and lantus at bedtime.

realsis77 2010-12-15 14:15:33 -0600 Report

That's close to what I do . I use lantus in the am and humulin for meals! So our treatment is close to each others. Mines working well how about yours?

swanslake54 2010-12-15 15:48:45 -0600 Report

Sometimes I fall asleep early and forget the Lantus, my doctor told me that I should still take it in the morning, along with the humalog. I've never done that becuse i'm afraid it would drop too low. have you taken them together? when i miss it I do get and elevated reading about lunch time.

realsis77 2010-12-15 16:35:07 -0600 Report

Yes I take them "together" I will take my lantus in the am and cover my meals with my humulin so far I've not gotten a low but I think I have my doses perfectly measured for me. I will make sure and snack a small snack later after I take my humulin. Before I got my doses right id go low and that's an awful feeling! Its a balancing act. I've had no problem using lantus then humulin but everyone is different.I wish you the best of luck and hope you have a great holiday!

sloane 2010-12-15 09:38:21 -0600 Report

Hi there--I have two boys with diabetes and they use Lantus(R) once daily and inject with each meal a rapid acting insulin. This gives them good control because they can eat a smaller breakfast or a larger lunch and inject mealtime insulin accordingly. Have a great holiday!!

realsis77 2010-12-15 12:56:15 -0600 Report

I recently got lantus added to my treatment so I use lantus daily in the am then cover with humulin and its also given me a much better control! I'm usually running perfectly unless I get stressed then I rise up but use the humulin to correct that. Have a wonderful holiday. :)

Doc 720
Doc 720 2010-12-15 08:22:09 -0600 Report

At the moment, and still titrating…

56 Units Lantus in a.m.

8+ Units Novolog at each meal (avg of 12 units right now)

56 Units Lantus in p.m.

Yep, thats 112 Units and still going.

Singinchick18 2010-12-15 16:09:00 -0600 Report

WOW! and I thought I took a lot of Lantus! I take 37 or 38u a day. and my insulin ratios per meal are
breakfast: 1u/8 grams of carbs
Lunch: 1u/9g of carbs
dinner: 1u/6g of carbs

realsis77 2010-12-15 12:59:49 -0600 Report

Wow that's a lot of insulin! I'm now on lantus in the am and that's only 10 units and humulin for meals usually only at 4 units . I'm a tiny person at a size 4 so that's proably why my dose is smaller too. But its working well for me now and I'm finally under good control!

monkeymama 2010-09-01 09:13:21 -0500 Report

When I was doing injections, I was getting Lantus at night, than would use a insulin to carb ratio and sliding scale with my Novolin. I was getting about 5-8 injections a day. It just depended on things for me.

rwb 2010-08-31 15:19:10 -0500 Report

i ingect 3 times a day plus take metforum

realsis77 2010-09-01 10:57:06 -0500 Report

Thank you for sharing! I'm still taking my januvia along with the injections. Sliding scale usually about two times a day I'm injecting. Sometimes three if I'm really high that day. :) 2010-08-31 11:37:41 -0500 Report

Hi, I take Lantus in the AM, then on a sliding scale for meals, That's when I inject humalog. I use the pens, so much better!!! HAGD, GBU

realsis77 2010-08-31 11:44:40 -0500 Report

I'd love to give the pens a try. I hear they have a very small needle wich is painless! I might ask my doctor. I use humulin R. Thanks for shareing with me :)