premeal insulin

By mo91108 Latest Reply 2010-10-21 09:54:06 -0500
Started 2010-10-20 19:40:35 -0500

I am going to have to start taking premeal insulin soon any advice because I have no idea how to use it, and it's gonna be a life time thing. Thanks

- Monica

2 replies

kdroberts 2010-10-21 09:54:06 -0500 Report

It's pretty easy once you have things figured out. I would get a copy, either from the library or buy one, of Think Like a Pancreas, it will help you understand things.

I would suggest asking your doctor for samples of the three mealtime analog insulins, apidra, humalog and novolog, to see which one works best for you. If your insurance has a preference then you might not have a choice though. I would also try them in the pen form first rather than the vial since you will likely be starting off with small doses so will waste a lot in a vial. Basically you will have to work out an insulin to carb ratio and a correction factor. The I:C is how many grams of carb 1 unit of insulin will cover. So say yours is 1:10 and you eat 30g of carb you will need to inject 3 units of insulin. The correction factor is how much 1 unit of insulin drops your blood sugar. Say yours is 30 and before eating your blood sugar is 130 and you want it to be 100 after you would take an extra 1 unit of insulin in addition to the amount you need to cover the carbs. Keeping a food log with the amount of carb, fat andd protein eaten with before and after blood sugars will help figure this stuff out.

The different types of insulin may work better or worse for you. For me, I really liked apidra insulin the best but hate the solostar pen it comes in. It worked very quickly and stopped working quicker than others and left me with good blood sugars. I like humalog and the pen options. It doesn't work as fast and lasts a little longer but its a good trade off for me. I didn't like novolog (but the pen options are good!) because it took a while to get going and lasted too long and kept giving me low blood sugars around 3-4 hours after injecting it. All of them you inject within 10 minutes before or after eating.

It all sounds complicated but in practice it's pretty easy after some initial trial and error.

Harlen 2010-10-20 21:31:53 -0500 Report

First you NEED to Know how to count carbs !!!!!
If you know how then its ez 20 to 30 min befor you eat you give your self the shot.It takes time for the food to absorb juast as it takes time for the insulin to get in to your blood stream.Its real tricky if you dont know how to count carbs.
I even use a scale that way I keep my BS from 80 to 105 now
Best wishes

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