LeClerc55

Q:

I have been taking novolog on a sliding scale, 30 units to begin, three times a day and levemir 42 units at night. I am currently out of novolog and will be for the next two to four weeks. Besides watching what I eat, what is the best way to try to keep the sugar level down a bit until I can get the insulin. I have a bad hip and shoulder so exercise is really out of the question. I have Type 2 diabetes. I am 55 yrs old and was diagnosed in 2009.

Dr. David Erani

A:

The insulin regimen you are on is what we call a basal-bolus regimen. Levemir (detemir) insulin is a long-acting, or basal, insulin. Novolog (aspart) is a rapid-acting insulin which is well-suited for use as pre-meal bolus of insulin. People with type 1 diabetes always need both basal and meal-time insulin. Some people with type 2 diabetes can maintain good control with basal insulin along with other diabetes medications. In a basal-bolus regimen, the total daily doses of the different types of insulin are typically close to equal. You are taking 42 units of basal insulin and 90 units (or more) of meal-time insulin per day. These doses are not necessarily wrong, they are just not typical. It is likely that you would need less meal-time insulin if your dose of basal insulin were increased. It is not likely that you could eliminate your meal-time insulin completely and maintain good blood glucose control. Taking all of your insulin as basal insulin is likely to drive your blood glucose too low. You could find yourself having to eat solely to avoid hypoglycemia. You didn’t mention what is keeping you from getting the Novolog. Whatever that is, you could ask your healthcare provider if they have samples they could give you. Most medical offices do. If cost is a concern, you could also ask about different types of insulin which would be less expensive.

January 2, 2013 at 10:21 am

1 reply

maryh514
maryh514 2014-05-23 08:41:53 -0500 Report

I was able to get help for my insulin through a company called Prescription Assistance 123. The name of the patient advocate that assisted me was Mark Brown. I am on insulin (lantus and Humalog) He signed me up for the patient assistance program through the manufacture and it was a really simple process. I receive my medications in the mail every three months. I would recommend him and this company to anyone. His number is (888) 507-9123 or his direct number is (561) 288-9044
Thanks Mark and good luck to everyone!
www.rxassistance123.com