Thanks for the reply Lee.
5 units is a *safe* amount for me. I can always take more if needed and many times I do.
I have a random lifestyle. If I take the needed amount and have to leave unexpectedly, the exercise that I would do plus the insulin would make me go hypo.
I determined my I.S.F. to be 16.67g of carbs to 1 ui of insulin.
If I eat the wrong type of carbs or eat them at the wrong time of day, then I need double that amount of insulin.
The Basal insulin would keep my blood sugars a bit lower than usual. Lantus did just that, but tended to make me go slightly hypo in the mornings. Levemir is supposed to last less than 24 hours so the risk of Hypo is diminished.
Humalog takes almost exactly 1 additional hour to bring my blood sugars back down to a reasonable level. Doc gave me Novolog and Apidra to see which one worked better/faster.
My goal is to be part of the 4% club. I am in the 5% club right now.
Another reason I only use 5 at a time is because the doctor gave me a correction dosage sliding scale, which is moronic to say the least.
So, I take about 5 units at a time, unless it's thanksgiving or a birthday. Then I will take 7-10 units to cover the extra carbs.
I am looking to have my fasting blood sugars between 70 and 85, with spikes no higher than 120.
It's a tough balancing act to get such good numbers and maintain my weight.
If I don't take insulin, I lose up to 5 pounds of body weight in a single night. With insulin, that number stops or even reverses.
My diabetes is a bit of an anomaly. Doc expects me to be like other diabetics with difficult or no control.
I on the other hand know exactly how to control my numbers with diet, exercise, and use of insulin. One day I asked my endo what a1c number she wanted. She said 6.3 . Do, I gave her better than that - 5.3 .
Can anyone here get an a1c of 5.3 without any meds or insulin? I did.
Or an a1c of 5.2 with insulin? Did that too.
I am not wanting to be a slave to this disease. I am looking for a suitable treatment to accommodate both my disease and my lifestyle.
Having to alter my lifestyle to keep blood sugars under control only works in fair weather for me. As soon as it turns cool or cold or hot, I need insulin.
I tried the Lantus. I tried NPH. Soon I will try the Levemir. I think the Levemir will be more suitable for most of my needs. I can still have a use for NPH. I can use that for pasta meals whereby your blood sugar spikes much later.
I suspect I have Adrenal Exhaustion. If so, blood sugar control will be ever more difficult as time goes on.
I want to get the best control now while I am able to.
Is there anything wrong with wanting tight control AND a reasonable lifestyle?