HI ALL
FOR THOSE WHO USE THE NOVALOG FLEX PEN, HOW MANY HOURS DO YOU SPACE
IN BETWEEN YOUR BOLUS INJECTIONS. I AM STILL ON A CORRECTION SCALE (NO CARB COUNTING) . MY ENDO RECOMMENDS AT LEAST A 4 HOUR MINIMUM IN BETWEEN DOSES.
WHAT IS YOUR REGIMEN? THANKS LINDA
I use Novolog at every meal breakfast, lunch and dinner (4 to 6 units depending on what I’m eating) and maybe a correction bolus but that is very rare.
I have been told the dose last approximately 3hrs.
I also take Levimir (15 units) between 10pm and 11pm
Thanks for your reply! I use Novalog every meal as well. You are right about the dose lasting 3 hours,but I have
also heard it still has a peak at late as 4-5 hours. I also use Lantus (19 units) am. only. It seems to work well
for me and lasts pretty much till late evening. I have not progressed to carb-ratio as yet,since my Endo says, I
am still producing some insulin.
Linda
I was told to try and keep injections 4 hours apart… Its not always possible but I try my best!!!
I use novolog 2 units pre breakfast 5 pre lunch and 5 pre dinner with a correction of 1 unit for every 40points over 120 so 70-120 5 units 121-160 +1 unit 161-200 +2units
I also take 20 units of levemir before bed
Thanks for your reply Ron. I just wanted to verify the Novalog issue. Sometimes I bolus in 3 1/2 hours. I
think the Dr. doesn’t want me to get lows. On one occasion, I injected only 2 hours apart and ended up with
a 45! VERY SCARY!
You have to make sure that you are having enough carbs to cover the insulin you are injecting. My ratio is about 1 unit for every 15 grams of carbs.
Well My Objective and Goal is for the lowest A1c as Possible…Ideally btwn 5- 5.5% A1c’s or 90’s-110 max
90’s Overniite and AM fasting, 90’s B4 and 3 hrs after Meals
Max 140 1 & 2 hrs after meals
I test ave of 8x per day and 10x if in doubt after a meal at 1 and 2 hr Times
I have gone thru Both Joslin and Think Like a Pancrease Courses which include using the 1500/1800 Rule Method for CBing
CB ( Correction Bolusing) is a VITAL part of Not just Getting BG’s Down, but to keep your Higher BG’s down a shorter duration period…( can Keyword 1500 Rule for details)
This also Includes doing a Test to find out How Long your Novalog Last in your system…Mine last an ave of a max of 3 hrs and goes in 33% Increments after injection…( Testing every Hour upto 4 hrs after Eating and Dosing )
IF your using LLI ( Long lasting Insulins) like Lantus or Levemire? After your Duration time ( 3-4 hrs)of using Novalog ? Your LLI SHOULD keep your BG’s In your Target Range… If they aren’t? Then you have to do a BASIL TEST
and it’s possible certain foods take a Longer time to Digest and a 2nd Dose of Novalog is Required at Hrs # 2 or 3
Knowing what your SF( Sensitivity Factor) is For both 2 & 3 hrs and using that 1500 rule method has helped me Make Safer CB’s and avoid Hypo’s ….Example: with a SF of 35: You have a 150 BG at 3 hrs - 80 = 70 by 35 = Take 2 units. The Deducting that 80# is your safety margin to help keep you from going hypo…
This and alot more Information and help from Many Other T1’s can be Had by just Going to the ADA’s Website and then to their Message Boards and Then To their T1 Message Board… or can contact me( Dennis) @ DennisIDDM@aol.com
If Your A1c’s are above 5.5% or your not waking Up win the range of btwn 80-110’s or the same range 3 hrs after eating? I suggest you come by the message Boards and let them help you… They’re just a Bunch of Experience T1’s using MDI and Pumps and Pods…with Practical Experience that works . Being more aggressive is the only way to Fight T1!