Insulin guidelines

Hello everyone.I have decided to write this message because I am a bit disoriented with respect to the insulin units that must be put.My partner has been diabetic for 4 years and even having high glycosylated (between 8 and 9) the endocrine does not change the pattern.Right now he is putting 26 of Lantus at breakfast and 3 fast at each meal.With these doses it usually has values ​​above 180 after each meal and that, in my opinion, eats very little to be a man of 1.80 high and athlete, (usually takes about 5-6 rations).I tell you that I should wear more so that it had more acceptable values ​​and to be able to eat more of everything, that the poor always walks the food, but he does not see it because he has proven on imnumerable occasions that the more insulin he putsHigher are his values, I don't know if he has rebounds or because he gets nervous to think that he can give him hypoglycemia, which overwhelms him a lot.I would like someone to tell me if the pattern that follows is correct or not, even knowing that each case is a world and that it depends on thousands of factors.Thank you.I no longer know how to help you or cook so that it is satisfied and its values ​​are acceptable.

Hi, you have:
If it is with hemoglobins between 8 and 9 as you say it is not the right pattern, if it is with lantus and fast the most logical thing is that the rapid units are not fixed, they will depend on the carbohydrates that eat and how it is before eating.
What values ​​is up?What glycemia have between meals?These values ​​will say if you have well adjusted Lantus that is the first thing you have to adjust well.

Thanks for answering.The usual thing is that it slightly with values ​​around 200, sometimes it is 130 and sometimes 250, as you see very variable, and the doses of rapida are constant because it always takes the same portions of hydrates, sometimes it gets a little moreIf you see that when you start eating it is high.

Well, if you get up with these values, it is not 24 hours a day, I would start by adjusting well, going up a couple of units and waiting for a few days.When Lantus is well adjusted then it is easier to adjust the fast.
Consult it with the endocrine.

The endocrine commented on us on some occasion that was tempted to climb Lantus to 28 but that did not dare because sometimes he had important hypoglycemia, and that is that my partner greatly influenced the mood and especially the stress, of EchoA month had very acceptable values ​​and even somewhat low values ​​even decreasing lantus at values ​​of 20. As you see does not follow a fixed or reasonable guideline.I tell us that in his case the adrenaline that liberated inhibits the effect of insulin and that after the years his hormones would be regulated and would be more stable.But of course, complications are concerned to me since they are 4 years with very high values ​​and the same when I find a pattern is late.

Change endocrine.
A specialist who says that with 8 hemoglobin there is no need to make changes is a bad specialist.

Measuring 1.80 and usually exercising, as very minimal you will need a diet of 1800-2000 kcal.

Prado has explained perfectly the modifications of the Lantus.

The stress what it does is release glucose to blood, as well as adrenaline, which increases heart rate and blood pressure .... It is as if the body prepares for action ... adrenaline inhibits the production of the production ofInsulin, but if your husband is type 1 his pancreas does not produce insulin and there is no inhibition that is worth.

Wow, a "great" has touched you
I think that urgent change of endocrine is imposed.With those figures maintained, complications will be ensured.
Health

I am with everyone, change in endo.And you also have to know that the Lantus does not have to last 24 hours.I thought that, here they reconfirmed that sometimes I do not last them and I have also proven it in my own meats.
While yes and while not, it is not plan to go hungry.I say.Think that proteins are free of HC (care with fats) and vegetables - mostly - is almost free.At least as long as you can change the endo ... that according to what can take longer, at least the poor is not hungry.
And if he exercises and has high values, because the thing may get worse.But that if you know, right?
Good luck and tell us how.

Hi, you have, I was also with the Lantus and I was fatal and they changed me to the Levemir.It is true that the Lantus does not last 24h, at least with me, I went from 3 daily injections (I used the mixed humalog) to 4 with the lantus and then to 5 (2 of slow and 3 fast), commenting that he has hadImportant descents and that it is very nervous, I have agreed that it happened to me the same, I had many variations and that I had (I have) anxiety, I take a sertia 20mg, I have been much better for about 8 months and since then I am much better, I am losingThe fear of the descents, which is what happens to him too.When I had a descent with the Lantus, I lasted even hours (I do not know if it is his case) from there that I changed to the Levemir, because he also acts very and slowly like the lantus, but the inconvenience he has is that when you have a descentHe goes up right away and you have to be careful with the rebound effect, with this insulin I learned not to give myI agreed but since I was afraid ... I also asked him to put on the bomb and refused toA bomb for pleasure: Evil :: Evil:, so my husband encouraged me, I changed a year ago, and I am very happy with my new endocrine, he listens to me, helps me and is teaching me many new things ..., and for a month I have been the last Medtronic pump model.
Well, could I get a lot? I had many things to say, because I felt very identified.I hope I have helped you;)

And, as long as it changes from endo, that is not hungry.That sets the rations in enough and get faster.They say that the total fast units, which are usually put on, are more or less those of Lantus, so you can fold the hydrates and the rapid.

Greetings

Hello, you have, I am with meadow, it changes my specialist, the first thing.Because then the levels do not lower. As Prado says, he gradually adjusts the lantus instead of two units one in one, and thus avoid declines. Regarding the ultrarapide, according to that hydrates eat so the insulin should be adjusted, the insulin should be adjusted,Because it is not the same rice k Pasta for example. Although the two take to go up. And well also the exercise k more or less the same is every day, that will help you stabilize.
If you get up well or sometimes high, according to (the exercise of the night) does a lot because it can come down and then do me a lot of bouncing.

Hello!Good that you want to help your partner, with their comications ... I think it is true that if you have 8 any change you should make ... then it is true that you should relax, I do not come and my values ​​oxyle 400 high and 50bass ... terrible !!!And yet my last hemoglobin has given 6 ... you have to relax first and then surely insulin will have more effect .... bases