5 Responses

  1. Mary Dexter
    Mary Dexter February 15, 2014 at 7:43 am | | Reply

    Maybe she’s LADA? If one’s pancreas produces widely varying amounts of insulin at different times of the day, as opposed to getting most of one’s insulin from a vial, having a flat rate means one alternates between hyper/hypoglycemia. Taking her Lantus at meals is increasing the number of doses from 2 to 3, still a lesser number than the number of basal changes I used to have on my pump.

    Thank you for the information that the less Lantus one takes the shorter it lasts. I currently take 8 at breakfast and 4 at dinner. Her approach might work for me.

  2. Ask D’Mine: Lantus Mimicking an Insulin Pump? – JumpSeek

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  3. Sara
    Sara February 15, 2014 at 7:50 pm | | Reply

    I’m more concerned about the doctor that approves of this plan. Do we think it is a GP who doesn’t really know how insulin works or an endo that is just that crazy?

  4. pwd doc
    pwd doc February 15, 2014 at 9:36 pm | | Reply

    Mixing regular and Humalog as a bolus is somewhat akin to taking a dual wave bolus using a pump. Regular can also be used to give more basal during the day if needed. For instance, if someone finds their bedtime basal (Lantus or Levemir) isn’t lasting 24 hours, they could take some regular as basal before supper in addition to Humalog/Novolog/Aspart for their meal bolus if they don’t want to take an extra dose of Lantus/Levemir in the morning. If Regular lasts too long into the night, they could take extra Humalog/Novolog/Aspart

    Dividing the daily dose Lantus or Levemir into several smaller doses, with different amounts at different times, could theoretically provide different levels/peaks/mesas at different parts of the day. It takes a lot of experimentation to figure out exactly when the peaks are occurring and it means several extra shots (which some people are willing to do if they really don’t want to wear a pump). If you could mix the faster acting insulins with Lantus or Levemir, this would be easier. And yes, about 20 years ago or more, there were some people who advocated giving regular and NPH or Humalog and NPH with each meal. Reports can be found in the literature.

    There are many creative ways of trying to mimic pump insulin infusion. The hardest feature to mimic is to get higher levels of insulin right before waking without too much earlier in the night (without getting up in the middle of the night to take a small dose of regular of humalog/novolog/aspart). Of course, you can never get as much flexibility as with a pump, but there are people who really dislike pumps, but want better control and are able to be creative and at times “feed their insulin” rather than “adjust their insulin to match their food”.

    This may seem strange to many people, but I think this site emphasizes listening to patients. There is no one correct way to give insulin. The correct way is what works best for each individual PWD. Creative PWD’s who pay attention to their blood sugar patterns can sometimes come up with better solutions than standard regimens.

  5. Dave
    Dave February 21, 2014 at 9:44 am | | Reply

    We use a similar plan – but we are using the pump also. We take Levemir in combo with the pump. Too many pump failures!

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