How many mg/dl of blood suger can be corected by one unit Humalog insulin according to your experiece?

Question

I am a case of IDDM get use of Glargine as basal and Humalog for covering the meals and extra blood sugaer .I want to know for example if before meal my blood sugar is 200 mg.dl how many Humalog is needed to correct my BSto 80mg/dl.I know for the meal I should take insulin according to the quantity of carbs I use.Thanks a lot

Answer 1

This is called a correction factor or senstitivity factor. There's a formula that you can use to figure this out. This works best for someone who has type 1, but those who are using both long acting insulin and fast acting like humalog can use it too. Everyone is different so there's not one number that works for everyone. This formula also works best for those who know that their long acting insulin is set correctly, not causing lows with too much and not causing highs from too little. First figure out how many TOTAL units of insulin you're using, both your long and fast acting insulins. Then look at how much of the total your long acting insulin makes of up of this number. Most people will use 50% of their total insulin as long acting, and the other half will be 50% fast acting, on average. If this is you, divide 1800 by your TOTAL units of insulin per day. For example, if you use 40 units total per day divide 1800 by 40 which would give you 45. One unit of insulin will lower you 45 points. If your long acting insulin makes up LESS than 50% of your TOTAL insulin per day, (but it shouldn't be less than 40%, that would mean you need to make adjustments to your insulin) you can use 1600 to 1800 to divide into. If your long acting insulin is MORE than 50% (but not higher than 60%, again, this means your insulin needs to be adjusted) you can use anything between 1800 and 2200 to divide into. You should speak to your doctor before attempting these formulas and when figuring them you should test a lot to make sure your glucose doesn't drop to low until you are sure you have the correct dose figured out. This is called the 1800 rule. You can learn more about it in a book called Using Insulin. Or for pumpers you can find it in Pumping Insulin.

Answer 2

This cannot exactly be judged in a general sense. I know you are insulin-dependent, but are you type 1 or type 2? People with type 2 diabetes produce some insulin, but not enough, thus each person is different. People with later stages of diabetes tend to be more insulin resistant, while newly diagnosed patients may not even need insulin at all. Likewise, people with type 1 diabetes experience the same characteristics of resistance and/or sensitivity.

Humalog, however, is not meant to bring your pre-meal 200 down to 80, 2 hours post-meal. Humalog therapy is meant to keep your BS from going too much HIGHER after you eat. You pre meal BS should be btw 80 and 120. And it is acceptable for your post meal BS to be <160. Humalog will not/should not be the drug that brings your glucose down that 120 pts. The glargine (lantus) dose should be keeping your fastings and pre-meal readings in check. If this is not the case, then I believe that the dose of glargine is the one that should be considered first.

Answer 3

It's as a substitute excessive the average rage is between 5-7. Nonetheless in case your newly identified then most folks can't manage there blood sugars with out the right education which you're going to recieve from your diabetic nurse. Dont panic although simply try cutting down on sugary meals and see if that helps, if now not then are attempting ringing NHS direct or any other wellbeing line that you know of to hold your intellect at rest. For the reason that your newly identified too dont go out purchasing all diabetic foods there a waste of time and overvalued!!

Answer 4

I *think* I understand your question. It varies from person to person - you may need 10units for 100g/carb, whereas someone else might need 15units for the same meal.

And bringing down BSL is the same. I might need 1unit to go from 80 to 70, whereas you might need 5.

What basal insulin you're using and your dose can affect the outcome as well.

If your BSL is a little high and you're going to take 10units for the meal you might want to bump it up to 11 or 12. However, you should ONLY do this if YOU KNOW WHAT YOU ARE DOING and are comfortable with adjusting insulin doses. If not, you should discuss this with your doctor or diabetic nurse.

Answer 5

For me each unit of fast acting insulin brings it down 50 points, I use novlog though and have not used humolog for a while. So I would do two units humolog and then 1 more unit for each 15 grams of carbohydrates. This is a question for your doctor though, because as you can see you have gotten seven different responses so far.

Answer 6

I think it would be important to consider your weight, also.