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Doctor insights on: Counting Carbs And Dosing Sliding Scale Novolog

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What amount novolog on sliding scale at meal times?

What amount novolog on sliding scale at meal times?

Individualized: Hi. No one on this site can tell you that information. You need to talk with your doctor or see a specialist who deals with diabetes. The amount of Novolog you take for meals depends meal-by-meal on what your sugar is coming into the meal, what & how much you're going to eat, and your current sensitivity to insulin. You need to be doing frequent glucose monitoring to keep it safe & effective. ...Read more

Carbs (Definition)

Carbs is an abbreviation for carbohydrates. The human body breaks down carbohydrates into basic sugars such ...Read more


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What is your diagnosis? Age 65. Type II diabetic since 2002. Novolog on sliding scale with meals + lantis 55 units @ bedtime. Take avapro 150mg/2x and htcz 12.5mg/2x to control hbp. Most recent CBC panel revealed for first time low values for white ce

What is your diagnosis? Age 65. Type II diabetic since 2002. Novolog on sliding scale with meals + lantis 55 units @ bedtime. Take avapro 150mg/2x and htcz 12.5mg/2x to control hbp. Most recent CBC panel revealed for first time low values for white ce

I: I agree with you that it sounds like you are doing a very good job overall. I am glad that you are so active and can do your own yard work, and feel well.

I am concerned that you are so anemic. A hematocrit of 30.2 is very low. It needs to be determined if that has been worked up, and if that is a stable hematocrit for you.

Your a1c sounds like it has been improving but htat is stll quite high.

I agree with you that portion control can be very helpful, and it sounds like you are quite active so that will also help you. ...Read more

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My 13yr daughter is on a carb counting method to administer here novolog insulin before meals. Is this best? I'm confused of having to count

My 13yr daughter is on a carb counting method to administer here novolog insulin before meals. Is this best? I'm confused of having to count

Carb Counting: Diabetes is a very difficult problem to deal with. But, one of the most vital skills that will serve your daughter over her lifetime is learning to limit carbs; to count the calories or grams of carbs so that her diabetes can be well controlled and she can grow into adulthood without any negative consequences. Once the skill of carb counting is leaned it is very simple. ...Read more

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What is the difference between novolog 70/30 and novolin (insulin)?

What is the difference between novolog 70/30 and novolin (insulin)?

Big difference: Novolin has become synonimus with nph novolin insulin, though novolin is just a brand name, you also have novolin regular Insulin or novolin-r, so you have to be careful. Novolog 70 /30 is a combination of 70% nph and 30% NovoLog (fast acting insulin) therefore the action of both insulins is very different. ...Read more

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Is it possible to have an allergic reaction when using novolog insulin?

Is it possible to have an allergic reaction when using novolog insulin?

Yes: It's infrequent but it is possible. One way to know is to ask your doctor to switch you to an equivalent Insulin (humalog, apidra) and see if the reactions on NovoLog disappear. ...Read more

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Will it be bad if I'm taking both novolog mix 70/30 and apidra (insulin glulisine)?

Yes: If you use 70/30 NOVOLOG mix it is better to use NOVOLOG (instead of Apidra (insulin glulisine)) for sliding scale coverage ...Read more

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What is the difference between novolin (insulin) n and novolog for a type two diabetic?

What is the difference between novolin (insulin) n and novolog for a type two diabetic?

Onset/duration: Novolin n (a brand of nph) is an intermediate acting insulin. It starts working after a few hrs, peaks in 6-8 hrs and lasts 12-16 hrs. Novolog is a rapid acting insulin. It starts to work in a few mins, peaks in an hr or two, lasts 4 hrs or so. Novolog is used @meals to prevent post-meal high bs and to "correct" bs. Nph (or better yet a long acting like Lantus (insulin glargine) or levemir) keeps fasting bs lower. ...Read more

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What are the differences between apidra (insulin glulisine) and novolog insulin? Which is better?

Insulin analogs: Hi. Novolog (aspart) and Apidra (insulin glulisine) (glulisine) are both engineered insulins not found in nature. The human insulin gene was modified to give the expressed insulin analog favorable properties for meal coverage for diabetics. To me they are indistinguishable, but Apidra (insulin glulisine) works a little faster in obese patients. They are both very good meal insulins. Goo luck, and keep your diabetes tightly controlled! ...Read more

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We think we just put novolog in the levemir (insulin detemir) bottle we have no more levemir (insulin detemir).... Is the levemir (insulin detemir) ruined it was 10 units..

We think we just put novolog in the levemir (insulin detemir) bottle we have no more levemir (insulin detemir).... Is the levemir (insulin detemir) ruined it was 10 units..

Novolog is rapid: Acting ; is used to cover sugars that are elevated pre meals, when you mix the two you could get reaction- do not use the mixture you now have. ...Read more

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Changing insulin from humalog (insulin lispro) to novolog - any effect?

Changing insulin from humalog (insulin lispro) to novolog - any effect?

Congratulations: Great move. Well, NovoLog is quicker acting but also quicker getting out of your system. So make sure you eat as soon as you inject. As with any insulin, proper close titration is necessary to avoid hypoglycemia and wild fluctuations in your sugar levels. Overall, best short acting Insulin on the market at present, and the most physiologic. ...Read more

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Is it safe to take novolog flexpen while pregnant or breastfeeding?

Is it safe to take novolog flexpen while pregnant or breastfeeding?

Yes: Insulin is safe to take during pregnancy and breastfeeding. In fact, it is very important to have good control over your blood sugar. Your doctor will need to help find the correct dose as this may change during and after the pregnancy. ...Read more

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How does novolog insulin storage work?

How does novolog insulin storage work?

Refrigerator/Room tp: Unopened vials /pens can be stored in refrigerator till expiration date on the product. Once removed from the refrigerator, opened/unopened vials can be stored at room temp or refrigerator and discard after 28 days, opened pens/cartridges should be stored at room temp discard in 14 days regardless. For external pump reservoir discard in 6 days. Novolog should not be used if it had been frozen. ...Read more

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Can I switch from novolog and lantis to the relion brand of insulin?

Can I switch from novolog and lantis to the relion brand of insulin?

ReliOn Insulin: Walmart sells ReliOn insulin, Novolin (Regular, NPH and 70/30) at discounted prices. These are biosynthetic human insulins, time to peak and duration of action do not replicate endogenous basal and postprandial insulin secretion. Synthetic insulin analogs (lispro, aspart, glulisine, glargine, detemir, degludec) are preferred. Discuss with your doctor if switching insulin is right for you. ...Read more

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Are novolin (insulin) and novolog interchangeable?

Are novolin (insulin) and novolog interchangeable?

Different categories: Novolin is the brand name given to all human insulins made by novo nordisk. Under this brand are specific types of Insulin such as regular, nph, and 70/30. Novolog Insulin is a synthetic recombinant Insulin that is very rapid acting. I often get this question because NovoLog is more expensive than any of the novolins. However, they cannot be substituted for each other. ...Read more

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Can novolog be used instead of novolin (insulin) n?

Can novolog be used instead of novolin (insulin) n?

No: Novolog is a short acting, however Novolin (insulin) N is Intermediate acting. ...Read more

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Are novolog 70/30 and novolin 70/30 insulin that same?

Novolog is faster: The '70' portion of both is same, but the '30' portion of NovoLog has faster onset of action <15 min vs about 30 min for novolin (insulin). Otherwise, unit for unit they are about same. The NovoLog thus can be used right before meal, novolin (insulin) should be about 15-30 min before meal. So just timing is different. Consult doc. Good luck. ...Read more

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Can novolog and novolin (insulin) n be prescribed together?

Novalin long acting: Novalog short acting- I order them separately. The novalog covers your meals. ...Read more

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What is the deference between novolog insulin & novolin insulin?

Both biosynthetic: Novolog and Novolin R are both meal time insulins. Novolog can injected before or immediately after meals, while Novolin R must be at least 30 minutes before meals. Novolin n is as basal insulin. Novolog has a quickest onset, shortest duration of action, least absorption variability, and reduces chances of low blood sugar (hypoglycemia) if used right compared to Novolin R and n respectively. ...Read more

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What is the main difference between novolog 70/30 and novolin (insulin)?

What is the main difference between novolog 70/30 and novolin (insulin)?

Novolog is faster: The '70' portion of both is same, but the '30' portion of NovoLog has faster onset of action <15 min vs about 30 min for novolin (insulin). Otherwise, unit for unit they are about same. The NovoLog thus can be used right before meal, novolin (insulin) should be about 15-30 min before meal. So just timing is different. Consult doc. Good luck. ...Read more

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Which form of humalin insulin should I use if I am currently using novolog?

Humulin (insulin) R: If you want to switch from NovoLog to humulin insulin, you would want to choose the Humulin R version (rather than the n version). ...Read more

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Insulin novolog mix 70/30 has a medicine smell that I've never smelled could it be bad.

Don't use: If medicine smells bad or unusually strong then it may be contaminated. Check the expiration date and see if there is a number on the pen or vial were you can report this. ...Read more

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My blood was 353 and I took some novolog about 11:15, tested again now 377. Late at night, teenager, so I can't really drive anywhere...What do I do?

My blood was 353 and I took some novolog about 11:15, tested again now 377. Late at night, teenager, so I can't really drive anywhere...What do I do?

Call MD: Your endocrinologist will have an after hours answering service to locate md or rn. Let them know what your blood glucoses have been for past 3-4 days. Take your temp to see if fever. Check your urine for ketones. You may need to be seen in er, if so then call 911. Don't wait if you are vomiting or have other symptoms, diabetes can result in ketoacidosis, a serious condition. ...Read more

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I am doing novolog 2xday 40 units and a pill once I eat small meals except at night I tend to eat more my sugar results have been 400 &^, what wrong?

I am doing novolog 2xday 40 units and a pill once I eat small meals except at night I tend to eat more my sugar results have been 400 &^, what wrong?

Sugar Log: When are you taking your blood glucose? When are you getting the 400 readings- is this before or after eating? It's possible that you may need a sliding scale for extra Insulin if you are eating more at a certain time of day. Or you may need to increase your second dose of the NovoLog which I assume you take later in the day? Keep a sugar log and discuss with your doctor. ...Read more

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What is duration time of novolog u-100 insulin, from start to finish type 1 diabetic for 44 years and been getting conflicting duration times from 30 minutes to 4 hours

What is duration time of novolog u-100 insulin, from start to finish type 1 diabetic for 44 years and been getting conflicting duration times from 30 minutes to 4 hours

Novolog,: Novolog, a short acting Insulin analogue, typically lasts about 3-3.5 hrs but some individuals can experience lasting effecs for up to 4-5 hrs. Its onset of action is within 15-20 minutes with peak levels around 1.5-2.5 hrs post injection. Hope this helps.

Cayce t. Jehaimi, M.D., faap
pediatric endocrinolog & diabetes
the children's hospital of southwest florida
fort myers, fl, usa. ...Read more

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Can I use Reli-on novolin insulin in my pump when I'm using novolog now?

No Would Avoid: I would discuss this with your prescribing physician.
However, Novolin Insulin and Regular Insulin have been known to precipitate in catheters possibly affecting administration. This could prevent you from receiving an appropriate doseage. For this reason, I would discuss it's use in your pump with your PCP or your Endocrinologist before using. ...Read more

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Before a meal if my blood sugar is under 100 should I take my4 units novolog anyway?

Before a meal if my blood sugar is under 100 should I take my4 units novolog anyway?

Yes: You are about to get a sugar load from your meal and that's what you're treating. Keep in close touch with your doc to keep your Insulin dose adjusted. Be well and kudos for keeping good control! ...Read more

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I have injected levemir (insulin detemir) insulin instead of novolog insulin by accident what do I do now?

I have injected levemir (insulin detemir) insulin instead of novolog insulin by accident what do I do now?

Eye on sugar: Hi. Sooner or later, it happens to most insulin users. It would have been more dangerous had you injected Novolog instead of Levemir (insulin detemir), (insulin detemir) because Novolog hits with a bang, and hypoglycemia risk would be much higher for 6-7 hours. As it is, your risk is much lower for hypoglycemia having taken Levemir (insulin detemir) by accident. It won't cover your meal well at all. Follow your sugars more for next 16-20 hours. ...Read more

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Any advice? I have injected levemir (insulin detemir) insulin instead of novolog insulin by accident what do I do now?

Long Instead short: Levemir (insulin detemir) is long acting. It will stay in your system about 24hrs. Don't take the rest of the Novolog for the 24h.Can stay longer than 24hrs if you have kidney or liver problem.
-Low Blood sugar: take sugary drinks (Juice, soda, and eat) and go to ER.
Low Blood sugar causes sweating, weakness, Tremor, palpitations, passing out, coma and death.
Call your doctor for Further advice.
Be Well. ...Read more

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My fiancé ran out of lantus (insulin glargine) and has to wait till Tuesday to get more. But she has novolog pens. Will she be OK till Tuesday?

My fiancé ran out of lantus (insulin glargine) and has to wait till Tuesday to get more. But she has novolog pens. Will she be OK till Tuesday?

Possibly.: Presumably, your fiance is checking her blood sugar levels and following an appropriate diet. The best thing to do would be for her to phone her doctor to get advice. In addition, should she be advised to replace her Lantus (insulin glargine) immediately, most pharmacy plans have a provision for the patient (client) who has the same dilemma. In the event that they do not, one's local pharmacy can help. ...Read more

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I had a needlestick at work from a very fine, small bore needle (novolog flexpen). I immediately washed the site and went to my hospital ER for treatm?

I had a needlestick at work from a very fine, small bore needle (novolog flexpen). I immediately washed the site and went to my hospital ER for treatm?

Needle Stick Injury: I do not see a question here. But, it sounds like you followed good infection control protocol. Needle stick injuries can lead to hepatitis or hiv. ...Read more

Dr. Meredith Moroff
37 Doctors shared insights

Novolog (Definition)

It is a fast acting Insulin which begins working within minutes of administration. It allow to adjust dosage at ...Read more