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Doctor insights on: Insulin Sliding Scale

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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

Dr. Quang Nguyen
2,759 doctors shared insights

Insulin (Definition)

A hormone produced in the pancreas by the islets of langerhans that regulates the amount of ...Read more


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Does Lantus (insulin glargine) Insuline inyections cause weight gain?

Does Lantus (insulin glargine) Insuline inyections cause weight gain?

Lantus (insulin glargine): I am assuming that your insulin injections have been started not long ago. Injections should not cause weight gain but there is a more important issue. Type 2 diabetes can and should be corrected such that you no longer have diabetes. Insulin injections should not cause weight gain. With that in mind, talk to your doctor about diabetes and also have a dietitian help you with your weight. ...Read more

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Insulin resistance? fasting insulin 76pmol/l after 75gOral glucose- 1hr-insulin-849pmol/l . 2 hr-864pmol/l glucose fast 5.4mmol/l 1hr10.4 2hr7.5

Insulin resistance? 
fasting insulin 76pmol/l 
after 75gOral glucose- 
1hr-insulin-849pmol/l . 2 hr-864pmol/l

glucose fast 5.4mmol/l
1hr10.4
2hr7.5

Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more

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Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise.    ....A1c 9.7     please help!

Your endocrinologist: Needs to adjust/ increase the dose of your medicine esp Insulin to attain good control of your sugar reflected in your a1c (ideally in the 6 or 7 range). A good diet & exercise regimen would help as well. Increase your water intake to maintain good kidney function. Annual or periodic ekg is a must have your annual eye check , lipid and kidney function monitored closely .Take care & god bless u! ...Read more

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Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise.    ....A1c 9.7     please help!

High Hb a1c: You need to go to an endocrinologist (e) to see if your diet needs to be changed. The regimen of medicines you take to control your diabetes is clearly not working and this may be due to inadequate dosing or ingesting too many carbohydrates. If you reduce your bmi, there is a chance to control your glucose better. Get your glucose under control to avoid harmful complications of diabetes, see an e. ...Read more

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Novorapid and lantus (insulin glargine) solostar insulin availability. Where can I get some?

Novorapid and lantus (insulin glargine) solostar insulin availability. Where can I get some?

First need rx: Would discuss with your local doctor as you would need a prescription for the medications. Your local doctor /pharmacist should be able to point you in the right direction and discuss co-payment / costs of the medications given your insurance status, etc ...Read more

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My glucose level high in spite of 60 u of lantus (insulin glargine) insulin 60u of novo rapid insulin 2000mg of metformin?

My glucose level  high in spite  of 60 u of lantus (insulin glargine) insulin 60u of novo rapid  insulin  2000mg of metformin?

Reevaluate: You might need another agent and work with your dietician to formulate a doable eating plan as well as see your exercise specialist to develop a program for you. Also make sure the areas that you are injecting do not have scars, knots... ...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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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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I'm on metformin, lantus (insulin glargine) n novolog. Can i replace the lantus (insulin glargine) n novolog w byetta to help w weight gain n still get the same sugar control?

I'm on metformin, lantus (insulin glargine) n novolog. Can i replace the lantus (insulin glargine) n novolog w byetta to help w weight gain n still get the same sugar control?

Only with supervisio: Please contact your health care professional about making changes in your diabetic therapy. Byetta can be helpful in controlling diabetes, but may not solve your weight gain problem. That should be controlled, under supervision, with diet and exercise. ...Read more

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Blood insulin=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Blood insulin=29.5 On lantus (insulin glargine) 62 units, humalog 17 units.  Am I still producing endogenous insulin?

Need more info: Most people diagnosed with type 2 diabetes continue to make insulin for many years. The way to tell this is by measuring a blood level of c-peptide. Also- Since you are only 45, if you are not obese, would check with your doctor to see if you might have later onset type 1. ...Read more

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Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3 , A1c 9.7 cannot do more excercise due to arthralgia and oa chages ?

Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3      , A1c 9.7    cannot do more excercise due to arthralgia and oa chages ?

WEIGHT LOSS CRUCIAL: WEIGHT LOSS IS CRUCIAL : I recommend a gluten free diet &WHOLEAPPROACH.COM/GUTBLISS.COM. If you have any sleep issues I would recommend as sleep study, there is a high overlap of sleep apnea and diabetes. Also I use Topamax (topiramate) in the evening for my diabetic patients it help with sleep/weight loss & improves insulin receptor sensitivity. ...Read more

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Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Need C-peptide test: Since exogenous (injected) insulin will show on a blood test, C-peptide should be measured to assess for endogenous insulin. Proinsulin is made by the pancreas, then cleaved into C-peptide & insulin. Exogenous insulin has no C-peptide. ...Read more

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Type n insulin, is it any different from lantus (insulin glargine).?

If 'N' = NPH, yes: It peaks in 6-8 hours, last 10-14 hours. Lantus has mosest peaks, lasts 24 hours the amer assoc of clinical endocrinologists recommends not using nph, but longer acting basal insulin, like Insulin to obtain smoother control [often in combination with meal time short-acting insulin]. ...Read more

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Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.

Type 1 diabetic actively exercising & healthy eating  looking for right lantus (insulin glargine) dose.

Lantus (insulin glargine) dose: Hi. I applaud you for your healthy lifestyle and dedication to tight diabetes control. Finding the right Lantus (insulin glargine) dose can be trickier than people think, especially for an active type 1. I was on Lantus (insulin glargine) for about 6 years before going on CGM in 2006. CGM is THE perfect way to find the right Lantus (insulin glargine) dose, but not everyone uses CGM yet. Do you? My guess is no, or you'd have dialed in the right Lant dose ...Read more

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What is the deference between novolog insulin & novolin insulin?

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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I have type 2 diabetes and take novalog and lantus (insulin glargine). Do these insulins actually cause weight gain?

Maybe: If your diabetes is not controlled prior to using Insulin expect to gain a few pounds as your diabetes is intensified. Drugs such as metformin, liraglutide, canagliflizin, and pramlintide used in combination with Insulin can minimize wt gain. ...Read more

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