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Question: From St Lazare, Quebec, Canada: I have been on insulin for 21 years, and recently I have been having trouble with my sugars, and a friend (who is on insulin as well) tells me that I need to go on four injections a day. I am usually 58 mg/dl [3.2 mmol/L] in the morning, I proceed to take my 2 units of NovoRapid with my 44 units of NPH, and two hours later, I am low and need to eat again. One morning, I tried to not taking my NovoRapid one morning, and my blood sugar was 247 mg/dl [13.7 mmol/L]. This will go on for about four days and then all of a sudden after I eat my breakfast and take my 2 units of NovoRapid, I will be 160 mg/dl [8.9 mmol/L]. Answer: It sounds like your insulin regimen is weighted towards too much NPH. Most intense insulin regimens require three to four shots per day and a ratio of long acting to short acting insulin around 1:1. I would check with your physician about adjusting your regimen so that you don't have this problem. JTL DTQ-20020425181839 Original posting 16 May 2002 Posted to Daily Care

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

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