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Question: From Kalamazoo, Michigan, USA: I had my A1c about four months ago and it was 6.1. My doctor suggested I increase my Lantus from 20 to 22 units and my Humalog from 16 to 18 units. Recently, over the past month, I have been having a problem with regulating my blood sugar. Fasting, it is about 150 mg/dl [8.3 mmol/L] and two hours after meals, it can be as high as 250 mg/dl [13.9 mmol/L]. Currently, I am injecting 22 units of Humalog with meals and 25 units of Lantus at night. Both insulins are new and kept refrigerated. Also of note, I have been cutting back on portions and this is surprising. Any ideas would help ease my mind. Answer: Any reason to suspect you have had a decrease in your insulin sensitivity? Has your weight increased? Have you had a decrease in your exercise? Have you suffered from an intercurrent illness? These are some of the more common reasons why you may have had a decrease in your response to your insulin dose. If none of these strikes a bell, you need to speak with your physician. Be ready to have your blood sugars before and after meals so you can discuss these results as a change in your insulin dose is probably warranted. JTL DTQ-20050110222408 Original posting 17 Jan 2005 Posted to Insulin and 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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