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Question: From Victoria, British Columbia, Canada: I have had type 1 diabetes for over 10 years and recently have been struggling with my fasting sugars. I'm on a sliding scale, with Humalog before meals and NPH before bed. My sugars can go as high at 25.5 mmol/L [459 mg/dl] around 7 a.m. Often, at 3 to 4 a.m., it is anywhere between 2.8 and 7.0 [50.4 to 126 mg/dl] when I test it. I've tried a variety of combinations, no snack, with snack, NPH varying times (later, then earlier) and anywhere between 7 to 12 units of NPH with similar results. I exercise regularly, but always in the day time. I've also recently ceased taking the birth control pill. What do you suggest for me? Answer: Although it is not always necessary, I prefer to use morning and evening NPH insulin with Humalog. The reason for this is that the Humalog goes away between meals and is not as long-lasting as regular insulin is. To that end, you may want to consider a morning NPH insulin dose at a smaller dose than your evening dose and increase your evening bedtime NPH to titrate to a fasting glucose in the target range. Please discuss these changes with your physician before making any changes on your own. JTL DTQ-20050227143137 Original posting 14 Mar 2005 Posted to Hyperglycemia and DKA and Insulin

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ 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 Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:10:15 2006
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