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Question: From Zanesville, Ohio, USA: I take 260 units of NovoLog 70/30 insulin and I was wondering if there were other insulin treatments or something I should try. I feel that 260 units is a lot of insulin.I am 6 feet tall and weigh 315 pounds. My blood sugars run from 125 to 245 mg/dl [6.9 to 13.6 mmol/L]. I test four or more times a day." Answer: Your insulin dose is very high. It is a result of marked insulin resistance in your body. Your weight has a lot to do with this. It will be very important for you to lose weight by whatever means is available to you. A loss of 10 to 20 pounds may mean significant decreases in insulin dosing. I would recommend you seek aggressive weight loss therapy to improve your diabetes and overall health. JS Additional comments from Dr. David Schwartz: When looked with absolute numbers, a dose of 260 units insulin is a lot. But, when looked at in context with the Question Writer's weight of 315 lbs (143 kilograms), the Units per kilogram is 1.8. It does suggest a degree of insulin resistance as noted, but it is not so out of the ranges of rather typical clinical practice. I agree with weight loss as the most important step. I am not a big fan of pre-mixed insulins, of which your 70/30 is one. If I were your physician and depending on the rest of your history and exam, then there would be strong consideration to changing/adjusting the insulins and adding oral agents as "insulin sensitizers" or those that decrease your liver glucose manufacturing. Talk to your doctor and request a referral to an endocrinologist, if you do not already have one. DS DTQ-20050706184722 Original posting 17 Jul 2005 Posted to Insulin

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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

Last Updated: Tuesday April 06, 2010 15:10:01
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