My spouse has had Type I diabetes for 25 years. He's always fought to maintain good control. The last couple of years it's gotten harder and harder. Recently he's gotten a Dexcom CGMS which has given us all kinds of information but no solutions.
He uses Lantus and with the help of the Dexcom we've figured out it's action and been able to come up with pretty good dosing that seems to work.
The problem is the rapid acting insulin. He's tried Novolog and Apidra. With both of them they take WAY longer to act than they are "supposed" to. Instead of peaking after one hour, they seem to do little until after about 3 hours and then gradually bring the insulin down over another couple of hours. Needless to say this means way high sugars after meals. Increasing the dose just means a low at the tail end of the action. So far we've tried: Different injection sites, different needle lengths, massaging the injection site, switching from Novolog to Apidra, and finally taking his insulin an hour plus before he eats. The only thing that makes somewhat of a difference is taking the insulin way before the meals. Needless to say his is not a good solution. He has to guess or decide what he's going to eat way in advance and has to know when he'll be eating. Shades of the days using "Regular".
He does have quite a lot of fat on his abdomen which could be a factor (hence the longer needles). We don't think he has tissue damage from long years of insulin use that might slow down absorption because there are none of the signs of it (dimpling, lumpy tissue) and because his doctor examined him and didn't see any signs of it.
So we're lost. Anybody else have this problem? Any solutions? We've scoured the web and tried everything we can think of. Thanks for listening.
I've gone through similar reactions with novolog and lantus. Lantus seems to keep my sugar levels very high regardless of what dose I take . novolog for seems to react only if I take after eating. I had to try and see what work for me and then explain to my doctor how I got it to work. I agree it seems like it gets harder and harder each time
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.