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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Diabetes. Want To Know Dosage Of Mixtard

Hello, I am a diabetic travelling in Madagascar coming from South Africa and I have been forced to buy Mixtard [either 30\70 or 50\50] as they do not have Levemir here which I usually use with Novorapid . I need to make the transition as I am running out of Levemir and will not have any long acting insulin with me for a week. I dont know how much i should take and how often I have to inject myself as it is hard for me to find this information on the internet. I usually carbo count for meals to administer the novorapid and give myself 18 units of Levemir in the morning and evening. Ive been diabetic for 10 years now and i weigh 80kgs, fit and in good health so I shouldnt have to give myself above average. The pharmacist recommended a certain dosage but it is not in normal units and I am weary that my sugars will go haywire. Can you please suggest how often I should inject [breakfast, lunch and supper only] and how many units or measurement in mills based on the amount I currently use. Thanks Keith
Wed, 26 Dec 2012
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Diabetologist 's  Response
keith mixtard is a fixed combination insulin. 30 % of regular or short acting and 70% is a long acting insulin combination . short acting will take care of your breakfast and long acting for your lunch and upto night . so you have to take twice daily . before bf and before dinner. dosage depends on your sugar level. so you have to check your fasting , pre lunch , pre dinner and depending on that you have to adjust. but only thing is you can not increase that you can not increase or decrease one part of that insulin. but nothing wrong in using this . 50 / 50 means 50% short acting and 50% long acting . this is given when when your post break fast sugar is not well controlled but your post lunch is well controlled.
so its just a premixed insulin of both short acting and long acting insulin
hope u got it. keeep in touch bye
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Have Diabetes. Want To Know Dosage Of Mixtard

keith mixtard is a fixed combination insulin. 30 % of regular or short acting and 70% is a long acting insulin combination . short acting will take care of your breakfast and long acting for your lunch and upto night . so you have to take twice daily . before bf and before dinner. dosage depends on your sugar level. so you have to check your fasting , pre lunch , pre dinner and depending on that you have to adjust. but only thing is you can not increase that you can not increase or decrease one part of that insulin. but nothing wrong in using this . 50 / 50 means 50% short acting and 50% long acting . this is given when when your post break fast sugar is not well controlled but your post lunch is well controlled. so its just a premixed insulin of both short acting and long acting insulin hope u got it. keeep in touch bye