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Suggest The Ideal Dosage For Humalog Taken For Type 2 Diabetes
Question: I wrote early my name is XXXXX I have type 2 diabetes . I am 69 years old. weight
175 pounds male. my doctor is close I forgot the numbers to start with what is a safe number. . I am starting new type 2 diabetes medication Humalog kwik pen u100 and toujeo 300 units/ml (u300)
what dose number should I start with. example 1 2 3 4 and so on.
thank you YYYY@YYYY
175 pounds male. my doctor is close I forgot the numbers to start with what is a safe number. . I am starting new type 2 diabetes medication Humalog kwik pen u100 and toujeo 300 units/ml (u300)
what dose number should I start with. example 1 2 3 4 and so on.
thank you YYYY@YYYY
Brief Answer:
Insulin
Detailed Answer:
Insulin dosing is a very individualized matter and the specific doses for you are determined by the prescribing doctor. Often these are also not fixed and there is an adjustment phase either daily or every few days till the glucose goals have been achieved.
So I am sorry I am unable to guide you exactly how much you should be taking.
For example, if I saw someone like you in my practice with glucoses in the 180 to 230 range, I would likely start Toujeo at 20 units at bedtime and Humalog kwik pen at 6 units with each meal. But I cannot tell you how much you should be taking. Furthermore, I train patients on how to change these doses on a daily basis based on glucose monitoring results. If my patients glucoses are very high such as persistently above 250 I would prescribe even higher doses after making sure there is no dangerous complication present such as DKA (Diabetic Keto Acidosis) or HHS (Hyperglycemic Hyperosmolar State) which necessitates immediate hospitalization and ICU care.
Finally, I would typically order the following blood tests in addition to a detailed physical examination, before I advise insulin doses.
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
25 hydroxy Vitamin D
Insulin
Detailed Answer:
Insulin dosing is a very individualized matter and the specific doses for you are determined by the prescribing doctor. Often these are also not fixed and there is an adjustment phase either daily or every few days till the glucose goals have been achieved.
So I am sorry I am unable to guide you exactly how much you should be taking.
For example, if I saw someone like you in my practice with glucoses in the 180 to 230 range, I would likely start Toujeo at 20 units at bedtime and Humalog kwik pen at 6 units with each meal. But I cannot tell you how much you should be taking. Furthermore, I train patients on how to change these doses on a daily basis based on glucose monitoring results. If my patients glucoses are very high such as persistently above 250 I would prescribe even higher doses after making sure there is no dangerous complication present such as DKA (Diabetic Keto Acidosis) or HHS (Hyperglycemic Hyperosmolar State) which necessitates immediate hospitalization and ICU care.
Finally, I would typically order the following blood tests in addition to a detailed physical examination, before I advise insulin doses.
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
25 hydroxy Vitamin D
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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