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What Should Be The Dosage Of Insulin To Be Taken For Blood Sugar Level Between 100-180 ?
I am 19 years old, female and a patient of diabetes from the past 12 years. I take four dosages of insulin daily. Morning, Noon and Evening I take "R i.e. Regular" almost 14 units at each time and for the night i take "N i.e. Normal" mostly 4 units. My blood sugar level remains under control throughout the day and before i go to sleep my blood sugar level is always between 100-180, in very rare times it crosses this limit. I take a 2 unit dose of my N insulin before going to sleep, normally when my sugar level is 150. But when after 2,3 hours the insulin starts its process my sugar level gets down. I have to wake up eat something and take it back to normal. But then when i wake up at about 9 am in the morning, my sugar level is extremely high, almost 250+ daily. I have tried avoiding my N insulin dose at night, i.e. i take no insulin dose at night at all. My sugar level remains ok till 4 am but after 5 am it starts getting high again. And if i increase the dose of N insulin, my blood sugar level gets low at about 2 am again. I have not found any doctor yet who is able to solve this confusion of mine. As i need an insulin which will start processing after 4 am or so. I guess i am suffering from the dawn phenomena.. :/ Kindly help me out. Thanks in advance.
Fri, 3 Jan 2014
User's Response
HI
I really appreciate your concern, the main goal of controlling the glucose level in type 2 diabetes is providing the insulin in basic physiologic manner, if you have not done the HbA1c test then get it done this will show the over all status of glucose level, the choosing of insulin regime is also important, for the basal insulin requirement long acting insulin should be administered and for preprandial short acting insulin, the dose of this calculated according to the body weight the over all dose should be divided like one and half before breakfast one fourth before dinner and one fourth before bedtime, carbohydrate intake should be calculated in deciding the meal time insulin dose, you need to learn this and for that you need to have advise from clinician, I hope this could help you I would feel great to answer your further query take care and bye.
I really appreciate your concern, the main goal of controlling the glucose level in type 2 diabetes is providing the insulin in basic physiologic manner, if you have not done the HbA1c test then get it done this will show the over all status of glucose level, the choosing of insulin regime is also important, for the basal insulin requirement long acting insulin should be administered and for preprandial short acting insulin, the dose of this calculated according to the body weight the over all dose should be divided like one and half before breakfast one fourth before dinner and one fourth before bedtime, carbohydrate intake should be calculated in deciding the meal time insulin dose, you need to learn this and for that you need to have advise from clinician, I hope this could help you I would feel great to answer your further query take care and bye.
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