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How Many Units Of Insulin Does It Take To Lower Blood Sugar?

How To Lower Your Blood Sugar When It's Really High

How To Lower Your Blood Sugar When It's Really High

​This article is written for type 2 diabetics who need help coming down from a very high blood sugar during a single, isolated high blood sugar event. If you want to try an stabilize your baseline, consider signing up for my Baseline Blood Sugar Challenge course. ​THIS ARTICLE IS NOT A SUBSTITUTE FOR REAL MEDICAL ADVICE. If you're a type 2 diabetic and your blood sugar is high right now (greater than 300mg/dL for at least 6 hours), the first thing you should do is call your doctor. So, if you haven't called anyone for help yet, please stop reading this article and call your doctor. If your doctor is able to help, then you need not read on. Also, if you are having symptoms of Diabetic Ketoacidosis, stop reading this article and go to the hospital immediately. Diabetic Ketoacidosis can kill you if left untreated. But. If you're in a situation where your blood sugar has been high for an extended period of time, you could perhaps consider taking the following steps to solve your blood sugar problem. Disclaimer: This is friendly, non-medical advice from a random diabetic person you don't even know, which is a very (very) poor substitute for real, actual medical advice. Use at your own risk. First, you should try and lower your blood sugar without injectable insulin by completing the following steps: 1. Check your blood sugar. Write down the time and your blood sugar level. 2. Drink water (this doesn't actually lower blood sugar, but it helps flush sugar and ketones from your body, if you have them). Continue drinking water, but please don't make yourself sick. 3. Move. As in, walk. Walk around the block or walk in place or haul your ass up and down the stairs for 30-60 minutes. Walking helps your cells become less insulin resistant, which is what you need right now. Do N Continue reading >>

What’s A Correction Factor? An Insulin Sensitivity? A Ratio?

What’s A Correction Factor? An Insulin Sensitivity? A Ratio?

Share: A Correction Factor (sometimes called insulin sensitivity), is how much 1 unit of rapid acting insulin will generally lower your blood glucose over 2 to 4 hours when you are in a fasting or pre-meal state. However, you should keep in mind: this is an estimate it may need to change as your baseline dose changes expect variations - sometimes 1 unit will lower it by more, and other times 1unit will lower it by less! calculating how much 1 unit of insulin will drop your blood sugar is a trial and error process, and sensitivity to insulin varies with the individual To get your total daily dose, add up all your usual meal time insulin and basal insulin. For example, Tom wants to calculate his correction factor: daily insulin dose: 8 units at breakfast, 6 units at lunch,10 at dinner and N/NPH 8 units at breakfast and 18 units at 10 pm Total Daily Dose (TDD) = 8 + 8 + 6+ 10 + 18 = 50 Correction Factor (CF) = 100/50 = 2 Therefore, one unit of rapid acting insulin would lower Tom’s blood sugar by 2 mmol/L over the next 2 to 4 hours. The average adult needs approximately 1 unit of insulin for every 2 mmol increase in blood sugar, but this can vary a lot between individuals: some people need 1 unit of insulin for every 1 mmol/L increase in blood sugar others need 1 unit of insulin for every 3 -5 mmol/L increase in blood sugar Using your CF before meal doses Before meal means there has been about 4 hours or more since you last ate or took an insulin dose for carbohydrate containing food or beverage. The correction factor or insulin sensitivity can be used to make a scale for pre meal insulin doses. BG Breakfast Lunch Dinner Bed Basal < 3.9 -2 -2 -2 Snack 4.0 - 5.9 Baseline Baseline Baseline Baseline Baseline 6.0 - 7.9 Baseline Baseline Baseline Baseline Baseline 8.0 – 9.9 Continue reading >>

1 Unit Insulin Lowers Glucose By How Much? Calculating Insulin/carb Ratio

1 Unit Insulin Lowers Glucose By How Much? Calculating Insulin/carb Ratio

Remember High School algebra? Problem after problem wondering, when am I EVER going to use this? I sure remember thinking that on more than one occasion. Well, it turns out math does have more practical application than balancing your checkbook, keeping a budget, and calculating tips for servers. If you have type 2 diabetes, simple math may be crucial to keeping blood glucose under control. Why? As it turns out, the total amount of carbohydrates is the single most significant factor in maintaining blood glucose control. While many other factors play a role – such as meal timing, quality of food choices, balance of food groups etc – consistently maintaining the proper number of carbohydrates at meal times is most significant. Foods Really Matter This means it is not only key to choose complex carbohydrate (not simple sugars) whole foods sources, but also to be conscientious of the amount of carbohydrates you regularly consume. The amount of carbohydrates to eat per day is a hot issue of debate, with recommendations ranging from 20 to 200+ grams per day! In most cases 200 grams is way too much for a diabetic, research indicating that a lower carb diet is best for glucose control. Still, what is best for you will depend on many factors including your height, weight, age, physical activity level, and how your body responds to carbs. Some people are much more sensitive than others. For example, some people can eat brown rice and oatmeal, while in many cases people find it difficult to control their blood glucose while still eating these high carb foods. It will take working with a team of trusted professionals and probably some trial and error to find out what works best for you as an individual. In theory, the more consistent your carbohydrate consumption is (all other Continue reading >>

How Much Insulin Does It Take To Lower Blood Sugar?

How Much Insulin Does It Take To Lower Blood Sugar?

A patient with newly diagnosed diabetes has a hemoglobin (Hb) A1c of 12.2% and glucose 350 mg/dL, despite increasing insulin (glargine [Lantus]) to 25 units. What else can be done to lower blood sugar? Continue reading >>

Lantus (insulin Glargine) Side Effects

Lantus (insulin Glargine) Side Effects

What Is Lantus (Insulin Glargine)? Lantus is the brand name of insulin glargine, a long-acting insulin used to treat adults and children with type 1 diabetes mellitus and adults with type 2 diabetes mellitus to control high blood sugar. Lantus replaces the insulin that your body no longer produces. Insulin is a natural substance that allows your body to convert dietary sugar into energy and helps store energy for later use. In type 2 diabetes mellitus, your body does not produce enough insulin, or the insulin produced is not used properly, causing a rise in blood sugar. Like other types of insulin, Lantus is used to normalize blood sugar levels. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual dysfunction. Proper control of diabetes has also been shown to reduce your risk of a heart attack or stroke. Lantus is meant to be used alongside a proper diet and exercise program recommended by your doctor. Lantus is manufactured by Sanofi-Aventis. It was approved for use by the Food and Drug Administration (FDA) in 2000 as the first long-acting human insulin administered once a day with a 24-hour sugar-lowering effect. Lantus Warnings You will be taught how to properly inject this medication since that is the only way to use it. Do not inject cold insulin because this can be painful. Always wash your hands before measuring and injecting insulin. Lantus is always clear and colorless; look for cloudy solution or clumps in the container before injecting it. Do not use Lantus to treat diabetic ketoacidosis. A short-acting insulin is used to treat this condition. It is recommended that you take a diabetes education program to learn more about diabetes and how to manage it. Other medical problems may affect the use of this Continue reading >>

About Fast-acting Mealtime Insulin

About Fast-acting Mealtime Insulin

What is mealtime insulin? Mealtime insulins are fast-acting insulins that are taken immediately before or after meals. As you eat, your blood sugar naturally goes up, or “spikes.” Humalog® (a fast-acting insulin) works to manage those blood sugar spikes and may help keep your sugar levels in balance. Humalog should be taken within 15 minutes before eating or right after eating a meal. People who take Humalog will usually continue to take longer-acting insulin to help manage blood sugar levels at night and between meals. Taking mealtime insulin in addition to longer-acting insulin may help to control blood sugar levels throughout the day. Low blood sugar (hypoglycemia) is the most common side effect of Humalog that may be severe and cause unconsciousness (passing out), seizures, and death. Test your blood sugar levels as your doctor instructs. Talk to your doctor about low blood sugar symptoms and treatment. The orange area shows how blood sugar levels typically rise after meals. The pattern of insulin action may vary in different individuals or within the same individual. Comparing types of insulin Take a look at our overview below to find out about the different types of insulin. You’ll notice that there are differences in when the types of insulin reach your bloodstream, when they “peak” in your body, and how long they can last (length of time the insulin keeps lowering your blood sugar). Fast-acting insulin (also called rapid-acting) is absorbed quickly and starts working in about 15 minutes to lower blood sugar after meals. Humalog fast-acting insulin should be taken 15 minutes before eating or right after eating a meal. Depending on the type of diabetes you have, you may need to take Humalog with a longer-acting insulin or oral anti-diabetes medication. Continue reading >>

Helpful Hints For Humalog:

Helpful Hints For Humalog:

WHAT YOU NEED TO KNOW by John Walsh, P.A., C.D.E., and Ruth Roberts, M.A. Copyright--1996 by Diabetes Services, Inc. The new, fast insulin Humalog, is finally here. Since the introduction of Lilly's new insulin, many people have been switching over. This is the first insulin produced since 1921 that can really cover most meals, and its speed of action offers users more flexibility and control. This article provides helpful hints for safety and success when starting this new product. Almost everyone who is switching to Humalog is doing so to replace their Regular insulin. Regular is often thought of as "meal" Regular or "high blood sugar" Regular, but its action time of five to eight hours more closely resembles a long-acting insulin. After switching from Regular to Humalog, many people have found that fewer units of Humalog are needed to cover the same food. Fewer units may also be needed to lower high blood sugars. Others have discovered that as meal doses are lowered, they need to raise their long-acting insulin to replace some of the lost meal dose. The Regular insulin most people take for breakfast has, in effect, been lowering their after-lunch blood sugars as well. This prolonged action is no longer seen with Humalog. Several of my (John's) patients and several diabetes colleagues have found they need extra long-acting insulin in the morning after switching in order to keep the afternoon and pre-dinner readings down. Another alternative is to use extra Humalog to cover lunch. When given before most meals, Humalog will cover these meals only during the time they are raising the blood sugar. Its action is gone before the next meal begins, and most importantly for many, before going to bed. This eliminates many nighttime lows. But with the loss of the longer action o Continue reading >>

How Much Insulin Do You Need?

How Much Insulin Do You Need?

Getty ImagesIf you have type 2 diabetes and your doctor thinks it might be a good time to start insulin therapy, there are two important factors to consider: How much insulin do you need to take? When do you need to take it? And both are very personal. "You can't paint everyone with type 2 diabetes with the same brush," says Mark Feinglos, MD, division chief of endocrinology, metabolism, and nutrition at the Duke University School of Medicine, in Durham, N.C. "You need to tailor the regimen to an individual's needs." A person with type 2 diabetes might start off on half a unit of insulin per kilogram of body weight per day, especially if there is not much known about the nature of his or her diabetes. Still, it is not unusual to need more like 1 unit, says Dr. Feinglos. (One unit per kilogram would be 68 units per day for someone who weighs 150 pounds, which is about 68 kilograms.) Testing Each DayI test morning, evening, and before meals Watch videoMore about blood sugar monitoring A lot depends on your specific health situation. People with type 2 diabetes suffer from insulin resistance, a situation in which the body loses its ability to use the hormone properly. Early in the course of the disease, the insulin-producing cells of the pancreas respond to insulin resistance by churning out even more of the hormone. Over time, though, insulin production declines. Taking insulin can help you overcome the body's insulin resistance, though many factors can affect your dosage. If your body is still sensitive to insulin but the pancreas is no longer making much insulin, for example, Dr. Feinglos says that you would require less insulin than someone who is really resistant to insulin. "But the most important issue is not necessarily how much you need to take," he adds. "Rather, Continue reading >>

How Much Does 1 Unit Of Insulin Bring Your Sugar Down

How Much Does 1 Unit Of Insulin Bring Your Sugar Down

Question Originally asked by Community Member karen How Much Does 1 Unit Of Insulin Bring Your Sugar Down Using a chart to give my mother her insulin, sometimes it just seams its not bringing her sugar down to a lower level. Answer The “correction factor” is the term used for the amount of insulin a person needs in order to bring their blood sugar down to 120. It is different for everyone! Your mother’s endocrinologist should have a note of what this dose has been in the past, but you can also figure this out purely by conducting SAFE trial and error. If her blood sugar is at 200, try giving her one unit of insulin and test her blood sugar a half hour later, and then an hour later. If it’s still high, give another. For example, in MY body, if my blood sugar is at 200, I take two units of insulin to bring it down to 100 to 120. If I was going to be doing any exercise also at this time, i would only take one unit as my “correction factor” because the exercise would help bring the blood sugar down, too. Ginger You should know Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Continue reading >>

The Step-by-step Approach To Better Blood Sugars: Walking

The Step-by-step Approach To Better Blood Sugars: Walking

If you’re like me, you might have a health-focused New Year’s resolution posted on your wall: "lose weight," "exercise more, "be less stressed." Unfortunately, making resolutions is easy, but sticking to them is hard. A 15,000-person survey found that four out of five people who make New Year’s resolutions eventually break them. And it gets worse: a sizeable percentage of people (11%) in one survey actually broke their resolution one week in! As I pondered this depressing data, I thought about scientifically testing the simplest, most fundamental exercise possible: walking. It can be done anywhere, does not cost anything, and requires no equipment. And because the barriers to doing it are so low, it also helps address that very basic New Year’s Resolution conundrum outlined above. What follows is my personal diabetes experience testing the blood sugar benefits of walking, a brief review of studies on diabetes and walking, and five tips to incorporate walking into your daily routine. If you find this article useful, check out my upcoming book, Bright Spots & Landmines! Walking with diabetes – my own experience As a fitness fiend my whole life, I tend to think of “exercise” with a very intense, all-or-nothing frame of reference: cycling, strength training, and playing basketball. So when I approached the question of how much walking could really drop my blood sugars, I was skeptical. In an effort to test it objectively, I performed a dozen periods of walking, and measured my blood glucose immediately before and immediately after finishing. I timed each walk with a stopwatch, always made sure I had less than one unit of insulin-on-board, and tried to go at a normal speed. On average, walking dropped my blood sugar by approximately one mg/dl per minute. The la Continue reading >>

Sliding Scale Insulin Therapy

Sliding Scale Insulin Therapy

Insulin is the foundation of treatment for many people with diabetes. If you’re a diabetic, your body either can’t produce enough insulin or can’t use insulin efficiently. People with type 1 diabetes, and some with type 2 diabetes, have to take several injections of insulin per day. The insulin keeps blood sugar in a normal range and prevents high blood sugar levels. This can help prevent complications. The amount of insulin you should take can be determined in several different ways: Fixed-Dose Insulin With this method, you take a certain set amount of insulin units at each meal. For example, you may take 6 units at breakfast and 8 at dinner. The numbers don’t change based on your blood sugar readings or the amount of food you eat. While this may be easier for people just starting insulin, it doesn’t account for pre-meal blood sugar levels. It also doesn’t factor in the varying amounts of carbohydrates in a given meal. Carbohydrate to Insulin Ratio In this method, you take a certain amount of insulin for a certain amount of carbohydrates. For example, if your breakfast carb to insulin ratio is 10:1 and you eat 30 grams of carbohydrates, you would take 3 units before breakfast to cover your meal. This method also includes a “correction factor” that accounts for your pre-meal blood sugar. For example, let’s say you want your blood sugar to be under 150 mg/dL before meals, but it’s at 170. If you’ve been told to take 1 unit of insulin for every 50 you’re over, you would take 1 additional unit of insulin before your meal. While this takes a lot of practice and knowledge, people who can manage this method can keep better control of their post-meal blood sugar levels. Sliding-Scale Insulin Therapy (SSI) In the sliding-scale method, the dose is based o Continue reading >>

What Is Insulin?

What Is Insulin?

From understanding what insulin is, to learning about the four types of insulin, knowing about this hormone your body produces naturally can help. So, here you'll find the basics about insulin and get answers to questions you may have. Insulin is a hormone the pancreas makes to help your body use blood sugar for energy—or store it for later use. What role does insulin play in your body? The cells in your body need sugar for energy. But sugar cannot go into most of your cells directly, so that's where insulin comes in. Insulin helps keep your blood sugar levels from getting too high, which can be dangerous. When we eat, most of our food breaks down into its basic components. One of them is glucose (sugar), which runs into our bloodstream. Turning blood sugar into energy that our cells can use requires insulin. For many people, just the right amount of insulin is released from the pancreas to help the body use or store the sugar it gets from food. For people with type 2 diabetes, the pancreas does not produce enough insulin or the body can’t properly use the insulin it produces to keep their blood sugar controlled. The body continuously releases some insulin all day and extra at mealtimes. This helps keep your blood sugar stable. Insulin treatments like the ones you see here are meant to do the same thing. Simply put, they mimic how your body controls blood sugar around the clock. Keep reading to learn about the different types. (also called “basal insulin”) lowers blood sugar for about 24 hours. It's taken once a day and helps to control blood sugar throughout the day, between meals, and while you're asleep. (also called “mealtime insulin”) helps lower your blood sugar for up to 6 hours and is one of two types of insulin that are typically taken before meals. Continue reading >>

Your Insulin Therapy

Your Insulin Therapy

Your doctor has given you insulin to help control your diabetes. You need two kinds of insulin: basal and mealtime insulin. Sometimes insulin is premixed for you. Keep a record of your blood sugar and insulin shots every day so the amounts of insulin can be changed to fit your lifestyle. Your basal insulin type and dose are (your doctor will fill in the blanks): NPH insulin: Inject _____ units at ____ a.m. and _____ units at _____ p.m. Ultralente or glargine (Lantus): inject ____ units at _______ a.m./p.m. Basal insulin provides steady levels of insulin. NPH lasts 10 to 16 hours. Ultralente and glargine last 24 hours. Take your basal insulin at the same time every day. Do not skip your basal insulin shots, even if you are sick. Your body still needs the basal insulin. Do not mix glargine with other insulins. NPH can be mixed. Do not take glargine if you are pregnant or planning to become pregnant. Your basal insulin dose should be increased every seven days until your fasting blood sugar level is between 90 and 130 mg per dL. Talk to your doctor about how much to increase your dose. Low blood sugar (this is called hypoglycemia) can happen if you take too much insulin. Symptoms of low blood sugar include shakiness, weakness, dizziness, confusion, and headache. Some people may not have symptoms. Check your blood sugar level if you have any of these symptoms. You also should check your blood sugar level during your insulin's peak of activity (talk to your doctor about this). If your blood sugar level is below 70 mg per dL, follow the Rule of 15: Eat or drink 15 grams of carbohydrates (e.g., one half glass of orange juice or one slice of bread). Wait 15 minutes, and test your blood sugar level again. If your blood sugar level is still below 70 mg per dL, do steps 1 and 2 ag Continue reading >>

Insulin Dosage Calculations

Insulin Dosage Calculations

When your doctor prescribes insulin to treat your diabetes, you need to understand how to calculate your dosage requirements to properly manage the carbohydrates in your diet, your natural blood sugar fluctuations and a pump, if necessary. Mistakes in insulin dosage calculations can have dangerous medical side effects, so it is important to work with your doctor and establish a solid dosage plan for your insulin therapy. Video of the Day If you are a newly diagnosed diabetic and obtaining a pump, you need to identify the total daily insulin dose as a starting point to measure your basal dose. A general guideline from which to start one-quarter of your weight. For example, if you weigh 280 pounds, your entire daily dose of insulin will be close to 70 units between your long-acting insulin and your mealtime rapid-acting dose. This provides a starting point to calculate a basal rate for an insulin pump. Insulin Pump Dosage Calculation Log your insulin doses over the course of a week. Track every insulin dose, both fast-acting and long-acting. For example, if you take 20 units of long-acting insulin twice daily, and then an average of 4 units per meal, you take 52 units of insulin daily. Divide that total in half. Your basal insulin, or the amount of insulin your pump distributes throughout the day, is 26 units. The remaining 26 units are dosed in even bolus amounts, or additional doses before each meal, based on how many carbohydrates you eat. Carbohydrate Insulin Dose Cover your carbohydrate intake by calculating the insulin dose that your body needs to manage the carbohydrates you are eating. Start with the insulin-to-carbohydrate ratio recommended by your doctor or diabetic educator. Determine how many grams of carbohydrates you are eating by reading the nutrition label Continue reading >>

Mysugr Bolus Calculator – Get Help With Your Insulin Dose (currently Available In Eu)

Mysugr Bolus Calculator – Get Help With Your Insulin Dose (currently Available In Eu)

back to Overview It's time for lunch. Your blood sugar is 165 mg/dl (9.2 mmol/L). You have a big slice of pizza, a bag of chips, and a cold Diet Coke waiting for you. How much insulin do you take? I can think of a few ways this goes: There’s not much to think about. You always eat the same thing and always take the same amount of insulin. You define the phrase “creature of habit.” You hate thinking about all of this stuff, so you just guess. You love doing a bunch of math before every meal, so calculating your insulin dose is fun and easy. I can relate to the first two. There’s a lot of value in routine, and I’ve also done my share of guesstimating. That last one? Enjoying all of the diabetes math? I’m sorry. That’s just weird. (I’m teasing. Kind of…) But there’s another option, and it makes thinking about your insulin doses easier and more precise. I’m talking about a bolus calculator. If you wear an insulin pump, you’re probably already using one (they’re often built in). You’re welcome to stay and read, but there’s not much new information for you here. However, if you’re using injections (syringes or pens), like most people with diabetes, then stick around. This article should be helpful. So you don’t have (or want) an insulin pump, but I bet you have a smartphone. What does that mean? It means that you should meet mySugr’s Bolus Calculator. It’s a module integrated into the mySugr app that helps with your insulin doses (note: mySugr Bolus Calculator is currently approved for use in Europe). What the heck is a “bolus,” you ask? Great question. A bolus, in our case, is a single dose of insulin given all at once. In other words, it’s your mealtime shot or a shot to fix a high blood sugar. mySugr’s Bolus Calculator examines Continue reading >>

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