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Short-Acting Insulin Isn’t Short for Most Type 2s

David Mendosa
David Mendosa
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Medical Journalist Living with Diabetes and Author of Fitness and Photography for Fun, www.mendosa.com/fitnessblog

After earning a B.A. with honors from the University of California,...

David Mendosa

Thursday, June 28, 2007
View All of David Mendosa's Posts
If you forgot to test, you’re in good company. It seems that the scientific researchers whom you rely on for your professional guidance on diabetes made the same mistake.When they tested the short-acting insulins, they forgot that the great majority of us with type 2 diabetes carry around too ...
  1. Untitled Comment
    tina torillo
    Thursday, June 28, 2007 at 03:49 PM
    hi david ..im glad to be here withu all and ur support is amazing, however i am not diabetic, i am insulin resistant i have been for about 20 yrs, im not on meds im on omegas3 fish oil 2000 day and im on super complex b vitamins,when i relaized what i was admited for in hospital was after cuzz **** dr never told me about diabties, my number started at 60 im down to 23 as of march 07 body insulin my pancreeas creates, im so very lucky,, i dont want to be diabetic and im considering getting my kids checked we have 5 diabetics, and me and sis are insulin resistant, however my sugars be4 meals are 82 and mornings 83 and 2 hrs are 100 103 so im in range my a1c is still good, but honestly im sure my insulin has at least half to do with my sugar numbers, i do hard work and i exercise almost 8 hrs week now, iove come a long and i did post pics in my pro,,, ty david
    Reply
  2. This is not news to those who read Dr. Bernstein
    Jenny
    Thursday, June 28, 2007 at 07:21 PM

    In "Dr. Bernstein's Diabetes Solution" Dr. Bernstein has been advising people that any shot of insulin larger than 8 units will behave unpredictably and tells them to split the shots if larger than 8 units. He published that advice a decade ago.

    He also explains that if you inject a large dose of any fast acting insulin it can last for a very long time. He cites an experiment where a huge bolus of R lasted a week.

    The trick for type 2s using bolus insulin is to NOT try to match huge amounts of carbohydrate that require huge doses of insulin. The less carbs, the less insulin, and the more predictable that insulin will be.
    Reply
  3. Short-Acting Insulin Isn't Short ...
    Anonymous
    Sunday, July 01, 2007 at 04:57 AM

    David,



    Would this imply that the response to a short-acting insulin injection may depend significantly on the fat density of the specific injection site?



    Thanks, Don Lloyd


    Reply
    re: Short-Acting Insulin Isn
    David Mendosa
    Sunday, July 01, 2007 at 10:00 AM
    Don,

    I don't believe that anyone has said that.
    Reply
    re: re: Short-Acting Insulin Isn
    Anonymous
    Sunday, July 01, 2007 at 11:23 AM

    David,


    It appears that different general injection sites were known to have different insulin absorbtion rates anyway.


    OT : Did you see the UK reports that diabetic complications tend to lockin during early periods of excess glucose, and do not disappear in response to future normal glucose levels?


    http://www2.warwick.ac.uk/newsandevents/pressreleases/research_says_sugar/


     

    Regards, Don Lloyd

    Reply
    re: re: re: Short-Acting Insulin Isn
    David Mendosa
    Sunday, July 01, 2007 at 03:38 PM
    Don,

    No, I hadn't seen that paper. Thanks for bringing it to my attention. But I don't know if it's quite as bad as it sounds. Otherwise, how would we ever bring our A1C levels down to normal as many people have?
    Reply
    re: re: re: re: Short-Acting Insulin Isn
    Anonymous
    Sunday, July 01, 2007 at 05:06 PM

    David,


    As I read it, it's not the A1C level that is memorized and sealed, but what ever mechanisms actually produce the diabetic complications.


    Regards, Don Lloyd

    Reply
  4. 30 units typical?
    haypops
    Sunday, July 01, 2007 at 07:55 PM
    The author seems to indicate that 30 units of short acting insulin are typical. Is this so? i consider 10 units a lot (personal wieght is 300 pounds).
    Reply
    re: 30 units typical?
    David Mendosa
    Sunday, July 01, 2007 at 08:18 PM
    I can't say what the typical insulin dose is for type 2s who use insulin. But I think that most use a lot more than you do, unless they are low carbing.
    Reply
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