If you truly know the correct answer please answer if your not sure then skip this one I need accurate information.I am a fairly new diabetic and still learning and am currently looking for a doctor to help me manage my diabetes.The doctor I have now is not knowledgeable and is a idiot so I turn to yahoo answers.What's been working for me I take a long lasting/acting Landis shot in the morning everyday.On occasion maybe 3x a month my glucose levels sometimes rises above 250.When my glucose levels go above 250 I need to take a fast acting shot of novalog which usually only happens in the evening and night.Ive come across a new one this morning.I awoke this morning checked my levals and before I can even take my long acting/lasting am shot of lantus my levels are at 341.I am confused as what to do the usual am shot won't bring down my levels that are way to high at the moment so do I take a fast acting nova log shot this morning and just skip doing the am Landis I know I can't take both at the same time and I know I can't mix lantus with novalog.So what should I do take novalog and check levels all day or take novalog and in a few hours when levels are down then take a lantus long lasting/acting shot?I don't know how to handle a situation when my fasting and upon awaking levels are to high can anyone help with information what to do?
Q: I have a new issue with my levels and I'm still learning and have a question about insulins
Hi Kat!
I'm a type1 of 41 years. I'm not sure if you're type1 or type 2 there are different protocols to handle this situation. I'm sort of assuming you are type2 since you only take a short lasting, also called rapdi acting insulin RAI infrequently.
First, I take levemir (similar to Lantus) and RAI insulin at the same time, but you can't mix them in the same syringe, the insulin pens make this easier too! So to be clear, they need to be two separate injections. I inject in different areas as well, so if I use my left leg, I might use the right leg for RAI. But there is no problem to inject at the same time of day and within minutes of eachother.
I think what you are experiencing is dawn phenomenon. Here are two blogs on dawn phenomenon by medical writer David Mendosa:
Taming the Dawn Phenomenon: http://www.healthcentral.com/diabetes/c/17/1388/taming-dawn/
The Long Dawn Phenomenon: http://www.healthcentral.com/diabetes/c/17/140635/dawn-phenomenon
Definitely find yourself an endocrinologist or certified Diabetes educator to help you with this. It's not a cookie cutter problem to solve!
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