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Friday, 30 December 2016

Skipped Dose of Insulin. December 30, 2016

Today sugar is 194 mg/dl, fasting.
I skipped shot Yesterday. Not because of I am doing any experiments. I am not rat for my studies. I simple forgot it. Because of I started to forget did I injected insulin or not, now I do not discharge needle right after shot. I keep it under monitor, so I can easy to see, did I take shot today? how many shots I took today? I usually take 80 units at once. Sometimes when it is last shot in pen it is only 60 units, but it is OK, I can add some units from another pen, or just take 20 units less dose. It is not so important for me. Still, if I missed the shot, it is 80 units, and next time blood sugar reading will remind my mistake. This is why today fasting reading is so high.

In diabetes education programs all the time presented that if type 1 diabetic skipped shot of insulin diabetic even can die.  Never. Actually there is nothing so bad will happen if one insulin shot missed. Just blood sugar reading will go up. I take around 300 units daily dose. My insulin shot is 80 units. To compare many diabetics type 1 take less then 10 units. Do type 1 so different creatures then the rest of us? Of cause not, we are all the same. The problem with all this educations, medical care simple wash our brains, to inset hysteria around diabetes and to mislead public. Still, if one uses own brain, it is easy to see that dose of 10 units cannot make so big difference if it is missed, to compare with 80 units. And regardless it is 7 units or 100 units, no one of us die as  a result of skipped dose of insulin.

This is why when I see how type 1 fancy wear artificial pancreas on side of own body, I do know it is only show, nothing about diabetes or so high importance to have it on the side of body. I use insulin Santus Solo Star. It is prefilled insulin, very easy to use. All what I need to carry only one pen and a few needles. One pen is 300 units, good for all day long. I am free to use it everywhere, no any problem with that. I even used it in Metropolitan Opera house once when I simple did not know how to use insulin and this was why I took pen with me. Now I simple inject insulin at home, and leave the pen.

More important then skipped dose is the type of insulin which is right for diabetic. I was really surprised when I was not able to take TouJeo. My blood sugar go up with this type of insulin, so I had to inject higher dose of insulin, and I am already take high dose. The same about Novolog. Regardless how many times I try to use guidance how to use insulin, how to count all that carbs and connect dose of injection with the carbs I was ready to eat, I still do not get it. All the time it was the same, after shot of Novolog I am hungry, I have to eat right away. Then sugar drops dramatically down. What I suppose to do? Just take some meal. So, sugar go up. What is next? Take insulin shot. I did take basal insulin, Lantus Solo Star, still it did not work, I was on high-low swings all day long.

I abandoned the idea to take insulin as it was directed. I replaced Novolog with Lantus Solo Star, and now it is smooth and nice. I can say, to get right dose of insulin is all the time great challenge. To combine different types of insulin the challenge go to the next level.  So for now I use only one well known type of insulin I accustomed to use. It is Long Acting Insulin Lantus Solo Star.

One last words about injections.  Needles. Right now there are different needles, different size of them. I tried to use shortest size. It is really very nice looking needle, like toy in hands. Sure, it would not be painfully as it is with longer version. I was really surprised, it is right opposite. Probably it is only my opinion, and probably other people very happy with shortest version. Probably I just Old Fashion, and use to be attached to the past. But for one reason or another, shot was more painful with short version of needle then with long needle. Also, there are scars developments. I do not have so much problem with long needles. I usually do not rotate sites, because of I can reach just a few areas to inject insulin. 


via Ravenvoron

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