Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 At bedtime they used a formula for calculating the insulin, I believe regular insulin, not Lantus, to dose me if my bs was high. The formula they used went as stated: Take your present bs reading at bedtime. If it was 325, then you subtract 100 from this number and get 225. Then you divide this number by 30, which would be 225/30=close to 8 but more than 7, so they would dose me with 7 and a half units of regular insulin. The next day my fasting bs level was always higher than 100, but rarely no more than 20-30 points higher than a 100. I believe the insulin used was NPH insulin. Can someone here tell me if this is regular insulin? I really do not know since I have always used Lantus as my basal insulin. I believe the regular insulin is quite cheaper than Lantus While in the hospital my bs level never ran higher than 190 or so, which usually required just 3 units of regular insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Harry, Regular and NPH insulin are different from one another. These are the two types of insulin that I and others used before the analogues were developed. An insulin analogue is insulin that has had its structure modified to speed up or slow down its absorption. Analogues first began being developed and used in the late 1990s and early 2000s, and today these insulins include Humalog, NovoRapid/Novolog, Levemir, Apidra, and Lantus. Regular is a short-acting insulin, it is essentially the same insulin that your pancreas would produce, except that because it is injected it absorbs at a different rate (since the late 1980s it is also artificially created). It begins working after 30 minutes and lasts for about six or eight hours. The major drawback of this insulin over Humalog or NovoRapid/Novolog is that it must be injected half an hour before eating in order to properly match carbohydrate timing. NPH is an intermediate-acting insulin that begins working in three or four hours and lasts about twelve. It is really Regular insulin that has a substance added to delay its absorption. The major drawback of this insulin over Lantus or Levemir is that it has a pretty dramatic peak. If it is given in the morning this peak is drastic enough to cover carbohydrate intake at lunch, and if given before bed it requires a substantial bedtime snack in order to avoid overnight lows. It also has a rather inconsistent absorption pattern, some studies showing that its absorption varies by as much as 40% from one day to the next. These insulins do work for some people. If your schedule is regular enough that you can take an injection and eat half an hour later, then Regular could be used the same way as the rapid-acting analogues are used. NPH is useful for some people who have problems with the dawn phenomenon. And you are right, both types of insulin are cheaper than the newer analogues. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Harry, Regular and NPH insulin are different from one another. These are the two types of insulin that I and others used before the analogues were developed. An insulin analogue is insulin that has had its structure modified to speed up or slow down its absorption. Analogues first began being developed and used in the late 1990s and early 2000s, and today these insulins include Humalog, NovoRapid/Novolog, Levemir, Apidra, and Lantus. Regular is a short-acting insulin, it is essentially the same insulin that your pancreas would produce, except that because it is injected it absorbs at a different rate (since the late 1980s it is also artificially created). It begins working after 30 minutes and lasts for about six or eight hours. The major drawback of this insulin over Humalog or NovoRapid/Novolog is that it must be injected half an hour before eating in order to properly match carbohydrate timing. NPH is an intermediate-acting insulin that begins working in three or four hours and lasts about twelve. It is really Regular insulin that has a substance added to delay its absorption. The major drawback of this insulin over Lantus or Levemir is that it has a pretty dramatic peak. If it is given in the morning this peak is drastic enough to cover carbohydrate intake at lunch, and if given before bed it requires a substantial bedtime snack in order to avoid overnight lows. It also has a rather inconsistent absorption pattern, some studies showing that its absorption varies by as much as 40% from one day to the next. These insulins do work for some people. If your schedule is regular enough that you can take an injection and eat half an hour later, then Regular could be used the same way as the rapid-acting analogues are used. NPH is useful for some people who have problems with the dawn phenomenon. And you are right, both types of insulin are cheaper than the newer analogues. Jen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Ruth, I think Regular is still called Toronto in Canada, at least one brand of it is. I used Toronto for about seven years after I was diagnosed (in 1991). I believe it's always been called just Regular in the States, though, Toronto being a Canadian name for it. Jen RE: while in the hospital... Hi Harry, No, regular insulin or Toronto as it was called when I was a kid, was considered the fast acting insulin before humulogue came along. The NPH and Lente were the basil insulins. Ruth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Ruth, I think Regular is still called Toronto in Canada, at least one brand of it is. I used Toronto for about seven years after I was diagnosed (in 1991). I believe it's always been called just Regular in the States, though, Toronto being a Canadian name for it. Jen RE: while in the hospital... Hi Harry, No, regular insulin or Toronto as it was called when I was a kid, was considered the fast acting insulin before humulogue came along. The NPH and Lente were the basil insulins. Ruth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Ruth, I think Regular is still called Toronto in Canada, at least one brand of it is. I used Toronto for about seven years after I was diagnosed (in 1991). I believe it's always been called just Regular in the States, though, Toronto being a Canadian name for it. Jen RE: while in the hospital... Hi Harry, No, regular insulin or Toronto as it was called when I was a kid, was considered the fast acting insulin before humulogue came along. The NPH and Lente were the basil insulins. Ruth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Harry, No, regular insulin or Toronto as it was called when I was a kid, was considered the fast acting insulin before humulogue came along. The NPH and Lente were the basil insulins. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Harry/ Bates Sent: Monday, December 15, 2008 10:08 PM To: blind-diabetics Subject: while in the hospital... At bedtime they used a formula for calculating the insulin, I believe regular insulin, not Lantus, to dose me if my bs was high. The formula they used went as stated: Take your present bs reading at bedtime. If it was 325, then you subtract 100 from this number and get 225. Then you divide this number by 30, which would be 225/30=close to 8 but more than 7, so they would dose me with 7 and a half units of regular insulin. The next day my fasting bs level was always higher than 100, but rarely no more than 20-30 points higher than a 100. I believe the insulin used was NPH insulin. Can someone here tell me if this is regular insulin? I really do not know since I have always used Lantus as my basal insulin. I believe the regular insulin is quite cheaper than Lantus While in the hospital my bs level never ran higher than 190 or so, which usually required just 3 units of regular insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Harry, No, regular insulin or Toronto as it was called when I was a kid, was considered the fast acting insulin before humulogue came along. The NPH and Lente were the basil insulins. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Harry/ Bates Sent: Monday, December 15, 2008 10:08 PM To: blind-diabetics Subject: while in the hospital... At bedtime they used a formula for calculating the insulin, I believe regular insulin, not Lantus, to dose me if my bs was high. The formula they used went as stated: Take your present bs reading at bedtime. If it was 325, then you subtract 100 from this number and get 225. Then you divide this number by 30, which would be 225/30=close to 8 but more than 7, so they would dose me with 7 and a half units of regular insulin. The next day my fasting bs level was always higher than 100, but rarely no more than 20-30 points higher than a 100. I believe the insulin used was NPH insulin. Can someone here tell me if this is regular insulin? I really do not know since I have always used Lantus as my basal insulin. I believe the regular insulin is quite cheaper than Lantus While in the hospital my bs level never ran higher than 190 or so, which usually required just 3 units of regular insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Hi Harry, No, regular insulin or Toronto as it was called when I was a kid, was considered the fast acting insulin before humulogue came along. The NPH and Lente were the basil insulins. Ruth From: blind-diabetics [mailto:blind-diabetics ] On Behalf Of Harry/ Bates Sent: Monday, December 15, 2008 10:08 PM To: blind-diabetics Subject: while in the hospital... At bedtime they used a formula for calculating the insulin, I believe regular insulin, not Lantus, to dose me if my bs was high. The formula they used went as stated: Take your present bs reading at bedtime. If it was 325, then you subtract 100 from this number and get 225. Then you divide this number by 30, which would be 225/30=close to 8 but more than 7, so they would dose me with 7 and a half units of regular insulin. The next day my fasting bs level was always higher than 100, but rarely no more than 20-30 points higher than a 100. I believe the insulin used was NPH insulin. Can someone here tell me if this is regular insulin? I really do not know since I have always used Lantus as my basal insulin. I believe the regular insulin is quite cheaper than Lantus While in the hospital my bs level never ran higher than 190 or so, which usually required just 3 units of regular insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Regular insulin used to be so called fast acting insulin. This was when Lente was about the only other insulin around, which had a peak of probably 12 hours or something. (I'm kind of guessing here.) That was before Humalog came on the scene. I believe Regular, or R, insulin peaks around 4-6 hours. Dave God doesn't hate sinners, just sin! while in the hospital... At bedtime they used a formula for calculating the insulin, I believe regular insulin, not Lantus, to dose me if my bs was high. The formula they used went as stated: Take your present bs reading at bedtime. If it was 325, then you subtract 100 from this number and get 225. Then you divide this number by 30, which would be 225/30=close to 8 but more than 7, so they would dose me with 7 and a half units of regular insulin. The next day my fasting bs level was always higher than 100, but rarely no more than 20-30 points higher than a 100. I believe the insulin used was NPH insulin. Can someone here tell me if this is regular insulin? I really do not know since I have always used Lantus as my basal insulin. I believe the regular insulin is quite cheaper than Lantus While in the hospital my bs level never ran higher than 190 or so, which usually required just 3 units of regular insulin. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2008 Report Share Posted December 16, 2008 Regular insulin used to be so called fast acting insulin. This was when Lente was about the only other insulin around, which had a peak of probably 12 hours or something. (I'm kind of guessing here.) That was before Humalog came on the scene. I believe Regular, or R, insulin peaks around 4-6 hours. Dave God doesn't hate sinners, just sin! while in the hospital... At bedtime they used a formula for calculating the insulin, I believe regular insulin, not Lantus, to dose me if my bs was high. The formula they used went as stated: Take your present bs reading at bedtime. If it was 325, then you subtract 100 from this number and get 225. Then you divide this number by 30, which would be 225/30=close to 8 but more than 7, so they would dose me with 7 and a half units of regular insulin. The next day my fasting bs level was always higher than 100, but rarely no more than 20-30 points higher than a 100. I believe the insulin used was NPH insulin. Can someone here tell me if this is regular insulin? I really do not know since I have always used Lantus as my basal insulin. I believe the regular insulin is quite cheaper than Lantus While in the hospital my bs level never ran higher than 190 or so, which usually required just 3 units of regular insulin. Quote Link to comment Share on other sites More sharing options...
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