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Insulin Analogs

My endocrinologist has left to practice in another country, and before she left, she started me on the NovoLog plus Lantus routine. Our next step was to work on the sliding scale, but it never happened, and I’d like this information to give to my internist who is going to work with me on this. What is the formula for the sliding scale when you use NovoLog for short-acting and Lantus for basal?

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My daughter’s A1c continues to rise. She needs to be 250 to 300 mg/dl [13.9 to 16.7 mmol/L] to avoid a nighttime low. Should we consider doing her Lantus at sometime other than 8 p.m.?

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Since I am on Lantus, which I understand cannot be given via I.V., do I have to have an insulin/glucose drip when I go into labor? I am 31 weeks pregnant.

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My recently diagnosed teen son has good control except in the evenings, even when we increase his dinner NovoLog. What do you suggest?

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My endocrinologist has switched me from Toronto to NovoRapid. Is this insulin safe before and during pregnancy? Will it cause birth defects?

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Since having a viral illness and switching from a Humalog mix to NovoLog and Lantus, I have had strange nerve sensations in my feet and nausea. What do you think is going on?

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Diagnosed two weeks ago, my sister is now on NovoRapid and Lantus. Her blood sugars are around 4 mmol/L [72 mg/dl] to 8 mmol/L [144 mg/dl]. Is her dosing appropriate? Is there a cure for type 1?

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Since going on Abilify, my daughter has needed to increase her basal insulin 75%. Is this common with this medication? Is this safe?

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I take Starlix for postprandial highs and have an A1c of 6.4. My doctor wants me to take Lantus to bring down my fasting blood sugars. Do you think this is necessary given my current A1c?

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Even though I keep increasing his Levemir dose, my son is still having high blood sugars around dinnertime. I don’t think he is rebounding. What do you recommend?

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