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Insulin

I am 31, have gestational diabetes and have started taking insulin. They have put me on short-acting insulin first thing in the morning. If the morning numbers are the main concern, shouldn’t I be on long acting insulin and be taking it at bedtime?

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I’ve seen several patients doing using a sliding scale of 70/30 insulin. Is it logical? I even saw a 70/30 sliding scale every six hour order today, but given the duration of action of NPH, is this dangerous?

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About three weeks ago, my son started taking 70/30 insulin, and his injection sites are beginning to get red. Could this be a reaction to the insulin?

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In a previous question from someone else, it was commented that a physician was not a big fan of using a sliding scale. Can he elaborate?

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I just read a previous question about a doctor who told a parent her son was taking too much insulin and it would kill him. I though everyone’s insulin needs were different and if a person needs more insulin than it should be taken. Isn’t our main concern for our children to keep blood sugars controlled no matter how much insulin is required? Should a person only take up to a certain amount?

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I have several boxes of pen-fills that I accidently put in the freezer. I found them six hours later, and I can’t tell if they froze. Bubbles still moved, the solution was clear, and appeared no different than the others. Are they still usable?

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My daughter was diagnosed with diabetes a year and a half ago. Recently, we have been having to give her a few extra doses of insulin. Is this dangerous for her? How much insulin is too much? She is 5 years old.

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I just want to know an algorithm for insulin dosage adjustment for the basal-bolus schedule. Is the 0.6 units per kilogram of body weight right?

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I understand there is a new 24 hour long acting insulin which has just been approved for marketing by the FDA. It is Lantus Glargine, made by Hoechst. Will this be a better option than NPH or Ultralente for a 4 year old recently diagnosed Type 1 child?

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A friend of mine has been receiving insulin for a few years. He had developed a local reaction at the site of injection in the form of a painless nodule without itching.

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