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Basal, Bolus insulin

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A

Adehem

Member
Relationship to Diabetes
Type 1.5 LADA
Hi Guys,
I am injecting Novorapid 3 times a day with meals and Lantus (Basal) at night. My nurse on the DAFNE course who I have only had the screening call at the moment. Has suggested I may split the lantus and have one injection at bedtime and another on getting up. Well when I get up I have my breakfast so I inject Novorapid. So would I get up and inject both insulins together?? When I inject my night time Lanus it is 4 to 5 hours after my evening meal Novorapid. Anyone out there who has a similar Basal routine.
 
I just take my Lantus with my mealtime insulin, one after the other seconds apart. Makes it easier to remember to do it for me.
 
Your Lantus can be regarded as totally independent from your Novorapid. So it’s fine if the timings happen to coincide, I assume you do them in different parts of your anatomy. (I always do Basal in my thighs, and Bolus in my abdomen, because that’s what I was taught)
 
Adehem said:
Hi Guys,
I am injecting Novorapid 3 times a day with meals and Lantus (Basal) at night. My nurse on the DAFNE course who I have only had the screening call at the moment. Has suggested I may split the lantus and have one injection at bedtime and another on getting up. Well when I get up I have my breakfast so I inject Novorapid. So would I get up and inject both insulins together?? When I inject my night time Lanus it is 4 to 5 hours after my evening meal Novorapid. Anyone out there who has a similar Basal routine.
Click to expand...

Why wouldn’t you inject both together? The Novorapid deals with your breakfast and the Lantus deals with something else (your background/basal insulin needs). Some people are on mixed insulin where both bolus and basal are mixed in one vial/pen.

Choose a different area for each injection and there should be no issue.
 
To be honest, I never chose different areas for basal and bolus injections but I did inject at the same time.
Typically, I injected in my belly but pictured regions for site rotation. As long as I rotated my site between basal and bolus (and any subsequent bolus injections), I had no problems.
My thighs are too muscly for injection sites, I don't like the idea of not being able to see where I injected so my butt was not an option and, being slim, I need to pinch when I inject which is not possible in my arms.

So, for me, fine to inject basal and bolus at the same time and no need for a completely different injection site.
 
I used to use different legs @helli I suppose I could have just used a different area of the same leg but I found it less mental effort to use a whole different leg because I’d be umming and ahhing over exactly where to put the 2nd injection.

My thighs are my fav injection site. Although they’re muscly, I can pinch up the flesh ok. Just shows we’re all different and what suits one might not suit another 🙂 I didn’t use my stomach at all until I had a pump. It’s ultra-sensitive. Still not keen on it now but short of growing a few extra legs, I have no choice.
 
I use my bum for basal at the moment and my stomach for bolus because it is a bit quicker.... still takes an age though... and I inject both as soon as I wake up. I find my thighs more sensitive and bruise quite a lot so whilst I go through phases of using them I am currently using buttocks instead. With each area of my body there are places which seem to be more sensitive than others and sometimes I hit a very sensitive spot and it is really painful and other times I almost don't feel it. Similarly, sometimes the insulin stings and sometimes it doesn't and there seems to be no rhyme or reason to it. Just part of the variety that is diabetes!
 
helli said:
To be honest, I never chose different areas for basal and bolus injections but I did inject at the same time.
Typically, I injected in my belly but pictured regions for site rotation. As long as I rotated my site between basal and bolus (and any subsequent bolus injections), I had no problems.
My thighs are too muscly for injection sites, I don't like the idea of not being able to see where I injected so my butt was not an option and, being slim, I need to pinch when I inject which is not possible in my arms.

So, for me, fine to inject basal and bolus at the same time and no need for a completely different injection site.
Click to expand...
I put the basal into my bum. I look into a mirror on my wifes dressing table.
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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