I inject with Insumman Basal Solo star.

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keith2904

keith2904

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Hello, I inject with Insumman Basal Solar Star 35 units late afternoon. This makes no difference to my BS level which is high. I thought this type of insulin was long lasting up to 24 hours. Diabetes Nurse says I should increase this up to 60 units a day (and see how it goes). Wont the insulin be building up in my system and therefore not working properly? I know folk can only give general opinions and I'm not expecting anyone to suggest a dose or anything. What do people think? I have a review next week but she will just say to keep trying. Thanks. P.S Type 2 since 2005
 
How high is “high” @keith2904 ? And have you modified your diet alongside the insulin? Insuman is an isophane insulin which lasts 12-24hrs so if you have it once a day, it can’t build up. Have you tried other basals or a bolus insulin too?
 
Inka said:
How high is “high” @keith2904 ? And have you modified your diet alongside the insulin? Insuman is an isophane insulin which lasts 12-24hrs so if you have it once a day, it can’t build up. Have you tried other basals or a bolus insulin too?
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Always between 10 and 16 in the morning. Yes I am a modified diet such as low carb and more protein. I wouldnt expect to lower BS without doing this. I do daily exercise and lost 6 stone in past 2 years. Now 15st. I will ask the diabetes nurse about the insuli next week Thanks
 
If all you are having is a basal insulin, it may be that you also need a Bolus insulin to be dealing with the meals you have. You could then eat a more normal diet.
You say low carb but what sort of things are you having, it may be too much for just a basal insulin to cope with.
There may be some general explanation in the Learning Zone that may help you understand better how the different insulins work.
 
Leadinglights said:
If all you are having is a basal insulin, it may be that you also need a Bolus insulin to be dealing with the meals you have. You could then eat a more normal diet.
You say low carb but what sort of things are you having, it may be too much for just a basal insulin to cope with.
There may be some general explanation in the Learning Zone that may help you understand better how the different insulins work.
Click to expand...
 
Thanks thats really helpful. I a ignorant of the different insulins. Nurse just says the one I use is the usual one but she never said anything about trying or adding others. I will discuss with her but she shows little interest. She says that getting BS lower is down to me only.
 
keith2904 said:
Thanks thats really helpful. I a ignorant of the different insulins. Nurse just says the one I use is the usual one but she never said anything about trying or adding others. I will discuss with her but she shows little interest. She says that getting BS lower is down to me only.
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You should perhaps ask for referral to a specialist diabetic clinic if your GP surgery does not have the expertise.
 
keith2904 said:
Thanks thats really helpful. I a ignorant of the different insulins. Nurse just says the one I use is the usual one but she never said anything about trying or adding others. I will discuss with her but she shows little interest. She says that getting BS lower is down to me only.
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There’s a protocol for the treatment of Type 2, showing a flowchart of progression. If I remember correctly, yes a basal insulin is the initial step but the next step is adding in a bolus insulin if needed.

You’re waking between 10-16mmol which is, indeed, too high, but what’s your blood sugar 2hrs after your evening meal and just before you go to bed? If you’re injecting your isophane late afternoon, it’s possible it’s running out by the morning. I use isophane when I have a pump break and I find it lasts more like 9-12 hours, although I’m on a much smaller dose than you.

Well done on your weight loss - excellent 😎
 
Inka said:
There’s a protocol for the treatment of Type 2, showing a flowchart of progression. If I remember correctly, yes a basal insulin is the initial step but the next step is adding in a bolus insulin if needed.

You’re waking between 10-16mmol which is, indeed, too high, but what’s your blood sugar 2hrs after your evening meal and just before you go to bed? If you’re injecting your isophane late afternoon, it’s possible it’s running out by the morning. I use isophane when I have a pump break and I find it lasts more like 9-12 hours, although I’m on a much smaller dose than you.

Well done on your weight loss - excellent 😎
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Thanks for your informative response. It has given me things to discuss with the nurse. It seems like the flowchart is gathering dust in her desk! 2 hours after evening meal it is around 13 on my monitor. I dont do one going to bed. I will ask for the Bolus and see what she says. Thanks for your information.
 
13 is a bit high and, depending on what you’re eating, a bolus insulin could be a great help. You might only need it for your evening meal, but it’s something to consider. There are Type 2s here on a basal/bolus regime. It gives more flexibility and can improve control.

The “short-acting insulin” referred to here is a bolus insulin. It can be called short-acting/fast/bolus/meal insulin:

https://www.nice.org.uk/guidance/ng...t-options-if-further-interventions-are-needed

.
 
GP Surgery have refused to refer me on to the Diabetic Clinic at the hospital. They say the clinic can tell me no more than the Surgery. I am convinced now that I need to change GP Practice.
 
Sorry to hear the frustrating time you are having getting advice of your insulin therapy @keith2904 :(

Sometime I think you have to be quite firm and persistent if you feel the support you are getting isn’t making the progress you would like.

Adding a mealtime insulin might help a great deal, and there are other long-acting insulins you could try too.

Gretchen Becker’s book Type 2 Diabetes: The First Year is often recommended a a helpful guide to newcomers on the forum. I’ve not read it personally, but an online search of chapter titles suggests that using insulin to help manage T2 diabetes is covered in a later chapter. The book is often praised for its clarity and non-medical-jargon style. You may be able to get a copy from your local library service?
 
Inka said:
13 is a bit high and, depending on what you’re eating, a bolus insulin could be a great help. You might only need it for your evening meal, but it’s something to consider. There are Type 2s here on a basal/bolus regime. It gives more flexibility and can improve control.

The “short-acting insulin” referred to here is a bolus insulin. It can be called short-acting/fast/bolus/meal insulin:

https://www.nice.org.uk/guidance/ng...t-options-if-further-interventions-are-needed

.
Click to expand...
 
Thanks. I now know what to discuss with the diabetes. I have learned a lot.
 
everydayupsanddowns said:
Sorry to hear the frustrating time you are having getting advice of your insulin therapy @keith2904 :(

Sometime I think you have to be quite firm and persistent if you feel the support you are getting isn’t making the progress you would like.

Adding a mealtime insulin might help a great deal, and there are other long-acting insulins you could try too.

Gretchen Becker’s book Type 2 Diabetes: The First Year is often recommended a a helpful guide to newcomers on the forum. I’ve not read it personally, but an online search of chapter titles suggests that using insulin to help manage T2 diabetes is covered in a later chapter. The book is often praised for its clarity and non-medical-jargon style. You may be able to get a copy from your local library service?
Click to expand...
 
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