1. Wow Frank this is a great post! I still struggle to get my head around the long and short acting insulin and how they interact. Getting your perspective here is so helpful!

  2. Our bodies do not know the difference between basal and bolus insulin. it’s just insulin. So if you figure out something that works, just go for it and don’t worry whether it is Lantus or Novolog/Humalog/Apidra giving you a good result.

  3. Thanks for the shout out, Frank. My doctor will be happy to know that the #doc enjoys her witty analogies as much as I do. 🙂

    I totally hear you on the Lantus adjustment stuff. Whenever I see people proclaiming that they have found the perfect background basal rate, I always have to stifle a chuckle. Not due to cynicism, rather, due to realism. If there were a perfect background insulin rate, it would be called having a properly-functioning-pancreas. Diabetes, and life in general, change too quickly and too often for a truly “perfect” basal insulin dose to be achieved, in my humble opinion. But like you discuss here- and I think Laddie’s point is superb- you have found a system that works well for you in the meantime. Until there is a cure, or an improved artificial pancreas system, HCPs will have to trust their patients’ experiences in order to find the best possible system of treatment for the individual patient. I think it’s great that you are invested enough in your own health to have figured some of the Lantus basal stuff out in that regard! It’s not easy with injections- that’s for sure!

  4. Just found this blog and it is brilliant! I’m type two since diagnosis approx three yrs ago. Due to Spinabifida related continuous bladder infections, its difficult to keep levels low and my area won’t give carb counting training for type two. Increasing my long acting Levemir is not ideal but I’m getting really frustrated as more insulin equals more weight gain which is awful being wheelchair bound. Definitely following your blog now 🙂

    • Thanks so much for the comment Lisa! I’ve had my fair share of frustrations from adjusting my insulin intake. There’s no easy answer, except to keep experimenting until you find the right balance that works for you. Great to have you here!

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