Lantus and Regular

[buggle]

We're changing over from novolog to regular insulin at dinnertime. We eat fairly late, so the Lantus shot is pretty close to the regular. I'd like to give Lantus at around 8:30PM, but Humulin-R was given at ~7PM. Is this going to be too close and give too much overlap?

Thanks.

[Nancy in VA]

Well, Lantus and Regular are serving two different purposes, so as long as you are giving Regular in response to carbs and/or BG reading, you should be fine. Its still "medium range" insulin whereas Lantus is long-acting.

I had a friend who had to do that because Novo just wasn't doing it at dinner. She stuck with Novo for the other meals

[wilf]

We're changing over from novolog to regular insulin at dinnertime. We eat fairly late, so the Lantus shot is pretty close to the regular. I'd like to give Lantus at around 8:30PM, but Humulin-R was given at ~7PM. Is this going to be too close and give too much overlap?

Thanks.

If Lantus peaks, it will do so 4 to 6 hours after the injection (in this case 12:30 am to 2:30 am). Regular peaks 2-3 hours out, so in this case between 9 and 10 pm. It is not too close, but there is the possibility of some overlap. I would check BG around midnight if you can stay up that late, which will give you a very good idea of where you're at..

[buggle]

Thanks, wilf. He's still slowly eating, though he should be in bed. Argh! I'm worried he's not getting enough carbs in him, but it's brown rice, so it should slowly release glucose over the next few hours I'd think. I need to find some studies on the rate of glucose release in the blood after eating various complex carbs.

[wilf]

Thanks, wilf. He's still slowly eating, though he should be in bed. Argh! I'm worried he's not getting enough carbs in him, but it's brown rice, so it should slowly release glucose over the next few hours I'd think. I need to find some studies on the rate of glucose release in the blood after eating various complex carbs.

Yeah, brown rice isn't bad and should last for a bit. Our children get a lot of brown rice.. :)

You want to look up something called the "glycemic index" of foods. the best intro I've ever found is on the Canadian Diabetes Website, so I'll paste that in here:

"Glycemic Index - A new way of looking at carbs
Revised June 2005

There is a lot of talk these days about a new meal planning tool called the Glycemic Index (GI). But there is also a lot of misunderstanding about the GI, which has actually been around for more than 20 years.

It is a good idea to get to know and understand the Glycemic Index, because choosing foods with a low GI rating more often than choosing those with a high GI may help you to:
• Control your blood glucose levels
• Control your cholesterol levels
• Control your appetite
• Lower your risk of getting heart disease
• Lower your risk of getting type 2 diabetes
The basics The Glycemic Index is a scale that ranks carbohydrate-rich foods by how much they raise blood glucose levels compared to glucose or white bread.

When you eat food that contains carbohydrates, the sugar (glucose) from the food breaks down during digestion and gives you energy. After you eat, your blood glucose level rises; the speed at which the food is able to increase your blood glucose level is called the “glycemic response.” This glycemic response is influenced by many factors, including how much food you eat, how much the food is processed or even how the food is prepared (for example, pasta that is cooked al dente – or firm – has a lower glycemic response than pasta that is overcooked).

Good carbs, better carbs

Canada's Food Guide to Healthy Eating recommends eating a high-carb diet with 50% of each day's calories coming from carbohydrates. Not all carbohydrates are the same, however.

The Glycemic Index (GI) ranks carbohydrate-rich foods according to their glycemic response. Foods that raise your blood glucose level quickly have a higher GI rating than foods that raise your blood glucose level more slowly. In general, the lower the rating, the better the quality of carbohydrate.

Not only do low GI foods raise your blood glucose more slowly and to a less dramatic peak than higher GI foods, but most low GI foods are all-around healthier choices. Low GI foods are usually lower in calories and fat, while also being high in fibre, nutrients and antioxidants. Choosing low GI foods more often may help you increase levels of HDL (healthy) cholesterol in your blood and might help you control your appetite, as they tend to keep you feeling fuller, longer.

Choose wisely

Try to choose low and medium GI foods more often than high GI foods. A GI of 55 or less ranks as low, a GI of 56 to 69 is medium, and a GI of 70 or more ranks as high. Use the chart below to help you make healthier choices.

Here are some tips to help you lower the Glycemic Index of your daily meals:

• Base your food choices primarily on overall nutrition – including vitamins, minerals and fibre.. Don't dismiss healthy foods such as white potatoes just because they have a high GI. Their other nutritional benefits make them good choices.

• Try to choose at least one low GI food at each meal.

• If you choose a high GI food, combine it with a low GI food, for an overall medium GI meal. For example, half a bagel (high GI) with a bowl of chili (low GI) , or corn flakes cereal (high GI) topped with a spoonful of All Bran (low GI) and some strawberries (low GI).

• Limit the amount of processed, refined starchy foods, as they tend to be low in fibre and other nutrients and have a higher GI.

• Try new foods that have a low GI. Experiment with beans, legumes and lentils by including them in dishes such as chili, soups and salads.

• Eat whole grain, pumpernickel and oat bran bread more often than white bread.

• Eat fresh fruit and vegetables. Fruits and vegetables have a low GI, so they break down into sugar slowly in your body. Canada's Food Guide recommends five to ten servings of fruits and vegetables every day. Enjoy a variety!

• Choose parboiled, brown or white rice more often than instant rice.

• Eat pasta, rice, yams, lima beans or baked potatoes more often than mashed, boiled or instant potatoes. Eating potatoes cold, as in a salad, reduces their GI (but go easy on the mayo dressing).

• Use vinaigrette instead of a creamy salad dressing. It's lower in fat, plus the acidity of the vinegar slows digestion, lowering the meal's GI.

• Watch your portion sizes; the bigger the portion, the more it will increase your blood glucose, regardless of its GI rank. For more information about healthy portion sizes, see the Handy Portion Guide .

• Check your blood glucose level before eating and one to two hours afterwards to see how your body handles the meal.

• For more information about the Glycemic Index and how to include low GI foods in your meal plan, see the Glycemic Index Tool and talk to your diabetes educator or registered dietitian.

Remember that the Glycemic Index is just one part healthy eating. Don't forget to:

• Eat at regular times
• Choose a variety of foods from all food groups
• Limit sugar and sweets
• Reduce the amount of fat you eat
• Include foods high in fibre
• Limit salt, alcohol and caffeine.
• Choose heart healthy fats such as canola and olive oil.

LOW GLYCEMIC INDEX FOODS (55 or less)
(choose most often)

Skim milk
Plain Yogurt
Soy beverage
Apple/plum/orange
Sweet potato
Oat bran bread
All-Bran™
Converted or Parboiled rice
Pumpernickel bread
Al dente (firm) pasta
Lentils/kidney/baked beans
Chick peas


MEDIUM GLYCEMIC INDEX FOODS (56-69)
(choose more often)

Banana
Pineapple
Raisins
New potatoes
Oatmeal
Popcorn
Split pea or green pea soup
Brown rice
Couscous
Basmati rice
Shredded wheat cereal
Whole wheat bread
Rye bread

HIGH GLYCEMIC INDEX FOODS
(choose less often)

Watermelon
Dried dates
Instant mashed potatoes
Baked white potato
Parsnips
Rutabaga
Instant rice
Corn Flakes™
Rice Krispies™
Cheerios™
Bagel, white
Soda crackers
Jellybeans
French fries "

[buggle]

Thanks! :)

[Judy&Alli]

Wilf what is a soy beverage? Never heard of it. Thanks for the great info!!!!! I am printing this!
Judy:)

[wilf]

Wilf what is a soy beverage? Never heard of it. Thanks for the great info!!!!! I am printing this!
Judy:)

Stuff like soya milk - I'm big on eating healthy, but that stuff is extreme. Still, some go for it..