For Diabetics: If I've been using Levemir and Novolog, how do I calculate my initial dosage for Novolog 70/30?

Ask your doctor, 70/30 is a mix of short acting and long acting insulin, I work for 4 doctors and have been doing diabetes for 10 years, using Levemir and Novolog is better, plus you can use more of a sliding scale with your meals, if its the number of injections, why dont you get a insulin pump, Good Luck

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For Diabetics: If I've been using Levemir and Novolog, how do I calculate my initial dosage for Novolog 70/30?

Your physician should have determined this for you. You do not say if you are a type 1 or a type 2 diabetic. I do not utilize 'mixed' insulin in type 1 diabetes. Detemir (Levemir) is a basal insulin. Aspart (Novolog) is a bolus insulin. Novolog Mix 70/30 is a combination of 70% basal and 30% bolus insulin. All of these insulins are manufactured by Novo Nordisk and all are available in their FlexPen system which I - and the vast majority of patients - prefer. The combination is aspart protamine (protamine changes the aspart from rapid acting to 'long' acting) and aspart. When diabetics are put on combination insulin it is typically injected twice daily. The conversion from basal / bolus to combination is simply too complex for you to determine the dosage on your own. There are also too many variables for me to do this for you. I will however give you an idea of how this works. 30 units twice daily (60 units daily) of combination insulin will equal 21 units twice daily (42 units daily) of basal insulin and 9 units twice daily (18 units daily) of bolus insulin. The problem with trying to calculate your dosage of combination insulin may be indicated as follows. Suppose you were taking 40 units daily of detemir (Levemir) and 10 units three times daily of aspart (Novolog). Taking 30 units twice daily of the combination insulin will approximate the correct dosage of detemir (Levemir) but would underestimate the daily dosage of aspart (Novolog). This is why I would strongly suggest that you do not calculate the dosage yourself. Your physician needs to do this for you. Please continue with the detemir (Levemir) and aspart (Novolog) until your physician is able to establish the proper dosage for you next week. If I may be of further assistance please let me know. I wish you the very best of health and in all things may God bless.

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Your doctor should have given you a starting point on the Novolog.

For the Humalog I take 2 units if my glucose is over 150 fasting, and 1 unit for each 15 grams of carbohydrate at meals. But that is me! Each of us being totally unique and individual must figure out what works for us. It doesn't work like penecillin or something with a set dosage and that makes it all better.

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