The Humolog Adds for Meals and for Background Levels Above 120

My doc is tickled to have me adjust my dose. I suspect his enthusiasm in that regard depends on the patient. You are correct about the Lantus. But since I am tweaking both the Lantus and the Humalog, I am being a bit conservative because of my hypo phobia. Even so, the process is much faster than most folks starting out on insulin as is evident from many of the correspondents on this list. But yes, the strategy is to determine the Lantus dose needed to maintain 120 or a little less at times well removed for food intake, and then to figure out the Humolog adds for meals and for background levels above 120.

>I am a little concerned I might be overshooting with the Lantus.<

What does your doc say? It's my understanding that it's best to get as much Lantus as you need on board and then to only compensate with Humalog at meals, as needed, not vice versa.

>You are still a bit more insulin resistant than I am since you are still on Metformin even though it looks like out formulas will otherwise be close.<

I am *extremely* insulin resistant, as a result of a combo of things, some under my control and some not. But whatevs, for those taking rapid-acting insulin, using a sliding scale is definitely the ticket to better control and get off that roller coaster of highs and lows, or at least to make the peaks and valleys much more shallow.