More Insulin

Ever since my endocrinologist switched my Humalog prescription from a sliding scale to fixed amounts, my blood sugar readings have been high. In addition, she added a second long-lasting insulin prescription for Toujeo.

Initially, I was told to inject 8 units of Toujeo in the morning, and inject 4/2/2 units of Humalog before each meal. Toujeo is a long-lasting insulin that is supposed to last the entire day, and Humalog is quick-acting, taken right before meals. The goal is to have blood sugar readings between 80 to 130. From the graph below, I have not hit that goal during the past 30 days.

I sent the readings to my endocrinologist this past weekend along with medication changes since I last spoke with her. Since she was out-of-town, a different doctor covering her patients replied and changed my prescription to 11 units for Toujeo, and 4/4/4 for Humalog. Hopefully, that will improve my blood sugar readings. I have been trying to eat a low carbohydrate diet, but it has not been working out too well. I hope some of this is a side effect of anti-rejection medications. My prednisone dosage is already pretty low, but I am still taking a decent dose of tacrolimus.

Overall, I have to jab myself four times a day. The needles for the insulin pens are really thin. Usually I do not feel much while injecting, but sometimes I hit a nerve or something and then it hurts really bad. I also test my blood sugar four times a day so lots of pinpricks on my fingertips.