What dosage of Novolog is recommended for TID?

Hi,

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I can tell you right away that your type 1 DM (diabetes mellitus) is not being managed correctly. Those who have type 1 DM cannot make it without basal insulin so insulin it has to be provided 24/7. You should be on balanced Lantus and scheduled Novolog(and not sliding scale of Novolog- Insulin aspart). You can take Novolog but it has to be every 3 to 4 hours, and it has to be scheduled. Also, you need to check your blood sugar every 3 to 4 hours before taking a shot, that is a must. You will run into very high or very low blood sugar and will see an erratic pattern, you will have to adjust the dose accordingly. Watch and check your ketones 2 to 3 times daily, should not stay without Lantus (Insulin glargine) for more than 24 hours. Novolog dose at least should be seven units every four hours (calculated from your current regimen you should need at least 1.8 units of Insulin every hour to survive). If feeling sick with nausea, vomiting, diarrhea, belly pain, blood sugar less than 70 or more than 300 you should go to ER or urgent care center. You are at high-risk ketoacidosis.