How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Gupta Your Own Question

Dr. Gupta
Dr. Gupta, Doctor (MD)
Category: Health
Satisfied Customers: 7845
Experience:  Vastly experienced MD Physician with 19 years of experience.
239748
Type Your Health Question Here...
Dr. Gupta is online now
A new question is answered every 9 seconds

it generally require more total insulin versus dosing an insulin QD

Customer Question

Are all insulins considered dose-dependent? When an insulin is dosed BID, doesn''t it generally require more total insulin versus dosing an insulin QD?
Submitted: 6 years ago.
Category: Health
Expert:  DoogleNK replied 6 years ago.
There are a number of types of insulins available. Each has different time of onset of action & duration of action. They can be broadly claasified as --rapid acting like aspart & lispro (onset of action 10 min, duration of action-3 to 4 hrs), short acting like regular insulin (onset =30min, duration=5-8hrs), intermediate acting like lente or NPH (onset=1-3 hrs, duaration=16-24hrs), long acting like ultralente (onset= 4-6hrs, duration=24-28hrs).

The body's requirement of insulin is different at different times. For example, more insulin action is required after meals to decrease the increased glucose levels after meal. The amount of insulin required also varies with what food we eat & how much.

So, providing insulin to body is not like providing any medication to body. The total insulin given during a 24 hour period is not important. What is important is that adequate insulin action be ensured at the right time. This will keep the blood sugar within normal range all the time. This is called round-the-clock-euglycemia & is very important in preventing long term complications of diabetes.

To achieve round-the-clock-euglycemia, doctors use different types of insulins given at different times of the day.

I hope I have made it clear to you. If you need more information or clarification, please ask for it.

For more information, please read about dosage & strategies in this article

Kindly press ACCEPT if your question has been answered. FEEDBACK is always appreciated.
______________________________________________________________________
Please note that the information provided is not a substitute to medical advice.



Customer: replied 6 years ago.
Reply to Niraj Kalore's Post: I should have asked if basal insulins(i.e. NPH, Lantus & Levemir)are all dose dependent. For instance, could Levemir be dose-dependent and Lantus not be dose-dependent?? Also, My QD vs BID question was not addressed. I excepted more than the answer I received-I can go to Wikipedia, myself. I was relying on a MD's knowledge, clinical experience & treatment of pts with these questions.
Expert:  Dr. Gupta replied 6 years ago.
Hi,
In most situations the total dose of Insulin does not vary clinically significantly if the dose is given QID/ BD.
In fact in patients who have had DKA, we normally titrate the dose from continuous infusion to 6 hourly plain to BD over a period of time using similar doses.
Levemir and Lantus are pretty similar in terms of the dosage, and there is no difference in their dosing pattern.
Read more here
http://www.diabeteshealth.com/read/2007/07/17/5316.html
regards
Dr. Gupta
Dr. Gupta, Doctor (MD)
Category: Health
Satisfied Customers: 7845
Experience: Vastly experienced MD Physician with 19 years of experience.
Dr. Gupta and 6 other Health Specialists are ready to help you
Expert:  DoogleNK replied 6 years ago.
I think I would opt out so that other experts could be of help to you.
Thank you.
Expert:  Dr. Gupta replied 6 years ago.
Is the answer sufficient, or are you interested in any more clarifications,
Please let me know so that I can be of further help,
regards
Dr. Gupta

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Gupta
Dr. Gupta
MD, CEO
5030 Satisfied Customers
Vastly experienced MD Physician with 19 years of experience.