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. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57659
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
24257177
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

I took an injection of 36 units of Humalog fast acting insulin

Resolved Question:

I took an injection of 36 units of Humalog fast acting insulin instead of
36 units of Lantus long acting insulin about 50 minutes ago.
I have eaten 2 Musketeer candy bars and I have tested about every 5 minutes since then.
I was 227 at the beginning, and have maintained at 219 for the past 15 minutes.
How long does fast acting insulin work?
At what level and for how long should I be before I can relax and go to bed?
Now at 174. 1 hour after the injection.

Thanks,
Doris
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 1 year ago.
Hello

I am Dr. Thomas, double board certified physician with over 20 years of clinical experience. I will help you with your question and any follow up questions you have.

This insulin is peaking at this point -1 to 2 hours].
It will dissipate over the next 2 to 4 hours. [6 hours total].

In fact I am playing safe here as humalog is actually, on average, even a bit faster in onset of action and wearing off.

So I am giving you a bit of an over kill parameter to err on the side of safety.

After that point you should be safe.

Of course this depends on what you usually take.
I would not take the long acting at this point.
I would monitor for a full six hours.

If you see rapid dropping go to the ER.

Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

So then, I will need to stay up and keep checking for at least another hour. At time it should have peaked and be on the descending side. Since I will be asleep and not eating it should then end its action in 2-4 hours.


I usually take 6 units before meals and 2 units for each 50 or part there of over 150. i.e. if I test at 178, then I take 6 units for the meal and 2 units for the part over 150.


 


 

Expert:  Dr. Thomas, MD replied 1 year ago.
It was a whopping dose.
I am telling you that you should monitor yourself for at least 4 hours since taking the dose, and preferably 6, to be completely safe.


Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.

So I might as well find an interesting late night movie on the TV and pop some corn!


Oh well, at least I can get through this thing. I will be up for the next 4 hours.


 


Thank you so much. You can bet I'll take my time and pay more attention tomorrow night. I don't want to do this again!


 


Thank you, Doctor. Anything else?


 

Expert:  Dr. Thomas, MD replied 1 year ago.
Just be cautious and if you start dropping rapidly go get help.
If not you should be OK.
Good luck.

Use reply to let me know if you have further questions.
Please do not forget a positive rating.
Customer: replied 1 year ago.


ok.


 


Have a good night!


 


I'll keep testing. Its gone back up to 198 now. I guess it will wobble around for a while before it steadily goes down.


 


I'll stay awake and keep working on it. I surely don't want to wake up dead. (lame joke)


 


Thanks again.

Expert:  Dr. Thomas, MD replied 1 year ago.
AOK
Find me anytime
Any questions

Please do not forget a positive rating.[that is the only way ja pays us].
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57659
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 2 other Medical Specialists are ready to help you

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • 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
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    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

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Thomas, MD
Dr. Thomas, MD
Internal med/integrative med/family med
47663 Satisfied Customers
Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc