Insulin dosage change

[0rangebear]

Has anyone experience any long tern insulin dosage changes due to Positive Airway Pressure Therapy?

[PoolQ]

Not here, but IIRC stress can effect Insulin levels and CPAP can sure enough change stress levels for the better

[0rangebear]

IIRC Stress?

Not here, but IIRC stress can effect Insulin levels and CPAP can sure enough change stress levels for the better

[palerider]

iirc = if i recall correctly

[PaulaO2]

Forum shorthand/acronyms/abbreviations:

http://www.apneaboard.com/forums/Thread-...reviations

[OMyMyOHellYes]

I change my insulin dosages all the time depending on a number of factors. Weight change, carb intake, activity/inactivity level, sickness/illness. Have never noted any correlation to CPAP use or pressure.

[GrammaBear]

I change my insulin dosages all the time depending on a number of factors. Weight change, carb intake, activity/inactivity level, sickness/illness. Have never noted any correlation to CPAP use or pressure.

I agree with OMMOHY. In addition to all the reasons stated above to change insulin doses, I have found that I have to change doses when the seasons change. For example, I require more insulin during the Winter and less insulin during the Summer.

[0rangebear]

I ask because my insulin need and A1C levels have been stable for years. There are minor fluctuations when I break down and eat something that is really good, yet really bad for me like a Boston Cream Chocolate covered donut. (antidepressant)

Nevertheless I occasionally get low blood sugar incidents from to too little food after my injection. These typically happen less than once a year, and happen around 4 hours after my injection.

However, I have had three hypoglycemic event in the last month and have cut my dose in 1/2 . The only thing I can identify that has changed is this Therapy.

[GrammaBear]

I ask because my insulin need and A1C levels have been stable for years. There are minor fluctuations when I break down and eat something that is really good, yet really bad for me like a Boston Cream Chocolate covered donut. (antidepressant)

Nevertheless I occasionally get low blood sugar incidents from to too little food after my injection. These typically happen less than once a year, and happen around 4 hours after my injection.

However, I have had three hypoglycemic event in the last month and have cut my dose in 1/2 . The only thing I can identify that has changed is this Therapy.

What kind of insulin do you use for your meals? Are you on a 'sliding scale' for your mealtime insulin or do you use a carb/ratio system? Also the weather in your state has been changeable the past month (I have a cousin who lives in CO) and that could account for the hypoglycemic events. Have you mentioned these 'low' events to your Endocrinologist or your Family doctor?

[archangle]

I wouldn't "expect" it, but a change in insulin usage wouldn't surprise me either.

Apnea causes lots of body changes and ending apnea via CPAP could cause your body to readjust.

You could also be eating differently.

Be very careful to monitor your levels as you adjust to CPAP. You might get a temporary "bounce" in various things as your body readjusts to not being strangled during your sleep. Your insulin needs could come back up from your initial drop.

Also, be careful for what I call "CPAP blindness." That's were you blame everything on CPAP or apnea, and miss unrelated medical conditions. CPAP users and doctors often fall victim to this.