Multiple Injections

This is used extensively in Scandinavian countries and some other parts of Europe and USA.  To use it successfully and to its maximum advantage it is important to learn to carbohydrate count (to learn more about CHO counting click here).  The regimen involves giving a rapid acting insulin analogue (NovoRapid or Humalog) each time you eat, usually three times with the main meals and a long acting insulin analogue, usually at night (Glargine or Detemir).

Advantages

• Can vary the dose of insulin to the amount of food eaten
• Can eat at variable times
• Can correct for too high or too low blood glucose levels
• Significant improvement in life style
• Easier to deal with intercurrent illness
• Less likely to get hypos
• If used well can improve control considerably

Disadvantages

• Have to inject whenever you eat
• Have to inject at school
• Need to test blood glucose regularly