Rapid basal-insulin dose

Hello chic@s
I have a question, I have seen comments in the forum in which there are people who are injected 15U rapidly before each meal but at the time of rapToujeo and sometimes between 8 and 12u quickly before each meal with few rations of carbohydrates or sometimes none, and I maintain high figures of 270, 300, etc. will it come to increase more toujeo, the rapid doses would go down?

Are those values ​​when you wake up or at what time?The 8-12 fast units do you put yourself based on what you eat?Do you do the hydrates well?

The toujeo is to keep the glucose between hours, not to cover meals.If you go up you may need less fast but then at night and between hours they will give you hypoglycemia.If the values ​​you say are at the 2 hours of eating what you will need is to increase the quick, if they are up, then you have to increase the toujeo.Anyway, if you do not understand how each insulin acts better, do not make changes because you can end up having severe hypoglycemia.In that case, ask for an appointment with the doctor or educator and to teach you to make adjustments and explain everything you doubt.To adjust insulin you have to know well what is done.
On the other hand with those doses that you are putting your problem it seems that it is a great insulin resistance.You can improve it with good nutrition and exercise little by little.If you have weight, when you also lower it improves insulin resistance.Until then use the doses you need to have the glucose as close as possible to normal, it is no use use less insulin if that means being high.You have to use the need and if there is a resistance problem Improving it with good habits little by little and the necessary dose will go down.

It seems that you have insulin resistance but you must consult it with the person who is responsible for carrying your diabetes.12 fast insulin units are quite a few units and if you say that sometimes you put that without eating carbohydrates and still postprandial values ​​are high is that something fails.All the best.

It is very rare what you say.
If you get 45 from Toujeo, you will have to use the fast according to the hydrates you want to eat.
They are not interchangeable.
Toujeo keeps you stable between hours and the rapid (eg Novorapid, Humalog) helps you metabolize meals.