u/penguin-throw-away

When my primary first put me on fast acting insulin, he told me to take a base dose of 8 units with breakfast and supper and then to adjust based on a sliding scale at each meal.

I recently saw an endo and she told me to take the fast acting at breakfast, lunch, and dinner plus use the sliding scale. However she recently sent in a new prescription because I was worried I'd run out of insulin adding in the lunch time dose.

Well I picked up the new prescription today and it says to use a max of 30 units a day and I was only given one vial of insulin. Based off my recent usage - this is not going to be enough.

Is this a normal thing to have a max dose of 30 units/day like that?

I sent a message through the online portal to clarify - I was just wondering others opinions based on experience in the meantime.

So my primary doctor put me on short acting insulin (humalog) about 6 or 7 months ago. The doctor has me using a sliding scale with the insulin at breakfast and supper with a max of 20 units per meal.

A few weeks ago I had my first appointment with an endo who recommended that I try using the Cequr insulin patch since I mentioned that I forget to take my insulin pen with me due to my ADHD.

Well today I met with the Cequr rep so she could give me the run down on how to use it and while we were talking she asked about my insulin regimen and I told her that I was only doing it at breakfast and supper and she seemed surprised and told me I might want to double check with my endo on those instructions.

I sent a message to my endo through the portal to ask, but just thought I'd ask here to see if the twice a day insulin is "normal" or is it more normal to do it at every meal?