I've read in books that a person without insulin resistance should use .5-1.0 units of insulin per kilogram of body weight per day. The Do You Know More than A Doctor About Insulin test says that a normal adult with type one diabetes uses only .5-.7 units of insulin per day.
I am a very active person. I do a hell of a lot of walking, and twice a week weight lifting (and I have to take insulin before I lift weights 'cause it consistantly raises my blood sugar). My job isn't a desk job though it doesn't involve much heavy lifting or anything. I'm not overweight. My family history includes one person with type 2 diabetes, and he developed it past the age of 60 when obese and having lost the weight he's also euglycemic now.
Nonetheless, when I'm not sick I average about .9 units of insulin per kg of body weight per day, and when I'm sick it's more like 1.2 units of insulin per kg of body weight per day. Do I have insulin resistance?
It doesn't sound right to me: for one thing, if I stop eating for a day I can get by with a mere 8-12 units of Lantus. Otherwise I take about 18 units (at least this week- it has fluctuated from 8 to 40, but in the last 18 months has probably averaged 16-17). My Novolog use for the day tends to be about twice my Lantus dose, although that's obviously not a constant.
My breakfast carb ratio is about 1:7, the first 20 carbs of lunch are covered by Lantus with the rest being about 1:20, same for a midafternoon snack. Supper is about 1:12. As far as I can tell, these are about normal for type 1 diabetics.
Question: I know that adolescents are expected to have a different insulin need- for the type one diabetics out there, what's your tdd compared to your weight? If you're over 25 and don't have significant kidney disease, did you need more insulin when you were 20 than you do now?