... i take 500mg metformin morning and night with long acting insulin 8units twice a day. Then in between I take blood sugar before meals and use a sliding scale to figure out how much short term insulin to use. I've been taking shots in the .05% fat I do have under my left arm. Where else can I inject? Why is it if I accidentally fall asleep and don't take my long term insulin or metformin I have to deal with multiple days of outrages numbers... Hi when I woke up. 580 2hrs later and 340 3 hrs after that. I about had a panic attack. I called my doc and left msg. Hopefully they can call me back today. I got my blood sugar down to 97 last night. I just have NO game plan on how to drop my blood sugar if it sky rockets you know??