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  #9 (permalink)  
Old 10-13-2007, 09:39 AM
owlyn's Avatar
owlyn owlyn is offline
Senior Member
I am a: Type 1
 
Join Date: Apr 2007
Location: Bucks County, PA, USA
Posts: 1,374
Quote:
Originally Posted by JJM335 View Post
You need to set your basal dose. Walsh (Using Insulin) explains how to do this very clearly. Eat your evening meal relatively early (i.e. at least 4+ hours before you go to bed to allow your Novorapid/Humalog to clear). Do not have anything more to eat. Measure your BG last thing at night. If you take your L before going to bed, do so. Set an alarm clock to wake you up 3-4 h later. Test your BG again. Test again when you wake. If your 2 or 3 am reading is lower than your bedtime your basal is too high (you are taking too much L). If your 2 am BG is low, you will probably rebound giving you a high number when you wake up in the morning.

The correct amount of L should give you a 2 am reading that is more or less the same as your bedtime. If it is lower, start reducing your bedtime L. The recommendation is to do this 2U at a time and wait a few days for it to settle down although I found that I could get away with 2 U a night on successive nights.
What if you take your Lantus in the morning? I have problems when waking up- BG is usually too high. Endo had me increase the dosage by 4 units, but now it seems I get low a few hours later (almost like NPH), then the rest of the day is fine, until the morning, when it still seems I've run out of Lantus. I'm thinking I should split it, but I have no idea how. It seems to me that the overlap would cause a problem.
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