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Originally Posted by JJM335 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.