Quote:
Originally Posted by Gary_W  
Making any large change in insulin (especially upwards) without having an idea why you're doing it is not a good idea. Basal testing will tell the OP what she needs to know so she can make the needed changes in a safe manner. |
Yes, ditto.
However, if you are like me, you rarely see the doctor, nor do you depend on his knowledge - they only practice, you know, medicine.
You are the expert in your diabetes. Realize that, and live with it.
DO NOT make any large changes to lantus, especially if you switch to night time lantus. It was a year ago I tried the split dose, and that put me in a severe low, i.e. we had the paramedics here at 3:30 AM - no fun!!
So, enuf with the split for me, sez I.
I switched from bedtime lantus to breakfast lantus - on my own. Doctor listens to me - he has nothing to tell me but experience of others. My thinking is this: if you have low bloodsugar on lantus during the day, you at least have an opportunity to correct yourself. If you go low while asleep, the only hope you have is that you wake, or your liver pushes enuf glucose to your system to wake you. Whereas, during the day, you can probably tell if you are approaching a low - presumeably you do know what a low blood sugar is like? - i.e. sweaty, nervous, shakey, disoriented.
However, even knowing this, sometimes things go whako. A month ago while at work, I realized I should eat, but was busy and kept working (CAD). About 4 PM, I became sooo disoriented, I could not even do simple computer clik someone told me to do. Really embarassing!! A bit of a soda and 10 minutes later, I realized I had made a fool of myself. I tell nobody I am diabetic, not even my wife... just kidding. My wife knows, and so do my kids, but not many others.
