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Thread: Lantus question
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Old 04-14-2008, 06:13 AM
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Quote:
Originally Posted by mosherman1 View Post
I am a diabetic now for 3 + years (37 years old) With recent sudden fasting BGs out of site and a 10.6 a1c my doctor has prescribed Lantus.

He started me on 10 units. wait 2 days watch fasting # up 2 units if numbers are not good. Follow this up 2 until the numbers are good.

I am at 14 units and my fbg this morning was 353.

What is your experience with Lantus? I need some reassurance that this is going to get better. I am not over weight and am currently starving myself! In onther words the diet and exercise is no the issue. I eat very healthy and right size portions.

What is a typical Lantus dose?

I am not thinking about any radical changes I am just looking for some light at the end of the tunnel. I am very frustrated and confused.

Thanks
Couple things here --

Have you had c-peptide and GAD antibodies checked? Age 37, if you're not overweight and active, if I were a doctor I would be thinking 1.5 is a definite possibility and more probable than type 2.

Now, one thing to keep in mind that a high blood sugar in the morning may result if the Lantus dose was enough insulin to push your blood sugars down far enough that the liver kicked in to bring you back up. The only real way to check on that is to do what all of us type 1s just love doing, settting alarms on the hour or every 1.5 hours to check the blood sugars. If you go to sleep, get up, find your blood sugar is going down rapidly, then you might see why there is this seemingly paradoxical effect going on.

Again, though, I'd highly recommend that if you haven't been checked for GAD antibodies, do so.
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