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Thread: Lantus help...
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  #5 (permalink)  
Old 05-08-2008, 09:21 AM
shiftzor's Avatar
shiftzor shiftzor is offline
Senior Member
I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 517
Quote:
Originally Posted by Scratch View Post
Another possibility that should be checked for is that you might be going hypo overnight while sleeping, then the liver kicks in and you rebound upwards.

For many people, basal insulin needs are at the lowest between falling asleep and until 2 or 3 in the morning. It would be a very good idea to set some alarms to check what is happening between midnight and 3 AM, it may even be that you actually need to lower your Lantus dose. The only way to find out is to collect the evidence. Speculation without evidence remains speculation.
Ye that’s a good point, hopefully a basal test would highlight that as you might begin to drop again late morning. Try waking up at 3/4am one day and do a BG check, that would be the only way to find out for sure if this is a factor. I think someone (more knowledgeable than me) should write a quick guide to basal testing so many people ask the question and make it a sticky. Even just a general FAQ for type 1 related questions would be good, with links to websites maybe. It’s applicable to MDI as much as it is for pumpers.
__________________

Standard Deviation:
18.07.08-17.08.08 SD: 2.5mmol/L or 45mg/dl
18.06.08-17.07.08 SD: 2.1mmol/L or 38mg/dl
18.05.08-17.06.08 SD: 2.5mmol/L or 45mg/dl
17.04.08-17.05.08 SD: 1.8mmol/L or 32mg/dl

HbA1c:
21.05.08: 6.2 (7.9mmol/L or 143mg/dl)
29.11.07: 6.1 (7.7mmol/L or 140mg/dl)
23.05.07: 8.1 (11.6mmol/L or 211mg/dl)
Diagnosed 27.08.06: 14.8 (24.7mmol/L or 450mg/dll)
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