Quote:
Originally Posted by poodlebone  Lantus is a background/basal insulin and if you're on the correct dose, skipping meals or eating more/less carbs at a meal or throughout the day shouldn't matter. For meals/carbs, it's the Novolog you have to think about. |
Just a quick reiteration. Most noobs don't understand this basic concept, even after being told.
We have two sources of blood sugar. One is food. Carbs are the primary source, but protein and fat also contribute; though we typically ignore them for dosing. The second is your liver. It continually converts stored sugar to glucose. It also helps store glucose as fat - tryglycerides. Our livers tend to produce a fairly consistant flow of glucose, day over day, but the pattern is not flat within a day. We have humps and valleys, some have dramatic swings and many are flatish. This "basal" sugar is treated with a basal insulin. In your case this is the Lantus. Your Novolog is used to cover your food.
If you don't eat, your liver releases sugar. If you eat, your liver releases sugar. Things that affect your liver's activity are alcohol, which keep it busy so that it releases less sugar, hypo's which cause a dump of sugar, and intense excercise -- fight or flight syndrome -- which can also cause a dump of sugar. There's probably a few other things too. The position of planets has been rumored
