Quote:
Originally Posted by walleyedave  I don't understand how people can say that your dose of lantus is high.
I have been told to keep upping my lantus untill my morning BG's(fasting) are normal. How do these people know your dose is high. I don't get it. I would love to hear there thoughts on this, as well as why they feel this dose should be split.
I don't know whats going on with your Bg. The more I read your other posts, the more you remind me of me. I have gone through some of the exact things you have. The weight loss and gain issues. The morning Bg issues. etc..
I can eat zero carbs for breakfast and still skyrocket in an hour..
I hope you get the answers your after bro, we'll both get some questions answered. I'll be subscribing to this 1 for sure.  |
Hi
My basal needs vary dramatically over the day and night and its kind of obvious to me by what happens in the absence of food. I take 6 units of lantus in the evening. If this was the only basal I took my BG would rise from say 90 when i went to bed, to between 140 and 150 at about 6am. Which sounds my my lantus is too low, right? However, on this same amount of basal I know my BG will drop by approx 30 to 40 between 4 and 7pm (which i cover with a small snack if necessary) which is around the time i am driving home - not good. If i raised my lantus to 8 units, going to bed at 190 i would wake up maybe around 130 to 140, but i would be STARVING all day and at risk of hypo late afternoon, so definitely too high.
The way I deal with this is to take my 6 units lantus, then to supplement this with 4 units of isophane/NPH/insulatard (whatever you call it) at around 10 pm. this seems to cover the night adequately and allow me to get up around the same level as i go to bed. As the dawn effect carries on a little longer i also take slightly more insulin in the morning with meals and limit carbs; the later in the day the less insulin i need per carb until about 8 pm where i start rising again.
Apologies for what a boring read this is! Im hoping to get a pump and my life will be much easier!!
