little problem

[Penny]

Saturday night, I forgot my Lantus. I was just so exhausted I went to bed without it. This is a first for me, I am generally well organized. Sunday I was a little high all day, with a fasting of 184. I took a little extra Novolog, and thought I would be OK. Sunday night, I woke several times feeling sick to my stomach, when I finally got up Monday morning, my fasting level was 234. I stayed high all day (was at 295 at supper time) , despite being very careful about what I ate. So, I just woke at 3:30 am, feeling queasy again, but like I need to eat. I am at 265. Would missing one dose of Lantus cause all this?
I don't feel like I am sick, or coming down with anything. Just have the queasy stomach thing during the night, but am staying high most of the time.

[Simon]

I believe that Lantus though in theory lasts for 24 hours actually has a lesser effect for up to 3 days so missing a dose can take 3 days to recover from. If I miss a dose I take a lesser dose in the morning to carry over 'till that evening then take another lesser dose then go back to normal.

[liz32]

Penny, it could very well be the missed lantus dose. I have unfortunatly missid my dose once or twice, and it's not great. I in the past was scared of taking the dose late but now that I take it twice a day (12 hours apart) I would in the future, just take at least a partial dose. I hope this helps and that you are able to get your sugars down quickly.
Liz

[JediSkipdogg]

Since Lantus covers you throughout a 24 hour period it is possible for you to go that high. And even higher if you don't check throughout the day. Like for me, I require roughly 1.5 units of insulin per hour in my pump. 1 unit of insulin controls my BG 35 points. So in an afternoon (4 hours) with no basal going into me, I can go from 120 to 260 with no problem. At least for me I can adjust that. For someone on Lantus, the problem is you can't really take a delayed Lantus shot if it's too late (say more than 5 hours late.) You can but when you get back on schedule you have to test often to watch your levels with overlapping doses.

[am1977]

I do think that the fact that you missed your Lantus did impact your blood sugars. From what I have read before about Lantus, you cannot make adjustments to Lantus and expect it to take effect the next day. I think there's something of a "lag" period. So if your levels were off even a day or so after that missed dose, it's possible that that's the reason.

Hope things have improved ;)

[Penny]

Here it is 9 in the morning, and I am still high, 245! We are going away for the night, and will be eating out at least 3 meals. I am still hungry and am not sure how to adjust things for the day. We will be traveling for about 2 hours, which will put us there a bit past lunch time. Then we usually eat at a buffet around 6. I still have a little queasy feeling, so wonder if maybe I am coming down with something. :dontknow: I feel good otherwise. I sure hate to be sick for this much needed break! I ate a piece of toast with peanut butter, and 1/2 a banana, as it needs to last me until at least 1:00. I am guzzling water, Duck! :laugh: