[BlueSky]

The numbers will start coming down. Watch that fasting number the closest. But numbers during the rest of the day should come down too. It could take a few weeks to get your Lantus dose up to the required level.

[xMenace]

Originally Posted by mosherman1

What will the numbers do?

Right now I am increasing 2 units every 2 days. My numbers are not affected at all.

Will there be a noticable shift as my dose gets closer to my needs or will the change be gradual?

thanks

If we could predict that, we wouldn't need to be here.

You may very well need some daytime help with a rapid acting. Keep that doctor in the loop.

[tammyc]

Originally Posted by mosherman1

What will the numbers do?

Right now I am increasing 2 units every 2 days. My numbers are not affected at all.

Will there be a noticable shift as my dose gets closer to my needs or will the change be gradual?

thanks

Mine was a gradual reduction as I increased the insulin.

[Alice]

Also, keep in mind that Lantus is designed to use as a "basal" insulin...not for use in dropping meal/snack carbs. So, if you are elevating your glucose with untreated carbs, then overall, your numbers will be higher...even in the morning if you ran very high the night before at dinner.

So, watch your carb intake since you are not taking a fast-acting meal insulin...if you are, I apologize and have missed that info.

[Eddy]

Like the others, I'm wondering about type 1.5. GAD antibody and c-peptide tests should tell more.

FWIW: I'm 84 kg (70 at time of DX), and have a basal rate of 33U/day. Each 1U of insulin will cover 15g-CHO, or drop me 35mg/dL.

[Catcount]

If your BS are not responding to your Lantus it maybe that you need to take a larger dose. Remenber that Lantus is a background insulin and for it to work continuously for 24 hrs you need enough units. We are all different ,in my case I started on a large dose and worked down. Initially it was 60 units and then split 30 am 30 pm. Then I realised through the forums here that maybe I needed a rapid insulin to beat the highs. I then went to 30 units lantus am and Novorapid based on my carb count, which usually was about 30 units before my evenning meal. The Lantus 30 units seemed to get me through the day ok. What I did learn, when I was recently hospitalised and needed careful BS monotoring, was, that my diet, which I thought was ok , was in fact not ok. and not rotating my injection site was adding to the insulin not being as responsive due to tissue scaring at the injection site.

The solution was to strictly adhere to a the basic prinsiples of diabetic eating as monitored by my doctors in hospital. (eat 6 meals a day 3 being snacks, plus breakfast, lunch and evenning dinner and count those carbs). In addition I started rotating the injection sites.

The results, now a heathier life style and Lantus down to 15 units am and beween 15 and 20 novorapid in the pm.

What I learnt from this experience was that I may not have been as honest about my eating habbits as I should have been and I eventually paid the penalty,

Catcount, so called T1.5

[mosherman1]

Thanks For the info I met with my Nutritionist and DE on Wednesday. She said everything is good except she wanted me to eat more?? Who would have thought. I added 2 small snacks to my schedule.

I am at 20 units and My FBG has finally dipped below 200 Yeah!! It looks as though I am not so type 2. Blood work was on Wed. I am awaiting the results.

Thanks

[msdee]

Hi, I thought I was the only one having problems with Lantus, I am so happy to be in this site. After reading your post, it appears to me also that 14 units of Lantus is a pretty small dose to be using. Lantus insulin is suppose to last at least 24 hours, but in some of us it doesn't. It's a long acting insulin, so they say!! But sometimes it according to what insulin you're taking during the day also. I take 60 units of Lantus at night, and then during the daytime I follow a sliding scale of Regular insulin, along with pills, and for once in my life I think that my sugar are getting under control.

But I see that you are also taking some medications during the day too, and you're seeing a Nutritionist, which is very good. It's very good that your fastings are now under 200, my fastings use to be all over the place, I thought I was going to die, but sometimes we have to do the "trail and error" thing, and have a doctor that we really trust. You are getting a lot of advice from being in this site, I'm new too so I hope to get a lot of information from this site too.

My fastings are finally under 150, and I am so very happy. But my problem is my numbes in the evening time, no matter what I eat, and even if I don't eat, I still always have numbers over 250. I always have to take extra insulin during the late hours. We just have to keep trying with the Lantus, and the meds that we are taking during the day. My problem is the evening, but we are all here for you, and I hope someone could help me out also. One!

[xMenace]

Originally Posted by msdee

But my problem is my numbes in the evening time, no matter what I eat, and even if I don't eat, I still always have numbers over 250. I always have to take extra insulin during the late hours. We just have to keep trying with the Lantus, and the meds that we are taking during the day. My problem is the evening, but we are all here for you, and I hope someone could help me out also. One!

Are you splitting your dose? Typically someone injecting in the evenings can experience this when their Lantus runs out before 24 hours. Splitting ensures you are always covered.

Have you tried lowering your food intake at dinner? That may help quite a bit.

Adding another insulin might be the best way.

I'd recommend you try some basal testing. This will isolate the Lantus so you can better determine what's happening when.

[msdee]

Originally Posted by xMenace

Are you splitting your dose? Typically someone injecting in the evenings can experience this when their Lantus runs out before 24 hours. Splitting ensures you are always covered.

Have you tried lowering your food intake at dinner? That may help quite a bit.

Adding another insulin might be the best way.

I'd recommend you try some basal testing. This will isolate the Lantus so you can better determine what's happening when.

Thanks for reading my reply, but no, I'm not spilting my dosage. There was a time when I was spiltng my dosage of Lantus, I was taking 30 at night and 25 in the morning, but that didn't work out too well. Now I'm going to a new doctor and she wants me to only take the dosage at night. Another thing to think about, my sugar levels are always pretty decent in the day hours, but as soon as 7pm hits until about 12mid. my levels go crazy. I thought that maybe it was something I was eating for dinner, but it goes up even before I eat dinner. Whether I have eaten or not the levels always go up about 7pm., we just can't seem to figure this out.

Today my levels were under 170 all day, I ate breakfast and something around 2pm, then I went out to go somewhere. I got back in about 8:30pm, had nothing to eat, but my count was still 303. This is crazy. One!

[BlueSky]

Originally Posted by msdee

.... my sugar levels are always pretty decent in the day hours, but as soon as 7pm hits until about 12mid. my levels go crazy. I thought that maybe it was something I was eating for dinner, but it goes up even before I eat dinner. Whether I have eaten or not the levels always go up about 7pm., we just can't seem to figure this out. ...

Lantus has a pretty flat action profile. And it sounds like your basal insulin needs increase sharply in the early evening. Lantus can't cope with this, so maybe you should consider using another insulin. Some NPH injected at lunch time should do the trick. It peaks at 6-10 hours, and will give you the extra cover you need from 7pm to midnight.

[mosherman1]

Lantus seems to be working great. 26 is my stable # My FBG is around 130 and before meals are under 100. I must say it feels kind of strange, my sugar being normal. I have alot of energy and am back to my never sit down always busy self. Yeah!! My C-Peptide came back and it's .6 What does this mean? I would ask my doc but they charge for everything They also did a Ferritin (273) and a Lipase (472) Anyone know what this is for?

Thanks

[Eddy]

Originally Posted by mosherman1

My C-Peptide came back and it's .6 What does this mean?

What is c-peptide? What do c-peptide levels mean?

[Alice]

I've just gone through an interesting week with Lantus. I lowered my dose, gradually and a few days at a time, from 25 units down to 21. My basal has really dropped for some reason but I'm not surprised since I've now learned that your Lantus needs will definitely go up and down...but this has been a big drop for me. My numbers are near perfect. They were good before, but I was feeling the "edge" of that basal power. So, I know when to lower.

I don't fall into a low so easily if I eat a low carb meal...or just fewer calories. Not that I was relying on basal to handle meals, but I do think after a while, your basal starts affecting how your meal doses are decided.

I try to "get back to the basics" every now and then to separate the two. Took me a long time to figure this out. But, this is my biggest drop in a while.

It also reaffirms my earlier intuition than my endo was raising my Lantus too quickly. My 25 units was a "compromise" on her "30" recommendation which I never could handle. I could handle 25 a while back, but not now.

Does anyone else take note of a big drop of basal like this? Only big difference is that I've lost about 4 lbs. which isn't much...but noticed on a short frame.