Sliding scale for Lantus dosing?
Posted 29 September 2009 - 12:08 AM
I've been basing my bedtime dose on the response to the previous night dose/morning reading, and I'm starting to wonder if it makes more sense to take a bedtime blood sugar reading and figure my Lantus dose solely on that. So, if any of you use this method, what type of sliding scale do you use based on your bedtime blood sugar reading?
Type 1.5 since Aug'09
Meds: 18 units Lantus & 10 mg simvastatin at bedtime, 100 mg Januvia & 1000 mg metformin in the morning
Follow a very low-carb diet and exercise daily
Oct'16: HbA1c = holding steady at 6.0 and total cholesterol down to 194 (HDL=77, LDL=98, trigly=97)
Posted 29 September 2009 - 02:31 AM
I figured out my Lantus dose by specifically testing to "measure" how much basal insulin I need. Basal needs testing is simply a day of fasting with regular (every 1 or 2 hours) BG testing. Without food intake, your BG should remain fairly stable over the time. If it drifts up, you need more basal, downward drift means less basal.
Whatever Lantus dose changes you make, I think you should give the change a chance to have a consistent effect before changing again. Make a change, check the results over 3-4 days, then decide whether another change is needed.
I also split my Lantus dose, morning & evening. There's a fair amount of experience on this forum & elsewhere indicating that Lantus doesn't last 24 hours for everybody, so doubling the number of shots (which is not a problem for me) ensures that I don't have to deal with that problem
Posted 05 October 2009 - 07:07 PM
Has your Endo given you a starting dose for Lantus? If so and it is not working your DE should be able to help you test to see how much you should adjust your basal insulin (Lantus). If you adjust your Lantus dose you should stay at that dose for a few days before you assume it is not working correctly.