[jenet]

Grace,

Just FYI, my endo and CDE look at cutting back on my insulin if I have more than 2 serious lows a week.

I used to be on Lantus, and slept through serious lows every night (less than 40). I didn't even know I was having most of them until I wore a monitor for 3 days. My problem was the opposite - I always woke up high and felt horrible (monster headaches, etc.), so they kept wanting to increase the Lantus and I knew that didn't feel right. Finally we did the 3 day continuous glucose monitoring, and I flatlined the CGMS at 40 every night between 1:00 and 2:00 am.

When I was taking one shot at night, Lantus only worked 18 hours max, and sometimes was gone much, much earlier in the afternoon. Things were better after splitting the Lantus. Some people split 50/50 as I did, others tweak it 60/40 to give less overnight. Also the time of day can make a difference (7am/7pm vs. 9am/9pm), as there is a small peak with Lantus around the 8 hour mark, particularly as dosages increase. I've noticed people who take 6 or 8 units a day of Lantus are less likely to experience this than those of us taking 18 or 20 units a day.

Good luck with adjusting your insulin.
cheers,
j

[grace girl]

Just an update:
I faxed a very detailed explanation of what was going on to my endo, including my own thoughts that switching to AM would solve the problem. I am really trying to give this guy a chance to be a good Dr. I had so many problems with the last one that it's a little to easy for me to assume the worst of any of them.
His response was to back down my Lantus dose and see if that changes things. I think that my note about have dropped 230 points the other night must have finally gotten his attention. He never responded to the thought of changing my injection time. I think he's still afraid of me shooting off all my guns!
I'm going to give this a try and see how it goes.

I just wanted to thank you all again for your input. To know the experience of others is so helpful. The extra wisdom makes me feel empowered....what I've been able to learn on this forum as I've gone through all of these changes in the last month has helped me to finally be the one in control...not the insulin, not the Dr, but me. I no longer have that helpless feeling of being at the hands of something or someone other than my own choices. Thanks again!