[trailrunner]

Ok question, I got diagnosed the 2nd week in feb. Went on lantus 5 u at night( i work nights ) with in 1 month my bloodsugers were normal. Can a person honeymoon so soon? I never really had super high sugers, as far as I know my highest was 230. But I run 50 miles a week too, so that was probebly keeping them down a bit. Now with out lantus I rarely go over 120 post meals. I havn't been that normal in a LONG time. My question is should I stay on a real small basal dose to keep my beta cells resting or just let it fly and see how long this honeymoon will last? Will a small basal dose make it last longer? My endo isn't real sure where to put me and the other docs I've spoken with really just don't know a whole lot about 1.5 ers. This forum is a great big help too. I can't really even find a lot about LADA on the internet. Thanks claire. Oh also do you think a low carb diet would help?

[seacomp]

Originally Posted by trailrunner

My question is should I stay on a real small basal dose to keep my beta cells resting or just let it fly and see how long this honeymoon will last?

Given your situation, I don't see any advanatge to stopping the Lantus, well, outside of stopping the Lantus itself.
In another thread dealing with a similar situation, it was advised that for someone in a T1.5 honeymoon, a per meal bolus is probably a better idea than a basal since it deals directly with the stress to the pancreas beta cells. That sounds like a good idea to me. But if its a choice between keeping the basal and eliminating all threapy, keep with the basal!
I personally think a low carb approach is beneficial, but you are a runner and that brings in other considerations that I am not well equipped to deal with.
The best luck to you on your Honeymoon!

[HelenM]

What happens when your run and take the lantus? Do you suffer from hypos? Is there a difference on rest days, do your levels rise without the lantus? It maybe that you need very little extra insulin because of the exercise but that you need a bit more on less active days. Exercising muscles utilise glucose without insulin and this effect continues after you stop thus greatly reducing your insulin needs overall.

My weekly mileage is less than half yours but running (or plodding in my case!) has caused a huge reduction in needs. Before runs I've been advised to reduce (drop for longer runs) my insulin at the meal before, to reduce it at the meal after and reduce my basal (lantus) on days in which I run more than 10 miles. BUT if I don't run for several days my insulin requirements quickly climb.
Personally I think a low carb diet is a bad idea, most sports nutritionists (as do most mainstream diabetes specailists) advocate a high carb percentage diet,( another piece of advice I was given was to eat slow acting carbs before a run) you do need to fuel those long runs and to restock glycogen stores after running.

[trailrunner]

I reduced my lantus to 2.5units. and have had no problems. Two weeks ago a ran 50k race with 5 units on board and it was too much. I was fighting lows the whole race. But so far on normal daily runs 2.5 is fine. Before the honeymoon period, I gave myself up to 10units of lantus with no problems. during runs.