Lantus in the morning

ashlyn · #1 (**permalink**) 04-23-2006, 09:08 PM

Hi all!
Is there anyone here who has had to switch from injecting Lantus at bedtime to the morning? If so why? My doc suggested I try switching to the a.m. to see if that will help with my low bs readings and morning hypos. I am looking at using the NPH again but only to test it out to see if Lantus could be causing my awful memory problems and such.....grrrrrrrr. I would like to say it is consistent low bs causing it but since I seem to have mental confusion, memory problems, etc...while my bs are more on the higher side I will say it may not be the low bs causing all this ****. I just got my A1C result and it's 6. Thanks everyone!

condensr · #2 (**permalink**) 04-24-2006, 12:12 AM

Yes! I did this, and it worked wonders.

I used to have a lot of 2am-5am hypos, but was always high before dinner.. I changed the lantus to the morning, and it solved both of these for me.

Its odd that it did, as now that I'm pumping, I find my sensitivites opposite this, but hey, it did work to help the nighttime hypos as the Lantus didn't quite last 24 hours in me.

vrocco1 · #3 (**permalink**) 04-24-2006, 03:37 AM

I've always taken mine in the morning (I don't know why). I do have a few moderately high fasting BGLs (~140), but I've learned to control that also.

jeggeman31 · #4 (**permalink**) 04-24-2006, 06:03 AM

You could always try splitting your dose. When I used Lantus I took half in the P.M. before bed and the other half in the A.M. after I woke up.

poodlebone · #5 (**permalink**) 04-25-2006, 07:22 PM

I started out taking Lantus at night and then had to split the dose into two injections, one at night and one in the morning. I was always waking up very low and by dinner I would be always be high. Splitting the dose into two equal shots about 12 hours apart helped.

--
Liz

Cyborg · #6 (**permalink**) 04-25-2006, 08:04 PM

I switched while on MDI, for exactly that same reason. And it made a world of difference.

ashlyn · #7 (**permalink**) 04-25-2006, 08:59 PM

Thank you for all the replys! Well I took half of my Lantus dose last night and the other half this morning and in the am I begin the full normal dose. I can't believe it but I actually feel more like myself today. I woke up feeling better since beginning the Lantus. I dont' know if it's because there was less in my system or because I wasn't having low's all night long. I am only guessing but think that it's possibly because I didn't have much Lantus in me since in the past I have woke up with elevated levels and still felt lethargic and extremely tired. I am testing this out. If I don't feel like I've improved over the next week or so on the morning dose I may ask to be taken off of the Lantus to see if it's actually the Lantus itself doing it. I don't want to stop the Lantus. But splitting the doses seems like it would be just like in the past when I had to take 2-3 doses of the NPH per day. Unless Lantus, in itself, is supposed to be better at controlling the blood sugar levels than NPH?

Shotokan · #8 (**permalink**) 04-25-2006, 10:05 PM

The advantage of Lantus over NPH is that Lantus stays working at a relatively constant rate (for around 20-24 hours), whereas the action of NPH builds to a peak and then fades. The action of NPH is a little harder to predict than Lantus.

Cyborg · #9 (**permalink**) 04-26-2006, 03:55 AM

Quote:

Originally Posted by Shotokan

The advantage of Lantus over NPH is that Lantus stays working at a relatively constant rate (for around 20-24 hours), whereas the action of NPH builds to a peak and then fades. The action of NPH is a little harder to predict than Lantus.

I think most people are finding Lantus is only providing about 18 hours of coverage.