Adjusting Lantus
I currently am at 22 units of Lantus and I low carb (30-50 carbs a day). I am finding that my morning BGL's are in the 60's 2 hours after eating (2 hardboiled eggs, 8 oz V8 juice for a total of 10 gms of carbs). When this happens it usually tells me it is time to go down with my Lantus; however, what I am finding is as I go down I continue to stay lower in the morning but as the day goes on, my aftermeal bgl's are rising. I should note that last week I was at 28 units and came down to 22 about 3 days ago. A month ago I was at 30 units and it didn't seem like enough lantus then suddenly I started going low in the morning and went down to 28 units and that worked perfect for awhile then started going low in morning again, during that time, I did lose about 12 lbs. Now, my 2h pp readings are quite a bit higher after lunch and a lot higher after supper. Previously I was able to keep my bgl's between 75 and 110 and now my after meal numbers are creeping into the 150's to 180's and taking a long time to come down. So, I am thinking my basal is maybe too high but then when I see my getting higher as the day goes on, I am thinking my basal is not high enough (I know the basal is not supposed to help much with spikes but this pattern is happening with the lowering of the Lantus). I also take 1000 mg Metformin in the morning before breakfast and late afternoon before supper. Any ideas or help would be appreciated.
Replies to This Discussion
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Permalink Reply by Capin101 on
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My idea (although I am unfamiliar with the drug) is that your Metformin dose may need to be increased or changed to a different drug. I believe Metformin helps your body use the insulin you produce, especially after meals?
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Permalink Reply by Jen on
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If you are taking the Lantus in the evening, it could also be that it's wearing off as the day goes on. When I took Lantus it didn't last 24 hours for me and I had to do two shots each day, otherwise my blood sugar would rise a lot towards the time of the next shot.
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Permalink Reply by Jest on -
I was wondering if it was wearing out as the day went on. It never used to but that would make sense with what I am seeing.
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Good point Jen. Splitting your lantus dose in two doses every 12 hours may be beneficial. A lot of type 1s prefer it.
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Permalink Reply by DARGIRL on -
Make tiny changes and track according. Lantus is not intended to help you recover after a meal. It is a basal insulin. It may peak for a period of time. It definetly is not a straight line basal. I noted that you also mentioned a weight loss. That can make a change in your dosage. When I was on MDI, I had to change to a morning dose vs. Night dose. It seem to help. Your numbers are good great A1c.
Before I went on the pump I was taking 80 units of Lantus a day. And I struggled with keeping my numbers in line. A simple change by my Dr. on total daily dose and I:C ratio made a big differance.
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Permalink Reply by justgeo1 on -
I take a split dose of Lantus and do pretty well, but I also take Humalog to cover meals. I'm also on Amaryl and metformin to help me keep my BG's under control.
Myabe if you tried a split dose or injecting at different times of the day, you might get different results.
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