Replies to This Discussion

Permalink Reply by Jessica C on February 9, 2009 at 5:10pm

I have split my dose before. It worked well, and I even decreased my totals taken. My doctors were letting me make changes at the time. If you are worried, take less for your evening dose.

But, the last time my doc changed my lantus usage, she had me switch from morning to night because of elevated numbers during and after dinnertime.

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Permalink Reply by linda on February 10, 2009 at 3:53am

Thanks Jessica,

I think I'll try 75% AM and 25% at dinner.

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Permalink Reply by Cynthia F. on February 9, 2009 at 5:17pm

prior to pumping, I split my dose to 15 in the morning, 15 at night

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Permalink Reply by linda on February 10, 2009 at 3:59am

Hi Cynthia,

I'm going to try a split of 75% am and 25% at dinner,and see how that goes. I worry about change but if that

works and I don't chase any lows. I'll try a 50/50 split. Thanks

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Permalink Reply by linda on February 10, 2009 at 4:02am

Hi Bec

I am going to try your split dosage, but with the 25% remainder at dinner instead of bedtime.

I worry so much about lows. Thanks

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Permalink Reply by Jodi on February 10, 2009 at 6:45am

I split my dose, but I do it the opposite way due to a serious case of DP, so I take 75% at 8pm and 25% at 8am.

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Permalink Reply by linda on February 10, 2009 at 7:04am

Hi Joile,

Thanks for the reply. I have had several mornings of dp as well. I go bed at a fasting of 160 and have been

waking up betweeen 200-210, not good. I have been a type 1 for only a year now. Last aic was 7 and I'm

sure I've gone up to an 8. I sill do not have the best control but I am working my way through this. I see my endo

next month so I'm sure we'll have a lot to talk about. Thanks, Linda

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Permalink Reply by Jeffrey on February 10, 2009 at 7:12am

This is a very interesting question. I'll make note of this forum as well. I just started Lantus last Thursday so am anxious to see my numbers go down. I am taking 20 iu at night along with Humalog 3 times a day. I was on Byetta and pills prior for years but in hte last 2 months my numbers were steady around 280-450. So this is a new change for me. Thank you for the Lantus Question and Answers.

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Permalink Reply by Riette on February 10, 2009 at 7:36am

Before my son went onto the pump we also split lantus. Our Dr said that although Lantus is advertized as 24 hour insulin it does wear off. We took the majority of the dosage in the evenings and a small dose in the morning. (The doctor said that if Bg is high by dinner the following evening one should take a small dose in the mornings as well.)

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Permalink Reply by Debbie on February 10, 2009 at 8:33am

Hello All,
I am sure this forum is gonna get alot of different answers. and its quite interesting. I use Lantus also and started splitting my dose 50-50. Half at bedime and half at breakfast. I really couldnt tell a difference. Lantus has helped to bring my am fasting down to the 118-120s. Anyway, I went to the TCOYD conference in Amarillo last Saturday and had the opportunity to speak with some great endos. The answers I got from them were all pretty much the same, I was told not to split the dose of Lantus and to take it at bedtime. I was told Lantus was designed to decrease the am fastings and to cover everything between meals, but not meals. That is why you use a fast acting Insulin to cover meals. The Lantus is slowly dispersed in an even steady flow over 18 to 24 hours depending on the person. I was told that if the am fastings were not at the level that is desired that you should increase the dosage by 1 0r 2 units i think it was every 5 days or so(you have to give it time to correct) until you acheive your am fasting. They said in some patients that Lantus works in decreasing the BG's all around. I guess It just depends on the level of your diabetes. So I dunna no Lucy, what is right or what is wrong. I have went back to taking mine at bedtime and have now increased to 36 units and my am fastings are getting there with a little better BG's before meals. Soooooo...whadda we do? I am certainly confused!

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Permalink Reply by lane jaeckle santos on February 10, 2009 at 8:46am

I do this all the time. I found that (at the time) 8 units was too much during the day, but would not last the full 24 hours. So to increase I did 4 in the morning and 5 at night. Eventually this increased to be 3 in the day and 6 at night, as I find for some reason I need less basal during the day, and way more at night.

As long as it's about 12 hours apart, I find that splitting not only lets you get more control , but you can safely use more at one time or another as needed. This is funny, since my Endo was the one who recommended doing it this way, and it really helped.

Hope this helps!

Lane

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Permalink Reply by drrps3 on February 10, 2009 at 9:19am

In my case, I started with a bedtime shot of Lantus, and it worked for a couple of years. Then my fastings were getting higher and higher.

I switched to Levemir, and my fastings improved immensely. The one bedtime shot was working then I noticed my predinner bg was getting higher and higher.

I switched to 2 shots of Levemir (12U at bed; 6U in morning). For the most part, it works....for now that is.

Peter

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