Replies to This Discussion

Permalink Reply by Marps on December 18, 2009 at 5:57am

I"m actually on 24 hours with Levemir. I was on 24 hours with Lantus too.
I do have issues with my carb ratio, as it keeps increasing as I'm getting older. I'm at 1:5 right now, which makes for some pretty high dosages of Humalog. However, when I'm NOT eating, I've tested my BG when I'm fasting for 24 hours, and my BG stayed constant on the Levemir alone.

I have not, however, had any issues with injecting Levemir at 11:00pm one night and at 10:00pm the next night.
I'm considering breaking up the dosage into two injections, but am leery of forgetting my mid day injection. And my food schedule is all over the place, so I'm afraid I won't be able to pinpoint TWO specific times per day that I would inject.

But, something to think about.
Thanks!

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Permalink Reply by Holger Schmeken on December 18, 2009 at 9:27am

Interesting that you get 24 hours from Levemir. It will be a nice experiment to see if two injections will influence your carb ratios. It has the potential because in my understanding the Levemir will cover 24 hours but it will degrade much more than Lantus. So after the 12 hour mark the amount of active insulin is lower than being on Lantus. But this may be very individual - your 24 hour fasting proofes that.

I inject at 08:00 and 21:30 which works best for my habits. If you can manage something like 07:00 and 20:00 it will more likely fit into your eating habits.

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Permalink Reply by Brigitte on December 18, 2009 at 9:58am

maybe I could try this . I inject at 07:00 11 units of Levemir and it seem that it doesn't work very well in winter. I give an example: last night two hours after eating dinner I was at 137 and when I woke up, I was at 307!!!!!!! Holger told me to put more units of Levemir but maybe it will be better to make two shots. I must think about that! As I told a new member, I learn a lot with you , my friends.

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Permalink Reply by Xanthasun on December 18, 2009 at 8:31am

Some people have experienced a dramatic drop when they somehow injected directly into a blood vessel. I've never personally had that experience.

For me when I exercise at night, I tend to drop...but it's more over several hours...so those nights I cut back on the dosage. If your lantus was exposed to extreme temperatures it would be more likely that it would become less effective.

I usually leave my lantus out on my counter at room (~68-70 Farenheight) but it doesn't seem to impact it's effect for me.

One other thing is that according to the insert or maybe their website...but for some people Lantus can work up to 26 hours... so you might get some overlap there where for a short period your basal rate is roughly double...

Your best bet is to do basal rate testing to see how lantus effects you at different times of the day and try to find out how long it actually lasts for you.

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Permalink Reply by Gerri on December 25, 2009 at 1:27am

Lantus never worked close to 24 hours for me. I started splitting doses even though my endo said this was unnecessary. He was more interested in what the pharm reps claimed for their product than what I experienced. I noticed peaks with Lantus that I don't have with Levemir.

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Permalink Reply by Erin Ball on December 24, 2009 at 10:44pm

This probably dosent relate to your theory here but one time I thought I took double the amount of my lantis . It turned outni really didn't but I could have been dead by morning if i really did. Lol.

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Permalink Reply by Cynthia F. on December 26, 2009 at 5:09am

Prior to pumping and for my pumping "vacations" at one time I used Lantus. I found that it burned incessantly and never lasted the full 24 hours. There were times it wouldn't even last 12 hours. I have since switched to Levemir for my pump vacations. Levemir does last 12 hours for me when I do use it.

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Permalink Reply by Cynthia F. on December 26, 2009 at 6:33am

Levemir does not last 24 hours - as mentioned above it's only approved for 12 hour use. So you would do 2 injections of Levemir a day.

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Permalink Reply by Kathyann on December 26, 2009 at 12:20pm

I take Lantus every morning with no problems. When I took it at night I was a little low by morning.

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Permalink Reply by msann59 on December 26, 2009 at 4:27pm

hi moody kay i have been on lantus for about 5 yrs, been doing real good so far, i didnt have training from educator, she guide me thru, i started with her a1c was 11.2,now they are 7.0,do you all have team of doctors to monitor your bsl

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Permalink Reply by June English on December 29, 2009 at 3:39pm

When I was on Lantus, before beginning insulin pumping, I had only one bad experience. It occurred when I injected my evening Lantus dose immediately before getting into a hot bathtub (not a hot tub, mind you, just a traditional bathtub.) My blood glucose started dropping and dropping - incredibly fast! Fortunately, I survived without injury by eating glucose tabs and drinking juice. Then my BG was high the entire next day (seemingly because I used up all the Lantus in a short period of time.) The next day, after this mysterious episode, I went to the book on Insulin Dependent Diabetes written by the wonderful Dr. H. Peter Chase, M.D. and published by the Children's Diabetes Foundation in Denver, CO. In that book Dr. Chase advises against getting into a bathtub or shower immediately after injecting Lantus. I believe his recommended wait time is 1/2 hour. Hope this helps!
!

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Permalink Reply by Moodi Moodz Kay on December 29, 2009 at 11:15pm

this does help greatly thanks so much

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