Replies to This Discussion

Permalink Reply by Ang on August 26, 2010 at 6:32pm

Check with your ENDO and CDE. My pump is set to always keep me between 90-100 all the time. When I was on MDI, I hated Lantus, too much IOB is not a good thing and it dictates when you can eat and absobtion is not very reliable(52%).
I hope you find out why your low and good luck

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Permalink Reply by catlover on August 26, 2010 at 7:11pm

Your numbers aren't that low. If you already cut your Lantus back to 20 and 10 leave it alone for a few days. Since you don't have a doc to speak to without a hassle, just make sure that your last BS at night isn't too low, not under 100. If it is , have a 4oz or 6oz glass of fat free milk before you go to bed. Most of us here at TuD would love to have your BS numbers. You seem to be doing great. Don't worry, everything will fall into place with a little time. I have days that I do not go over 100, I wish that I had more of them.

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Permalink Reply by DMurray on August 27, 2010 at 7:28pm

Chris chack your carb counting with the unit of Novolog that your thating maybe to much Novolog with the carbs. When I was on Lantis I took one shot in the morning and humalog with meals . I would get lows from miscounting my carbs and too much Humolog .

Check your carb counting and try to talk to a doc.
Good luck hope this helps it did for me

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Permalink Reply by caprifoglio on August 27, 2010 at 9:14pm

Hmmm. Well it sounds to me like maybe too much insulin, long-term and maybe meal as well. But, if you're not having hypos, it's probably ok. I'm really sensitive to insulin and I start to feel funny when I go under 90, not a hypo but I feel my BG dropping... Also I found that it's a rare occasion that I can tolerate 2 units for meals, 1 1/2 works best, but I'm not eating high carb.

I also found that if I adjusted my Lantus down by 1 unit till it worked better for me (not too low) throughout the day, and also figured out by trial and error when I needed more insulin for meals based on my pre-meal test plus factoring in whether the carbs I was going to eat brought me higher or lower (pasta is worse than potatoes!), I seemed to get it to where I'm more comfortable and not getting hypos nor highs.

The point is that you have to work a little with the dosage. As said in other discussions here, you are your own guinea pig experiment. Fun, huh? But I have faith you'll figure it out. Pay attention to what your body is doing most of all. Everyone's works differently.

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Permalink Reply by Jan on August 29, 2010 at 8:12am

Adjust your insulin downward if you are dropping too low. If you see a pattern over two or three days lower or higher, at all hours of the day and night, adjust your insulin. First, figure out if it is your basal insulin (Lantus) that needs to be adjusted. 90 to 100 is a great blood sugar number but only if there is no active insulin working. If you are 90 to 100 all night long, after your mealtime insulin has worn off, that's perfect, and your Lantus dosage is correct overnight. Do a fasting basal during the days to see if your numbers are too high or if you are dropping. In the absence of food, if you are dropping, your Lantus will need to be reduced. If all is well, basal-wise, and your numbers hold steady at 70 to 100, you will be adjusting for highs and lows by changing your ICR. But you need to know your basals are holding steady first.

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