T1s on MDI: What's your Lantus split (and how'd you figure it out)?
Back in October I began splitting Lantus; at first the split was even but has since gravitated to 90/10 (AM/PM).
I first would like to know if anyone else has such a wildly imbalanced split and, second, if there is such a thing as a "pointless" dose of Lantus (e.g., 1 unit).
I first would like to know if anyone else has such a wildly imbalanced split and, second, if there is such a thing as a "pointless" dose of Lantus (e.g., 1 unit).
Replies to This Discussion
-
Permalink Reply by G2 on -
1. I'm a very insulin-sensitive type 1, so I'm at 16/0 (AM/PM) but yes, it is very unbalanced.
2. I was told by my endo that people who drop below 10/0 usually are removed since it is decreasingly effective at those doses. I would assume that a matter of 1-2 units would be menial.
-
Permalink Reply by Muragaki on
-
G2, forgive my ignorance... but it doesn't appear that you are on a split dose (16/0)?
I'm trying to figure out how to get reliable 24-hour coverage. I shoot 17 in the morning (to ward off shooting high mid-afternoon), with 1 or 2 at night so as not to wake high. If I shoot 2 at night I tend to tank a bit after breakfast but shooting 1 seems to result in waking higher than recommended; have tried to move up the clock for night dose but worry about tanking proportionately earlier.
I suppose I could also play with I:C ratios, but I could swear I read somewhere on this board that one should stabilize basal before playing with bolus.
-
Permalink Reply by G2 on
-
No, not on a split dose, but then again, how much more split can you get from 0? Just kidding...
-
-
The endo recommended the split. True enough, I could ask -- but there's value (most of the time) in putting the question out here.
As for I:C, it's low (1:6) compared to what I've seen people here post. I could mess with it but, as mentioned previously, I've been under the impression that basal should be stable before messing with ratios.
Then again, this isn't a one-size-fits-all disease...
Haven't asked about Levemir.
Curious... how does one effect 1/2 units of Lantus on MDI?
-
Permalink Reply by caprifoglio on -
So you get your lantus in a vial? I've been wanting to do 1/2 doses for a while but I know the pens don't do 1/2 doses...
-
Permalink Reply by Joshua Marshall on -
Yes, they do. Novopen Junior pens come in half units.
-
Permalink Reply by LiL MaMa on -
I am not on Lantus but am on Levemir which is even less strong and I am only taking 2 units, some parts of the month 3 units.
-
Permalink Reply by Gerri on -
I question if your bolus ratio is correct. You can test basal by fasting. If you're eating, there's no way to know if a high is a possibly delayed spike from food. Basal is more difficult to get right than bolus. You can juggle Lantus doses for weeks, but if your bolus is the problem you're not going to get anywhere calculating the correct basal dose for the daytime. Many people are most insulin resistent/carb sensitive in the morning, if you don't have different ratios for different times of the day.
-
Permalink Reply by Brian (bsc) on -
One reason for splitting your basal is to give "flatter" response. In my case, I don't need a flat response, I need an overnight dose of basal insulin that is like twice my dose during the day. Depending on your needs, you may or may not want a flat response. If you have certain times of the day you are low or high, moving towards a flat basal may not help, you may do better with a single injection and simply moving the timing of the injection to more closely match your needs.
-
Permalink Reply by Xanthasun on -
on MDI using Lantus (though moving to pump again soon). I was one of those people who split to get more even results since with a single larger dose it never seemed to be absorbed the same from day to day. I was taking 21units and split roughly 50/50 (11 am and 10 at night). How it ends up being split will really vary especially since the effect of Lantus seems to vary between people (I'm closer to it lasting a full 24 hours than 12, though there is a drop off in the 23rd hour) However, with larger single doses at bedtime, I would either be dropping too much in the am or remain relatively high during the day (since it seemed to peak for me in the morning).
Though basal rate testing only seems to be suggested to pump users there is value for MDI users because you can see how well the lantus is working w/o the interference of food, so you might try basal testing to see how it works.
One thing that may be happening too is if your coverage last for more than 12 hours (mine does), some of your am dose is covering the night and increasing the effect of your nightime bolus.
On a related note, I was reading some ultramarathoning type 1 runner who split her lantus 3 ways and her pm one was ultra small, but it worked for her...
Advertisement
REsources
Groups
From the Diabetes Hands Foundation blog...
Congratulations Diabetes Advocates Scholarship Recipients!
The Diabetes Hands Foundation and Diabetes Advocates Program is proud to announce and congratulate the members of DA who were granted scholarships to attend diabetes conferences in 2013! Thanks to a generous grant from Novo Nordisk, in 2013 we were …Continue Reading
La Familia de EsTuDiabetes Sigue Creciendo
El Centro Nacional de Prevención de Enfermedades Crónicas y Promoción de la Salud en el Estados Unidos encontró que a partir de 2002-2009, el 11,8% de los hispanos mayores de 20 años, que viven en los EU, viven con diabetes …Continue Reading
TuDiabetes Team
DHF STAFF
 Manny Hernandez(Co-Founder, Editor, has LADA)
|
DHF VOLUNTEERS
Lead Administrator
 Bradford (has type 1) |
Administrators
 Lorraine (mother of type 1) |
 Marie B (has type 1) |
|
|
|
|
|
|
LIKE us on Facebook
Spread the word
This site complies with the HONcode standard for trustworthy health information: verify here.
© 2013 A community of people touched by diabetes, run by the Diabetes Hands Foundation.
