# Forgetting to take Lantus?

So yesterday i forgot to take my Lantus shot which i take at night. Of course i woke up with a high BG (255), and i stayed high most of the day (although i took a couple extra units of novorapid). 40 minutes before lunch i finally came back to normal, i was 118. My BG before lunch was 77 =]

i was wondering if anyone has ever forgotten to take his/her lantus shot before?
what did u do to get your BGs back to normal?

Thanks :)
The lousy and careless diabetic, Sarah

Tags: careless, forget, lantus

Views: 5718

### Replies to This Discussion

what i do when i forget my lantus, is to just do some math

units you usually take divided by 24 for how long its suppose to last = xu
then subtract the hours it would of been since injection from 24hrs = xh
xu times xh = your dose

example: last night i missed my dose, i remembered at 8am, i usually take it around 10pm
so 14u/24hr = .5833333 24hr - 10hr = 14hrs .5833333u x 14hr = 8.1666662units
so i did 9 units for that little extra :)
I've forgotten to take it a number of times going to bed, but never had an issue with my Morning BGs being to high if I forget, or getting my levels in range for the rest of the day if I do forget.

Only time I had issues with it was when I had to cut back on the amount I took at night, for several weeks I was riding high and not pleased about it (had to cut back because the twit TSA bloke confasated my supply when I arrived in the US, even though it was all labled and everything - had to wait a freaking month to get another supply shiped to me, so for that month I had to make the pen I had last for the full 28 days).
that is so weird because before I started on a pump I did Lantus and when I would forget to take a dosage my BG levels would be pretty good the whole day.
This has happened to me before. I take my Lantus at 9pm every night and one night I just forgot. When I woke up in the morning I realized what had happened and debated with my dad whether or not I should take the Lantus right then and there. He told me not to and that he would call the diabetic clinic while I was at school. Of course my blood sugars were high that day but I think they came down to a high normal around the late afternoon. I just kept taking my aspart and correcting the high blood sugars.
ugh..yeah i've done this before on busy mornings, which is when i take my lantus. half way through the day i realize that i'm incredibly sluggish and just flat out feel weird then it hits me that maybe i forgot my lantus. i check and sure enough i did. luckly the 2 or 3 times i've done this i've caught it early in the day so i just take my normal dosage and then i'm extra careful with low's the next morning because of the overlapping lantus time.
iv done the lantus thing in the morning, in the night, and split with predominantly in the morning.. I find the problem i was having was my insulin sensitivity at night was high..really high.. saw a few lows with only 4-5 units of lantus at night...ended up going back to morning Lantus and upping it slightly..
I recently went off my pump because I lost my medical insurance. I am now on Lantus. I split my doses into half in the morning and half at night. If I am a little late it doesn't matter as much because of the split doses. It works great but consult your doc before trying it.
Hey Sarah,
I'm terrible at remembering my jabs. The worst thing Ive done is forgotten my colours. Humalog is my red pen and lantus is blue. Without thinking I gave myself my night dose of Lantus instead of morning dose of Humalog. It was scary at the time, but I can't remember my readings so it wasn't too bad.

Don't be too hard, we all have lousy and careless diabetic moments, mainly because we are humans. Nobody is perfect but at least we try.
Eloise
NO NO NO!!!!!!!!!!!!

FIRST thing taking 1/2 your regular dose or whatevre using MATH is NOT the way to do this. Lantus is a 24 hour insulin, well almost. Anyone doing this is at RISK of INSULIN STACKING and that could land you out cold in a severe hypo! Taking extra rapid or log type insulin to control the higher BS levels IS the BEST way to handle this, and the SAFEST!

Lantus is billed as a 24 hour insulin but its not truely flat and level for a full 24 hrs. It takes time for it to build up to its full level, then slowely, very slowly tapers off w/o as much of a peak as otehr basal insulins.

My endo has me taking 1/2 my daily Lantus dose in teh morning and the other half at night, idealy 12 hrs apart. Tha give a more level even BASAL insulin for a full 24hrs. IF you are a type-2 this is less critical than if you aer a t-1. I have done this ever since I was moved from N & R insulins to Lantus and humalog on MDI and its GREAT!

Another good point about being on a split dose is I can vary either an hour or so with NO PROBLEMS due to the way they overlap. Plus the greater stability makes it safer.

REMEBER taking half a dose does NOT shorten the duration of any insulins effectiveness. That is a factor controled my the formula fo the insulins, not the doseage. A fast log insulin that say last X hours, last X hours reguardless of dose (relatively speaking) Same goes for other insulins. ANYTIME you take one insulin then take it again before the first insulin wears off causes STACKING which can lead to PROBLEMS!

I highly recomend you LEARN the response curves of whatever insulins you take, it can be jsut as important as a BASLA rate, carb ratio or dorrection factor for PROPER SAFE BS management.

GOMER :0
The large dose is about 24 hrs. based on the time of absorption for the larger volume. Splitting the dose, will result in a shorter absorption time span and is the reason it works for those of us who forget the one bulk daily shot.

I wondered why the early recommendation was to take one injection before bedtime, when that is the time you would have no chance to correct--you are asleep. I have split the dose from the start with Lantus, when it was first released. I would like to see another solution in the future. I believe the fast acting is a challenge for some of us. Humalog takes time to bring down a high BG, but is quick to lower your BG other times. It is a challenge to time it all right. Lantus in the background is great compared to the old NPH.
I have a hard time doing my shots due to my mental disorder not being under control. But the rest of the time i do forget. I am working on setting an alarm to remind myseld
Here's a website I just found that explains what to do if you miss a shot, basal OR bolus.

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