Replies to This Discussion

Permalink Reply by Chele on November 17, 2010 at 10:40am

I am a Lantus user and have split doses of 5 units in am and pm. I was taking Lantus at 9am and 9pm, now the endo wants me to take it at 5:30 am and 4:30 pm . No reason for the change was given. Lows in the 50-60 range are more freguent since change, but endo will not change. D. unawareness is also present, not happy with this and the endo's none response. Guess I'll have to work on this myself.

Chele

Permalink Reply by Muragaki on November 17, 2010 at 11:11am

Thanks Chele, for your response. I'm sorry you're having a difficult time with an endo that will not listen -- very frustrating not to have feedback or encouragement from those who are supposed to be of help.

I would bet that most of us on this board have worked around unresponsive endos by self-adjusting to meet changing needs. For example, when this discussion was first posted I was at 12u AM/9u PM; I was still getting evening crashes so cut the AM dose by one unit. My numbers are now the most stable since Dx a year ago.

If you're comfortable with that idea, you might start by cutting back one unit to see whether the morning lows are eliminated. (For the sake of having a control measure, begin with cutting back the evening dose and see how it goes over a period of five days.) Once your morning lows are stabilized, you can start experimenting with the morning dose if you feel the need to do so.

Good luck!

Permalink Reply by Chele on November 17, 2010 at 7:04pm

Thanks for the info, after I replied this morning I had thought about doing that. Tomorrow just may be the day.
I have an app. on my phone for tracking my glucose, insulin, food and exercise. According to my Insulin averages from the last 3 months my A1c post to 5.8 down from 6.4. So guess I am doing something right, since I do not get any support from the endo.

Chele

Permalink Reply by Chele on November 20, 2010 at 9:26am

How have you been doing? Still fighting the lovable lows, What signs I did have with the lows seem to have changed. Tried dropping Lantus to 4 U at night but, stilling having the lows. Sometimes I think I may be getting to much Novolog for my height and weight. Can not get that point across to endo. So, what to do next.

Chele

Permalink Reply by Muragaki on November 20, 2010 at 3:08pm

Chele, your post doesn't specify whether the lows are occurring in the morning or if it's connected to a meal. If so, you could probably cut back one more unit of the night-time Lantus.

Another thing you could try (without cutting back further on Lantus) is adjusting your insulin-to-carb ratio. Yes, it gets frustrating adjusting back and forth, but a bit of inconvenience now will be worth the relative stability later. (It took nearly five weeks of adjustments until I found a combination that works for me -- I hope it'll stay that way for awhile!)

Anyone else out there have suggestions for Chele?

Permalink Reply by Chele on November 21, 2010 at 11:26am

Have been adjusting Novolog carb ratio for at least a month now. The nightly lows continue even with an adjustment to I U of Novolog to 15 Grams of Carbs at Dinner time. This past week the lows happened between Dinner and snack time. Midnight to 7am are fine with Bg's between 97 and 105. The diabetic Unawareness dose not help because, I can get in the 50s' before signs begin. Trial and error will be my answer through the Holidays.

Thank for your suggestions

Chele