I am classified as a T2, although I suspect I am LADA. For an explanation on that, you can read my previous discussion, but I warn you it is long!

I have been on Metformin from diagnosis about 4.5 years ago, and started on insulin about four years ago. I had tried Byetta back when it first came out, and I did not like the lows I got, nor did I like having to cart it around. It felt like a ball and chain. So Januvia came out, and I tried that and it worked well for maybe a year, then it crapped out on me and numbers started climbing. I switched from Levemir to Lantus and was told to simply work on my morning fasting numbers, so I got up to an all-time high dose of 75 units of Lantus per day. I have never used mealtime insulin.

When Victoza came out, I asked to start it, and literally within a couple of days my numbers started coming down. They had told me that the first week on the 0.6 I would not notice anything, but I definitely did. I tapered up to the 1.2 and by the end of the month I had actually cut my Lantus from 75 units to 60 units. Needless to say, I was thrilled! I sort of plateaued though and was unable to decrease my insulin any more than that. They told me to up the Victoza to 1.8 and I did that, but did not notice any difference in my numbers. My A1C did go down to 6.5, which the docs were very happy with.

So I have been on the 1.8 for about 5 months now, and about a month ago I started having lows in the morning, meaning 75 and below. This is a signal to me to reduce my basal insulin. After I had one major low of 58 one morning, I cut down on the insulin more, and I am now on 32 units of Lantus and 1.8 victoza.

I am assuming it is the Victoza that is allowing me to suddenly have these lows in the mornings, although I find it odd that I plateaued and then suddenly had to drastically decrease again. One thing I have learned about the big “D” is that it is unpredictable, so I am just trying to be prepared.

I would definitely recommend it to folks if they are curious about it. Like I said, I personally think I am LADA, and I am currently waiting blood work to see what my pancreas is actually doing, but in the meantime I feel the drug is pretty safe.