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Type 1.5/LADA Diabetes
Bolus/ Basal question
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<blockquote data-quote="Matt2023" data-source="post: 2595152"><p>Hi Speedbird,</p><p></p><p>When I explain to someone about diabetes I say it's like a person walking on a tightrope and you have to balance your blood throughout the day. What I found is that after taking two equal doses of Lantus that the balancing act slowed down, that my blood sugars were coming down slower and going up slower and are able to control it easier. That happened within a few days of starting the new regime.</p><p></p><p>Now that the balancing act has slowed down I am now more able to keep my levels within the “time in range” which for me is currently between 4.5 mmol/L and 10 mmol/L, So it is easier at the moment to manage than it was before.</p><p></p><p>I did become unwell about 10 days ago (Timing was unbelievable) which hampered my experiment of this new insulin regime but once I got over the illness my levels stabled out again.</p><p></p><p>This past week, what I have been doing is adjusting my Lantus by one unit either up or down per day and then working out how much more or less quick acting insulin I need throughout the day. I think with slight adjustments over the next week I will be able to calculated to a much more finer point.</p><p></p><p>I've noticed for example since moving over to these two equal amounts per day I do not need to be injecting one unit of quick acting for just two cups of tea which has about 4 grams of carbs each (Milk).</p><p></p><p>My sugars do not go wildly up or down for just a small amount of carbs these days so again I'm finding it easier to manage.</p><p></p><p>Don't get me wrong there are days like yesterday though were I just still could not understand what I was doing wrong, As my sugars were going up and down very rapidly. But I start each day as a new day and try again. Today is a new day.</p><p></p><p>I have only changed over to this regime in the last 14 days, the previous five years I was taking one large dose of Lantus in the morning (28 Units) and one very small dose (6 Units) in the evening because I thought that is the way to take it. I was taking the smaller dose in the evening because I found the Lantus just never worked the entire 24 hours so I took it to help with the morning/dawn phenomenon. Again something that has come under control since taking two equal doses throughout the day.</p><p></p><p>As for dosing I find that I need to take 16 units in the morning and 16 units again at night (At the Moment, still experimenting) so in total I am taking 32 units of Lantus throughout the entire day. I am however not injecting as much quick acting during the day, I am down to about 8 injections of quick acting, down from 12 to 14 a day. I have been diabetic for many of years, so expect to take much more insulin.</p><p></p><p>I do not calculate my protein only my carbs when counting.</p><p></p><p>Sorry I can type quickly and do not realize the length of my messages sometimes so I shall leave it here.</p><p></p><p>If you have any further questions do you feel free to ask and I will answer them to the best of my ability.</p><p></p><p>And please do let us know how you get on, it's very informative for me personally as you are in a similar boat as me, and even though I am currently experimenting, the more information I can glean from other forum members, the better that is for me.</p><p></p><p>Thank you and have a great day/evening/night ahead,</p></blockquote><p></p>
[QUOTE="Matt2023, post: 2595152"] Hi Speedbird, When I explain to someone about diabetes I say it's like a person walking on a tightrope and you have to balance your blood throughout the day. What I found is that after taking two equal doses of Lantus that the balancing act slowed down, that my blood sugars were coming down slower and going up slower and are able to control it easier. That happened within a few days of starting the new regime. Now that the balancing act has slowed down I am now more able to keep my levels within the “time in range” which for me is currently between 4.5 mmol/L and 10 mmol/L, So it is easier at the moment to manage than it was before. I did become unwell about 10 days ago (Timing was unbelievable) which hampered my experiment of this new insulin regime but once I got over the illness my levels stabled out again. This past week, what I have been doing is adjusting my Lantus by one unit either up or down per day and then working out how much more or less quick acting insulin I need throughout the day. I think with slight adjustments over the next week I will be able to calculated to a much more finer point. I've noticed for example since moving over to these two equal amounts per day I do not need to be injecting one unit of quick acting for just two cups of tea which has about 4 grams of carbs each (Milk). My sugars do not go wildly up or down for just a small amount of carbs these days so again I'm finding it easier to manage. Don't get me wrong there are days like yesterday though were I just still could not understand what I was doing wrong, As my sugars were going up and down very rapidly. But I start each day as a new day and try again. Today is a new day. I have only changed over to this regime in the last 14 days, the previous five years I was taking one large dose of Lantus in the morning (28 Units) and one very small dose (6 Units) in the evening because I thought that is the way to take it. I was taking the smaller dose in the evening because I found the Lantus just never worked the entire 24 hours so I took it to help with the morning/dawn phenomenon. Again something that has come under control since taking two equal doses throughout the day. As for dosing I find that I need to take 16 units in the morning and 16 units again at night (At the Moment, still experimenting) so in total I am taking 32 units of Lantus throughout the entire day. I am however not injecting as much quick acting during the day, I am down to about 8 injections of quick acting, down from 12 to 14 a day. I have been diabetic for many of years, so expect to take much more insulin. I do not calculate my protein only my carbs when counting. Sorry I can type quickly and do not realize the length of my messages sometimes so I shall leave it here. If you have any further questions do you feel free to ask and I will answer them to the best of my ability. And please do let us know how you get on, it's very informative for me personally as you are in a similar boat as me, and even though I am currently experimenting, the more information I can glean from other forum members, the better that is for me. Thank you and have a great day/evening/night ahead, [/QUOTE]
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