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Type 1 Diabetes
Splitting Lantus Dose - any advise please.
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<blockquote data-quote="samroboli" data-source="post: 428033" data-attributes="member: 82099"><p>Hi, </p><p></p><p>Lately I have noticed that I am having very high blood sugar readings in the morning when I get up, yet a few hours before, during the night if I test, they have been brilliant, 6's etc. This morning I had a reading of 6 then when I got up about 4 hours later they were at 18!! This has only happened since I changed my Lantus from evening to morning, which I did not do on purpose, I had a late late night trying to get my 7month old daughter to sleep and just forget (yes very silly I know) so I took it as soon as I remembered the next morning about 7.30am. I used to take it about 10 -11pm. I have been taking it in the morning for about 6 days, and I have woken with high sugars and a bad head, but this mornings of 18 was the highest so I got on the phone to the diabetic nurse and I was about to ask if I should split my dose, when she recommended that I do.</p><p> </p><p>She told me to split my 20 units. Take 8 in the morning and 12 at night. I got off the phone and forgot to ask if I leave 12 hours inbetween, so that is what I have done anyway (setting an alarm of course so I don't forget!!) I took just 8 units this morning instead of 20 and thought it seemed very strange and assumed I might have high readings all day, but they have been fine. </p><p></p><p>When my sugars were high in the evening, like they were before I missed my evening dose, I put it down to the fact that I am on steriods (have been for 3 months as diagnosed with Acquired Hemophillia) but this has changed things, my sugars are good in the evening before meals after all, it wasn't the steriods it seems as if its the lantus, and i have been taking it for years and years! The steriods should not be affecting my readings too much anyway as they have reduced me down to 30mg.</p><p></p><p>I took the 12 units at 9pm, but I am most nervous of this one. I am so nervous of going low overnight / early hours, my hypo signs aren't the best. Will my 8 units taken earlier be overlapping with the 12 and make me go low? if thats the case the low should be hitting soon or have done? which I feel like I could be actually so I'll test as soon as I've typed. if I had good levels like 6 overnight will they be lowered even more by the 12 units? its such a minefield and I really wish I had looked into it more, or spoke to the nurse more before going ahead : ( I have a feeling I'll be up every couple of hours checking my sugars, I'm awake anyway randomly through the night settling my 7 month old so I won't get much sleep with getting up to test too, but better than the unexpected lows. I don't mind going low in the day at all, I look forward to a snack, ,but I always worry about not waking in the night, not that its ever happened, but I am a worrier : ( </p><p></p><p>Thank you for reading if you have got to the end (sorry I am tired and possibly going low), I would love to know what times and ratio's other people who split the doses do and how it benefits. Sam </p><p></p><p>Thanks</p></blockquote><p></p>
[QUOTE="samroboli, post: 428033, member: 82099"] Hi, Lately I have noticed that I am having very high blood sugar readings in the morning when I get up, yet a few hours before, during the night if I test, they have been brilliant, 6's etc. This morning I had a reading of 6 then when I got up about 4 hours later they were at 18!! This has only happened since I changed my Lantus from evening to morning, which I did not do on purpose, I had a late late night trying to get my 7month old daughter to sleep and just forget (yes very silly I know) so I took it as soon as I remembered the next morning about 7.30am. I used to take it about 10 -11pm. I have been taking it in the morning for about 6 days, and I have woken with high sugars and a bad head, but this mornings of 18 was the highest so I got on the phone to the diabetic nurse and I was about to ask if I should split my dose, when she recommended that I do. She told me to split my 20 units. Take 8 in the morning and 12 at night. I got off the phone and forgot to ask if I leave 12 hours inbetween, so that is what I have done anyway (setting an alarm of course so I don't forget!!) I took just 8 units this morning instead of 20 and thought it seemed very strange and assumed I might have high readings all day, but they have been fine. When my sugars were high in the evening, like they were before I missed my evening dose, I put it down to the fact that I am on steriods (have been for 3 months as diagnosed with Acquired Hemophillia) but this has changed things, my sugars are good in the evening before meals after all, it wasn't the steriods it seems as if its the lantus, and i have been taking it for years and years! The steriods should not be affecting my readings too much anyway as they have reduced me down to 30mg. I took the 12 units at 9pm, but I am most nervous of this one. I am so nervous of going low overnight / early hours, my hypo signs aren't the best. Will my 8 units taken earlier be overlapping with the 12 and make me go low? if thats the case the low should be hitting soon or have done? which I feel like I could be actually so I'll test as soon as I've typed. if I had good levels like 6 overnight will they be lowered even more by the 12 units? its such a minefield and I really wish I had looked into it more, or spoke to the nurse more before going ahead : ( I have a feeling I'll be up every couple of hours checking my sugars, I'm awake anyway randomly through the night settling my 7 month old so I won't get much sleep with getting up to test too, but better than the unexpected lows. I don't mind going low in the day at all, I look forward to a snack, ,but I always worry about not waking in the night, not that its ever happened, but I am a worrier : ( Thank you for reading if you have got to the end (sorry I am tired and possibly going low), I would love to know what times and ratio's other people who split the doses do and how it benefits. Sam Thanks [/QUOTE]
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