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Type 1 Lantus not covering 24H

alphabeta said:
Hello I noticed something strange that my sugar levels before dinner (around 8PM) are always high nothing less than 11-12. However, yesterday I tested 2 hours after my lunch @5PM and it was 5.5. Fast forward till 7:30PM it was around 13?!! I haven't ate anything and this confirms that Lantus hasn't covered 24h (I usually take it around 11 12 midnight) so what should I do? Should I consider Tresiba or Toujeo? Any advice?
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Hi, I've been struggling with exactly the same issue, I always went higher in the late hours of my Lantus shot (after dinner).
However, after doing some basal tests I actually found out it wasn't the Lantus at all! I was having a prolonged spike from dinner which always contains more fat than my other meals...
I noticed this when I tried to skip dinner once, my BG was absolutely fine!
If I were you I would definitely test this first, if not then obviously you will need to split doses and I would go for Levemir and then split or even go for an insulin pump.

Hope this helps you
 
Spablauw_ said:
Hi, I've been struggling with exactly the same issue, I always went higher in the late hours of my Lantus shot (after dinner).
However, after doing some basal tests I actually found out it wasn't the Lantus at all! I was having a prolonged spike from dinner which always contains more fat than my other meals...
I noticed this when I tried to skip dinner once, my BG was absolutely fine!
If I were you I would definitely test this first, if not then obviously you will need to split doses and I would go for Levemir and then split or even go for an insulin pump.

Hope this helps you
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Hello, the rise occurs even before taking my dinner which confirms my theory and I think my first option is going to be Tresiba
 
alphabeta said:
Hello, the rise occurs even before taking my dinner which confirms my theory and I think my first option is going to be Tresiba
Click to expand...

Yes, then it definitely is your basal insulin.
I just wanted to share my story with you since I have been struggling for a long time with the same and I thought it was my basal so I kept increasing which led to hypo's and eventually I lost track of all my basal ratio's and I:C ratios so had to start all over :(
 
Spablauw_ said:
Yes, then it definitely is your basal insulin.
I just wanted to share my story with you since I have been struggling for a long time with the same and I thought it was my basal so I kept increasing which led to hypo's and eventually I lost track of all my basal ratio's and I:C ratios so had to start all over :(
Click to expand...
Oh dear! I hope you gained control by now!
 
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