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Forgotten lantus?? Feeling stupid

daniT1D

daniT1D

Well-Known Member
Messages
354
Type of diabetes
Type 1
Treatment type
Insulin
Hi all, when I just injected my NovoRapid for dinner I got a horrible thought that I didn't take my lantus thismorning. I'm feeling really silly and now I don't know what to do

I take 24 units at 6:30am, and I really don't remember taking it, however I can't say for sure.

Do you know how long it would take to show (I know they always advise to wait 3 days between changing doses so does that mean thismorning's insulin wouldn't be effective for 3 days?)

Thanks in advance for listening to me waffling! x


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daniT1D said:
Hi all, when I just injected my NovoRapid for dinner I got a horrible thought that I didn't take my lantus thismorning. I'm feeling really silly and now I don't know what to do

I take 24 units at 6:30am, and I really don't remember taking it, however I can't say for sure.

Do you know how long it would take to show (I know they always advise to wait 3 days between changing doses so does that mean thismorning's insulin wouldn't be effective for 3 days?)

Thanks in advance for listening to me waffling! x


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Hi dani, where did you get the info about 3 days? Lantus works over 24 hours, which begins shortly after you inject. If you forgot to take your dose this morning, your blood sugars would have been high all day.
 
Charles Robin said:
Hi dani, where did you get the info about 3 days? Lantus works over 24 hours, which begins shortly after you inject. If you forgot to take your dose this morning, your blood sugars would have been high all day.
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Thank you :) I know it lasts 24 hours but when I was first diagnosed and the nurses were helping me get my doses right I was told to increase then wait three days before the next increase each time, which made me wonder if today's injection wouldn't be active for 3 days.



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If you are not seeing progressively climbing blood sugars within a few hours of missing it, you didn't miss it.
 
Your nurses telling you to wait 3 days before increasing dose is to ensure you slowly end up at the correct dose without going too low or high. It doesn't mean it takes 3 days to work. Good advice from Charles & Spiker so far. Test a couple of extra times to make sure you don't start increasing.
 
I'm glad it worked out for you, those pens with the timer in them sound better all the time,


*note to self, get timer pen when insulin required
 
I dont really know if this is the correct thing to do, but i have missed my basal on occasion. Usually because i fall asleep as i take mine before bed. But what i have done is when i realise I've missed it. Divide my total dose by 24hrs. Then multiply that number by the hours remaining before my next jab and take that dosage straight away. Always seems to work well. And dont like going without it :-B

Type 1 Diabetic: (Novorapid/Levemir) Diagnosed 2014: Extremely handsome: Always smiling :-)
 
You would notice your bg climbing by mid-morning if you hadn't taken it. If you do forget to take your lantus then you can take a reduced dose according to how many hours have past, so if you take 24 units at 6 am and remember at 6 pm then you would just give half the dose (12 units), if you remembered at 12 pm then you would administer 18 units,
 
Thank you for your replies. If it was certain I hadn't taken it I would take a reduced dose, but my levels haven't rocketed today so maybe I did?! Gosh I'm crazy


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daniT1D said:
Thank you for your replies. If it was certain I hadn't taken it I would take a reduced dose, but my levels haven't rocketed today so maybe I did?! Gosh I'm crazy
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More than likely you did, we have all had these moments many times before.

You can buy caps that fit on the pens that have an in-built timer, one is called Timesulin and I've been tempted to buy one myself, the downside is the battery's only last around 12 months and you can't replace them:

http://timesulin.com/
 
noblehead said:
More than likely you did, we have all had these moments many times before.

You can buy caps that fit on the pens that have an in-built timer, one is called Timesulin and I've been tempted to buy one myself, the downside is the battery's only last around 12 months and you can't replace them:

http://timesulin.com/
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Brilliant - think I'll get one of those. Thanks


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I had a similar situation a couple of months back In a hotel, Germany..
True I'd had a couple of scoops of vodka & diet coke which hit me harder than usual so I crashed out.. (I'm usually careful.)
I awoke the folowing morning with the feeling I'd missed my basal, though testing showed a 4.9.
I asked my bass player I was sharing the room with (a non D in this particular band.) & he said "you were sorting your self out last time I looked."
Sure enough my Clikstar was by the bed & out of the case...

I kept an eye on the levels all day though.. Thinking about it I could have OD.
I look after myself on these tours..

Never again. Not wise...
 
@Jaylee raises a good point. Unless you are absolutely sure you missed the basal shot, don't worry about it. Just take the next one at the next scheduled time. Taking a double basal dose by mistake is much worse than just missing a dose. Missing your basal for a day is not great, but it's no big deal as long as you are eating, testing, correcting during the day. A double dose risks hypos, and they are a different kind of hypo than you may be used to. Basal overdose hypos can creep up on you very slowly, without the familiar warning signs.
 
Spiker said:
@Jaylee raises a good point. Unless you are absolutely sure you missed the basal shot, don't worry about it. Just take the next one at the next scheduled time. Taking a double basal dose by mistake is much worse than just missing a dose. Missing your basal for a day is not great, but it's no big deal as long as you are eating, testing, correcting during the day. A double dose risks hypos, and they are a different kind of hypo than you may be used to. Basal overdose hypos can creep up on you very slowly, without the familiar warning signs.
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Thanks Spiker, I have been correcting at meal times with the NovoRapid but this is common for me when stressed at work! I am going to buy a Timesulin as suggested by Noble as I think £25 is well worth it for the reassurance!


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Spiker said:
@Jaylee raises a good point. Unless you are absolutely sure you missed the basal shot, don't worry about it. Just take the next one at the next scheduled time. Taking a double basal dose by mistake is much worse than just missing a dose. Missing your basal for a day is not great, but it's no big deal as long as you are eating, testing, correcting during the day. A double dose risks hypos, and they are a different kind of hypo than you may be used to. Basal overdose hypos can creep up on you very slowly, without the familiar warning signs.
Click to expand...

Cheers Spiker. You know I respect you! :cool:
Though in fairness the moral of my tale was make sure your never drunk in charge of a pen...:banghead: ;)
 
I went away for a night last year on my birthday and completely forgot to take my Lantus with me.
After speaking with NHS 24 and a doctor it was decided I should just miss it and keep an eye on my levels.
Interesting they didn't rise an awful lot the next day but I may have still been in my honeymoon period then.
 
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