• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

New to low carbs..tried & failed! Help!

Ok so only a +2 rise overnight. The main problem is the high bedtime value. Would you not want to do a moderate bedtime correction of those bedtime 9s? That's what I would do. I know some people are scared of night time corrections. But you have ample evidence a correction would be safe, eg the 3am values that are unchanged.
 
@Spiker @robert72 totally agree. Am worried about low levels at night as again I feel my other tea time insulin may still be working so I would be taking more anyway, if that makes sense. They are 9.4 so I took 2 units to hopefully bring me down a little.
 
lcarter said:
@Spiker @robert72 totally agree. Am worried about low levels at night as again I feel my other tea time insulin may still be working so I would be taking more anyway, if that makes sense. They are 9.4 so I took 2 units to hopefully bring me down a little.
Click to expand...
Hopefully you know your correction dose so it shouldn't drop you too low
 
They were 10.2 upon waking.. didnt check through the night.
 
Sorry if you already explained this but what's your basal pattern? You might benefit from a split basal, or a different split if you already split your basal.
 
Hmm. That may explain why you are high at the end of the day, which is what seems to be the problem, rather than the overnight high, which is only +2 higher in the morning than at bedtime.

Are your levels fine at other times apart from bed time and waking?
 
Yes they are actually. Alwats high in the morning but they dwindle off around midday/2pm What do you suggest?
 
Do they normalise by noon because you take a correction dose, or do they just do that by themselves (ie due to basal)?
 
I ended up taking my Lantus as 6pm as I was sure it didn't last the full 24 hours. This gave it time to get going again in good time before bed.
 
Lantus often doesn't last the full 24hrs, so splitting the dose can help. If your basal demand is flat and even, then an even split is best. It's also sometimes possible to accommodate a basal requirement that varies during the day, by using an uneven split.
 
@lcarter, for starters maybe split your Lantus 16 + 16 at 2 x 12 hour intervals, because it looks like it's fading around 20+ hrs after you inject it at 9pm, giving you the bedtime high that then runs all night.
 
lcarter said:
They do it by themselves.
Click to expand...
In that case you might want to split the Lantus slightly unevenly, maybe 18 AM / 14 PM, or even 20 / 12, otherwise once you have fixed the overnight high you may find the PM Lantus takes you low in the late morning.
 
Split-dose would give you a better coverage if you find the lantus dose isn't covering the full 24 hour period, however there is a new basal insulin available that is called Trisiba and it's said to last 42 hours, you still have to inject it everyday but by all accounts it's a good insulin, the only problem being that it's more expensive than the likes of lantus & levemir.
 
noblehead said:
Split-dose would give you a better coverage if you find the lantus dose isn't covering the full 24 hour period, however there is a new basal insulin available that is called Trisiba and it's said to last 42 hours, you still have to inject it everyday but by all accounts it's a good insulin, the only problem being that it's more expensive than the likes of lantus & levemir.
Click to expand...
Been using Tresiba for 3 months now and it's much flatter than Lantus was for me.
 
robert72 said:
Been using Tresiba for 3 months now and it's much flatter than Lantus was for me.
Click to expand...
Tresiba sounds awesome and the only potential drawback I can see is for people whose underlying basal demand actually isn't flat, isn't uniform over 24 hrs.
 
Spiker said:
Tresiba sounds awesome and the only potential drawback I can see is for people whose underlying basal demand actually isn't flat, isn't uniform over 24 hrs.
Click to expand...
Of course, but at least it really does last the whole day.

Interestingly, Sanofi are currently going through approval of a new basal insulin called Toujeo. They are now saying that Lantus isn't as flat as was first claimed and that it's more active during the night when it's more likely to cause hypos. Or is this all marketing spin :eek:

Page 9 in this month's IDDT newsletter: http://www.iddt.org/wp-content/uploads/2014/09/IDDTNewsletter-Sep2014.pdf
 
It's probably got a point, but I think the first sentence may have it...
"The long-acting insulin, Lantus, loses its patent next
year, so its manufacturer"
 
Back
Top