Struggling :(

[Fetchmeacoffee]

Hi All.

I was on DAFNE last week and found it very good , however I was told my background insulin was too much (Lantus) , I was on 44 units and was taken down to 30 , although Lantus takes a few days to sort itself out I was still ok , up until this morning , all day I have been between 13/16 whatever I seem to do.

I'm really worried that my background isn't working aswell because I'm not taking nearly as much as I used to. I'm in a real loop here , what do I do ? Do I increase my background again ? (I''m pretty sure this is the reason) Or play it out ?

 

[mrman]

What was the reason for the reduction? Wa u having alot of hypos, waking up low. If they simply said thats too much thats crazy, you need what u need

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[Fetchmeacoffee]

They said I was on too much , but it's obviously all going wrong

 

[mrman]

If your waking levels were ok before you was on the right dose. Only way to determine this is by fasting tests night and day ones. Simply saying thats too much is ridiculous. If they are concerned on quantities may be you also have insulin resistance and a thought would be introducing metformin to help reduce insulin quantities. Reducing by saying thats too much, they should know better and perhaps go on another course ran by other people themselves.

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[Fetchmeacoffee]

During the day my sugars where fine , I've come down alot on my lantus , but always felt it wasn't right , but after lowering it down I can't keep my levels good , I'm waking up in the 12's and its carrying on all day , even taking correction dosages.

 

[mrman]

Discuss with your dsn, I can't tell u to up it without knowing all circumstances. Are you also sure your qa doses are correct, what was u before bed, if high then it would be down to the qa

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[Robinredbreast]

Hello

Sorry to hear you are struggling. My Levemir was reduced last year from 16 to 10. I did say to the hospital DSN that 10 wasn't enough, but she said to stick to it, basically it didn't work, BS far too high so I increased it by 2 units to 12 and that has been better, but lately, well, I don't even want to talk about it, but good luck. It will probably mean lots of tweaking to try and get it right, we are the ones that know our bodies so well, one size doesn't fit all :roll:

Take care RRB

 

[weeezer]

My mum has just moved on to a pump, but is v insulin resistant and was using 60 odd units of levemir on a split dose. Yes, huge amount, but it worked! One size doesn't fit all does it. It was worth a try to reduce, but keep a log and call your dsn with your records, hopefully they'll help you to find a balance. If that was me I'd adjust it up slightly (after giving their suggestions a fair chance). It's horrid to be so high for days on end. Good luck.


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[Daibell]

Hi. Are you overweight? If so, this would imply you have a lot of insulin resistance with that level of Lantus. If outside the 'good' BMI range then review your diet and reduce your carb intake if you are not already doing so. I agree it's wrong to just reduce your number of units without discussing the reasons as that will just result in high blood sugar. Check your morning blood sugar and it should be somewhere around 6'ish mmol. Before moving the Lantus back up I would see if a modification of diet will help bring the morning sugar down. I also agree that Metformin will probably help. Sounds like you need a discussion with your GP/nurse.

 

[Kalobe]

The Lantus is more difficult to quickly adjust so perhaps they want you to use more quick acting insulin when you are high rather than running the risk of nighttime lows. I was getting nighttime lows and waking with high blood sugar as my liver was pumping out glucose to compensate. Try to maintain a lower BS during the day. The Lantus takes a few days to settle down. If that doesn't work make sure you talk to your diabetes nurse as you don't want to keep high BS overnight. (Get on a pump if you can as it is easier to control the fast acting insulin)

 

[martwolves]

Hello, I don't take basal bolus, but was considering. I manage as I am and carb count. I don't like anyone finding life difficult through having diabetes, all the very best and I wish you well!
Sorry, I cannot give any constructive information on this occasion. Good luck going forward.

 

[sharonValerie]

Who changed your background insulin, was it the doctors or the DAFNE people. If it was the latter, check with your doctor or diabetes nurse. You may need less Lantus, but its always better to lower is slowly rather than in one go. Good luck, I hope the levels balance out.