Lantus - what's protocol here?
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Spiker
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The DUK forum is a one way broadcast system for out of date NHS dogma.
Whereas this DCUK forum is open and allows debate, multiple viewpoints. Much better
Oh okay - I thought that this forum WAS via DUK
Didn't know that it was independent
It's good definitely
Will start another post after discharge tomorrow about lantus reduction and stuff.
Didn't know that it was independent
It's good definitely
Will start another post after discharge tomorrow about lantus reduction and stuff.
Ambersilva
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DCUK is a different organisation to DUK.
The legend @Spiker is correct. When the Basal insulin amount is correct, us T1s can go for many hours without eating anything. As you know, it is the fast acting insulin bolus that deals with food we eat. Introducing the total basal amount in the morning and again in the evening is a sure way to produce blood sugar levels that are too low and cause severe hypoglycemia.
bowersgifford
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I was on Lantus about 7yrs ago and it sent me mad!! My blood sugar's were also low and I remember running around the garden thinking people out of space were coming to get me, it was that bad. I also hurt myself badly during a hypo at night and fell into my gym machine which caused severe bruising etc. Demand that she be taken off it and an alternative given. What about going on a pump? its the best thing that has happen to me.
ButtterflyLady
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The more I hear about Lantus the less I like it. My friend is on it, and I used to care for someone on Lantus who couldn't inject and I did it for them. Sounds like Levemir is a better alternative, generally?
Ambersilva
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Lantus works for me too! Don't knock it till you have actually tried it...
Spiker
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Lantus works very well for me with no problems. But I totally accept others do have problems with it.
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Sorry to "harp".. Does your daughter normally just have an evening (before bed) dose of Lantus.?
The hospital was wrong to deviate from her established Lantus timing regime.
Constant blood monitoring in these circumstances are also paramount.
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Mmmmm. All very convenient for the "professionals" to change routine for your daughter's Lantus to suit their daily shift pattern.
Lantuses active 24H profile may contradict bolus to carb ratios for meals during the day, if inappropriately changed as such without diligent BS monitoring too..?
Personally? In that position, I would want a diabetes specialist supervising & hypo treatment by the bed.
I truly empathise with your daughter. Consistent BS levels kept within healthy parameters would also aid her healing process with the other non D issues...
ButtterflyLady
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Chill, I wasn't saying it doesn't work for anyone, lol. Just saying I have heard of a few people who have had problems with it.
Spiker
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Well we reduced the lantus to 26 last night. She woke up with 4.1 bm but was very tired
I asked her dad to give her the other meds she has and went to work.
Rang when I got there he's taken her to a and e hypo and she's on a drip.
If she comes back tonight apart from reducing to 24 units - any other ideas?
I asked her dad to give her the other meds she has and went to work.
Rang when I got there he's taken her to a and e hypo and she's on a drip.
If she comes back tonight apart from reducing to 24 units - any other ideas?
Spiker
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Normally basal insulin is less likely as a cause of hypos. While that double dose in hospital was most likely the cause of that very severe hypo, normally basal is not the first cause you would look for. Bolus insulin dosing errors, or exercise, or maybe stress, is more likely. Are you sure that the hypos continued to be caused by the Lantus, when there is no double dosing going on? Personally I would look for other causes first. Reducing the Lantus slowly may be a red herring and the real cause could be being missed.
However, if it is Lantus that is causing hypos, I would reduce the Lantus much more aggressively than reducing by less than 10%. Hypos are serious and potentially deadly. In general you want to be adjusting from high blood sugar down slowly to lower blood sugar, adjusting smaller doses to bigger doses. Adjusting from low BG values to high BG values and from large doses to small doses is less safe. In my opinion anyway.
However, if it is Lantus that is causing hypos, I would reduce the Lantus much more aggressively than reducing by less than 10%. Hypos are serious and potentially deadly. In general you want to be adjusting from high blood sugar down slowly to lower blood sugar, adjusting smaller doses to bigger doses. Adjusting from low BG values to high BG values and from large doses to small doses is less safe. In my opinion anyway.
novorapidboi26
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I know there could be many reasons for this, but at 20 years old, she should be able to make all of the decisions regarding her diabetes management.......
just thought I would drop that in there.....
just thought I would drop that in there.....
It's on waking (pre bed was 7)
No exercise coz her legs killing her following the osseous canulation. No bolus
Stress - well she's had a physical body stress and is fed up with the illness.
What would you reduce to?
No exercise coz her legs killing her following the osseous canulation. No bolus
Stress - well she's had a physical body stress and is fed up with the illness.
What would you reduce to?
She can't she's got cognitive problems after acquired brain injury. She can't understand numbers either
