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Message: <blockquote data-quote="Ambersilva" data-source="post: 469386" data-attributes="member: 43736">I know you know this already.  I am writing about the method that was recommended to me as a Type 1. Going by your weight c.72kg, your total daily dose of insulin should be about 36 units.  Half of the total dose should be long acting insulin.  You need the long acting insulin to work in the background whether you eat or not.  You then need the fast acting insulin to deal with the food you eat.  If you cut back the slow acting insulin too much your blood sugar levels will rise to a constant but higher level. You have already reduced the long acting considerably and if your waking and fasting level is at the correct level then I believe you do not need to reduce it further. Only reduce Lantus gradually and allow about three days for the change to take effect before reducing further.  If you go to extreme low carb you still need to adjust the insulin to cover the protein and vegetables. You have to be careful when cutting right back on insulin because your body needs insulin to provide the key to let the blood glucose into the cells for energy.  I have made the mistake of not injecting enough insulin for a low carb meal and have ended up with absolutely no energy and found that even to remain standing was difficult.  A bit inconvenient when you are one mile away from home with no bus to your destination and you've left your fast acting insulin at home with blood sugars rapidly rising.</blockquote>

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