all of a sudden 2.3????

Hi, rings a bell with me this one.
You are on Lantus, and while I was on lantus I had the worst unpredictable, erratic control ever. I had been type-1 for 15 years when I was put on it, and things went downhill from there. I tried to find a pattern to it, but there was not one. I did and ate the same things, but no 2 days were the same. I could be up at 15 or 17 after breakfast, and next day peak at 8! I also had days when BGs would be low all day without any Humalog, and other days through the roof no matter how much humalog I took. As soon as I came off Lantus and changed to pork insulin, my control was fine and has been since.-and I felt human again
Lot of people report similar probs on lantus, and I have had many people PM me over this issue.
Lantus works fine for some people, but for others not only does it cause unpredictable BG control, but many side-effects; partiuclarly extreme unusual tiredness, poor cognitive function & memory problems, joint & muscular pain and fluid retention.
I've seen your recent postings and your high 20 - 30 levels make frightening reading, I'm glad you've got that down a bit, but am surprised your doc has not suggested an alternative medication.
I hope you get things sorted soon.
Jus

hya,
are u on lantus?
as it says novomix on your signature, if novomix i found i was up and down constantly and begged to go basal bolus, it certainly worked for me,

Lantus is not meant to have a peak. Certainly I think with my levemir there is a 'kick in' point for it which has some effect, but not enough to lower me that much but it could be in theory I suppose, if you find it is happening round about the same times after injecting your Lantus

If your hypos are within 4 hours then maybe its just too much novorapid? The problem in trying to stop spikes in bg is that the dose you take to do this will have you hypo a few hours later.

I was on mix for a good while before basal bolus and it was easy to treat hypos - I didnt have many, and food was eough usually. Due to the profile of the mix it wasnt as severe I felt in terms of the speed of the drop you can get now. With novorapid if you go hypo its really hard to find a way not to overtreat as hypo at two hours then glucose and a snack will have you rising for next 45mins to an hour - and then the novorapid runs out and your basal doesnt do anything (cause thats not its job). I try to just have enough glucose to get me up and keep me up, but dont always snack depending on how much time left for novo.

The other thing may be that your basal needs cut, as ratios for food will be all over the place if basal is skew whiff.

Otherwise its just diabetes madness and it happens - I had same units, same brekkie as usual today and was hitting 4 at 90mins. Had bit choc, and then only 4.5 two hours later

Keep recording things and you may notice a pattern over the course of week

Hi
Lantus is not meant to peak,and it is supposed to be a 24 hour basal flat-profile insulin, as is Levemir. With many people now being advised to split their levemir dose, this is clearly not the case; and definately not the case for Lantus, as I experienced. Lantus is supposed to be released slowly over 24 hours., however I read somewhere that ia study showed 50% of the Lantus/Glargine could remain at the injection site for up to 36 hours. Because of this info, I was very wary on my first few days on Porcine Isophane in case Lantus might still be being released. There was a posting on here recently about someone's doctor advising that changes in doses of Lantus might take a few days to show.
I think doctors are starting to get to grips, as are many unfortunate patients, that Lantus and Levemir are not all they're cracked up to be.
There are plenty of alternatives, synthetic human varieties and purified animal insulins.
Diabetes UK can provide you with a list, if I get a chance I'll post it later.
best of luck.
Jus

janabelle said:

There are plenty of alternatives, synthetic human varieties and purified animal insulins.
Diabetes UK can provide you with a list, if I get a chance I'll post it later.
best of luck.
Jus

Click to expand...

Jus. Diabetes UK...........wash your mouth out !

What's wrong with this sites own list ? :wink:
http://www.diabetes.co.uk/insulin/insulin-types.html

Oops sorry Ken
Didn't know it was on this website, thanks for posting link-Not a fan of that other charity anyhow, you will not hear me mention them again, promise. Yuk- that soaps a bit frothy
Jus

ebony

Before dashing shouting that you want to change your insulins, you need to consider what happen on the run up... One iffy day doesn't mean that you have to change to another insulin..

It sounds as though you didn't treat the first hypo enough, so still swimming in isnulin that brought on the second hypo then the high is probably caused by the liver getting to dump it store, which would then give you a run of hypo's have nothing to go into the blood stream from the liver, which means all you back ground insulin is then working on food along side your quick acting insulin.. Hence an run off hypos..

You need to be looking at several areas to see if you can indentify anything different earlier in the day..

Work more stressfull
Working more harder so more exercise than normal
Did you change you exercise the day before?

Another one I see by your signuture that you've been diabetic for a year now, this might indicate that your honey moon period is now over, and you need to review how you you control the amounts of insulin that you are using etc to bring it back under control again..

Hi
Im not sure how best to test basal if its only one injection per day as I take it 2x but the best way to do it I think is prob same for both types of basal

**Fasting Blood Glucose then maybe skip brekkie, testing again at lunch. They should be similar in numbers, maybe 1mmol or so difference.
So if your fbg is 7, skip brekkie (some take protein only but to be honest protein does make my bg go up so I just fast) and then test at lunch time., If its around this then its fine. If its too high, then basal likely needs put up or if its too low then it needs put down.

Then try this with each meal on a different day - ie have brekkie, skip lunch and then test before tea time, and so on.

For overnight, test before going to bed when all your fast acting is out of your system, then test again first thing for your FBG. If numbers are poles apart then adjust basal

Once you have this basal set correctly (and I believe Lantus does take a few days to adjust in your system) then work on your ratios for meal time insulin

Once you have this, you can look at the hypo situation and take action on the basis of this

Also, maybe ask for a half unit pen (Novo junior pen) as i found rounding up at times was causing hypos but rounding down wasnt helping me achieve good bg. Half units are helping

Good luck