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Type 1 Anyone Ever Needed To Change Ther Basal Insulin Over Time ??

From my experience of 51 years on insulin, not as health professional advice or opinion:
Have you done any basal testing such as fasting in 6 hour slots ? An example is: One day skip breakfast and morning short-acting and measure BSLs say 2nd hourly from say 6am to 12 md. Another day, skip lunch and before-meal short-acting insulin and measure BSL 12md to 6 pm. Another day skip dinner and before-dinner short-acting and measure 2nd hourly BSL 6 pm to 12 mn. and finally 2nd hourly BSL 12 mn to 6 am.
Armed with these results discuss with your DSN or doctor to see whether your basal needs changing.
 
You are a prize to this community sir.
 
Cookiekeri said:
Feel like my lantus glargine isn’t working for me anymore
Click to expand...

I agree with kitedoc, but personally I would not use Lantus unless it works well for you and you're happy with it or you have no other option financially. Levemir and Tresiba are basals that work more consistently and are safer in my opinion since they cannot cause dangerous hypos after injection as Lantus has been known to do.
 
I change my Lantus dose depending on how my nights go, usually one unit.
 
Must admit that I had the same feelings after being on Lantus/Nova Rapid for the last 15-20 years, so had a word with my DSN and took the attictude of "well you only live once" so changed my Nova to Apidra and tonight I am swapping Lantus for Tresiba.

Must confess I have not done any basel testing.
 
I've recently changed to Tresiba after +25 years on Lantus, I made the change as the Lantus no longer seemed to work as it once did and I'm feeling better for the change, although it's not perfect

I don't know if I'm a good example as have never basal tested as I believe it involves not eating
 
For most of us, basal isn't a consistent "thing". Our insulin needs change according to a lot of factors, i.e. fitness, stress, hormonal imbalances, etc. Simply living causes these things to change, and for some people (especially if you're female) these changes happen more regularly.

The upshot is that if you haven't checked your basal insulin amounts in a long while, they are probably wrong and will need adjusting. We're learning from using artificial pancreas systems that both basal needs intra-day and inter-day can vary quite a lot, and that what we thought we knew about how the body works with insulin in type 1s is pretty wrong.
 

Your last line about not eating made me laugh out loud @kev

I'm not sure whether I'm supposed to......

Tony
 
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