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Can i clear something up please....

cuddles1985

cuddles1985

Active Member
Messages
41
I may be entirely wrong here and if i am then god knows what i heard when i was being told what to do.....with my lantus which was 36u but over the last tear or so ive lost 2stone and gas come down to 20u...anyways if i keep waking up during the night/early mornings low is this because my lantus needs adjusting?? Im sure i was told by my dns that if this happened to adjust lantus. I had a review at my drs surgery and the nurse who i saw - who is ment to be in the know at the surgery said that i shouldnt adjust that because im waking up low...know im confused


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I'm new to all this but I would say yes. I was dropping a lot in the night so my dn told me to lower my basal (Lantus). However I'm sure there is a check that you do, someone more experienced can probably tell you more but it's something along the lines of have a no carb dinner or make sure you haven't eaten for 4 hours before going to bed. Test your level before bed and then again in the morning if at drops by more 1.5 (don't quote me on the figure that's the bit I'm hazy on) then yes your Lantus is too much. Hope that helps x


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cuddles1985 said:
I may be entirely wrong here and if i am then god knows what i heard when i was being told what to do.....with my lantus which was 36u but over the last tear or so ive lost 2stone and gas come down to 20u...anyways if i keep waking up during the night/early mornings low is this because my lantus needs adjusting?? Im sure i was told by my dns that if this happened to adjust lantus. I had a review at my drs surgery and the nurse who i saw - who is ment to be in the know at the surgery said that i shouldnt adjust that because im waking up low...know im confused


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Click to expand...

Hello,

I used to be on Lantus and I used to wake up with low bloodsugars in the mornings (which some of them made me up end having a seizure and going into a diabetic coma)...not to scare you but do you feel the symptoms of a hypo during the night?

When I saw my diabetic team they were surprised by how the lantus was causing me to have low bloods that they changed me over to another long acting insulin called Levemir...this improved my bloodsugars a lot more and I was having less lows as well. Its not as long as the Lantus which works for 24 hours but it made a hell of a lot of change :)

As we diabetics are all different I'd speak with your diabetic team about whether Levemir might be another option in case you are still having ongoing low bloods in the mornings.
 
Hi,

Lowering the Lantus dose would be the thing to do in the case of night or morning hypos occurring as a regular pattern..
I've had to do this myself recently.. Though I put my insulin sensitivity down to the recent rise in temperature due to this glorious summer..!
I've pretty much maintained the same weight since I was 18.. But there are still a lot of variables that could change this.
 
DiabeticWarriorPrincess89 said:
Hello,

I used to be on Lantus and I used to wake up with low bloodsugars in the mornings (which some of them made me up end having a seizure and going into a diabetic coma)...not to scare you but do you feel the symptoms of a hypo during the night?

When I saw my diabetic team they were surprised by how the lantus was causing me to have low bloods that they changed me over to another long acting insulin called Levemir...this improved my bloodsugars a lot more and I was having less lows as well. Its not as long as the Lantus which works for 24 hours but it made a hell of a lot of change :)

As we diabetics are all different I'd speak with your diabetic team about whether Levemir might be another option in case you are still having ongoing low bloods in the mornings.
Click to expand...

Thanks, it works lowering my lantus i stop getting lows.... She just made me doubt myself cause shes ment to know.
T




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jack412 said:
have you been on a course and got a workbook similar to this?
http://www.diabetesinscotland.org.uk/Publications/9226%20Carbohydrate%20Counting%20the%20Next%20Steps.pdf
Click to expand...

I havent been on a proper course just met up with dn/dietician a few times and roughly told how yo do it. As im now trying to get my health/fitness and just overall well eing in check im now starting to look at doing things properly now, so thanks for that ill print off and have a read :)


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cuddles1985 said:
I havent been on a proper course just met up with dn/dietician a few times and roughly told how yo do it. As im now trying to get my health/fitness and just overall well eing in check im now starting to look at doing things properly now, so thanks for that ill print off and have a read :)


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Click to expand...
until you can get a course arranged through the nurse, there is also a free online course that some here have said is good. even if you get one idea, it's worth it
http://www.diabetes.co.uk/forum/threads/bdec-online-course.56228/

edit , it looks as if the new BERTIE course that was spoken about is up and running, need to register online the same
http://www.bertieonline.org.uk/
 
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That's nonsense what your Dr's surgery nurse said, if your waking to hypo's in the early hours then you need to reduce your basal insulin.

Try reducing your dose again by 2 units and test for a few nights to see if this helps, for some reason they say you should give lantus 2-3 days before the changes are noticeable so do keep this in mind.

btw, well done on your weight loss:)
 
noblehead said:
That's nonsense what your Dr's surgery nurse said, if your waking to hypo's in the early hours then you need to reduce your basal insulin.

Try reducing your dose again by 2 units and test for a few nights to see if this helps, for some reason they say you should give lantus 2-3 days before the changes are noticeable so do keep this in mind.

btw, well done on your weight loss:)
Click to expand...


Thank you :)

Im ok at the moment with the dose im on. I knew what she had said was wrong but i kinda questioned myself then been on it for about 10yrs now didnt want to argue with her shes abit scary lol


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cuddles1985 said:
Thank you :)

Im ok at the moment with the dose im on. I knew what she had said was wrong but i kinda questioned myself then been on it for about 10yrs now didnt want to argue with her shes abit scary lol
Click to expand...

If your still having night hypo's you will need to reduce it further.

Do you take your lantus before bed, the reason why I ask is that I use to take mine before bed and got a few night-time hypo's, my DSN suggested taking it earlier in the day as it doesn't matter when you take it as long as you leave 24 hours between doses, I moved mine to 6-7pm and found a big difference, tbh I rarely get hypo's now during the night and if I do it's because of exercise the previous evening which I've not taken into account.
 
noblehead said:
If your still having night hypo's you will need to reduce it further.

Do you take your lantus before bed, the reason why I ask is that I use to take mine before bed and got a few night-time hypo's, my DSN suggested taking it earlier in the day as it doesn't matter when you take it as long as you leave 24 hours between doses, I moved mine to 6-7pm and found a big difference, tbh I rarely get hypo's now during the night and if I do it's because of exercise the previous evening which I've not taken into account.
Click to expand...

I havent had a hypo since i moved it down to 20, i was thinking of moving it so maybe ill start tonight and see how i get on. What do you think about split doses?



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jack412 said:
until you can get a course arranged through the nurse, there is also a free online course that some here have said is good. even if you get one idea, it's worth it
http://www.diabetes.co.uk/forum/threads/bdec-online-course.56228/

edit , it looks as if the new BERTIE course that was spoken about is up and running, need to register online the same
http://www.bertieonline.org.uk/
Click to expand...

Ive tried to register and do this bertie course but i cant...is there any others or is it a case of going back to my team and asking to be put on a course for it?


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cuddles1985 said:
Ive tried to register and do this bertie course but i cant...is there any others or is it a case of going back to my team and asking to be put on a course for it?


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Click to expand...
go back to your team, others have said and I think, a proper face to face course will be better. the course I went on as a T2 was worth it.
the online stuff is better for background education, try this link for old? bertie
http://www.bdec-e-learning.com/
an example of a workbook
http://www.diabetesinscotland.org.uk/Publications/9226%20Carbohydrate%20Counting%20the%20Next%20Steps.pdf
 
jack412 said:
go back to your team, others have said and I think, a proper face to face course will be better. the course I went on as a T2 was worth it.
the online stuff is better for background education, try this link for old? bertie
http://www.bdec-e-learning.com/
an example of a workbook
http://www.diabetesinscotland.org.uk/Publications/9226%20Carbohydrate%20Counting%20the%20Next%20Steps.pdf
Click to expand...


Thank you thats worked now, that workbook im just waiting to go into work to print out so i can read properly :)


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cuddles1985 said:
I havent had a hypo since i moved it down to 20, i was thinking of moving it so maybe ill start tonight and see how i get on. What do you think about split doses?
Click to expand...

I'm pleased that hypo free for the time being.

As for split-dosing, some fond that lantus doesn't last 24 hours so inject twice, I've not had to do this so I'm not the best person to advise.
 
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