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Changing Lantus Time

A

azizdhl

Well-Known Member
Messages
64
hi guys,

am having a huge sleep hypo since I started taking lantus.. right now am taking at 8pm and I noticed that lantus i's not stay more than 18 hours which is around 2pm..

so right now I want to change my lantus to morning.. so how can I move to the morning? I am thinking of starting by taking the lantus at 2pm then see if night hypo is gone.. if not I will take earlier 4 hours more at 10am

so taking the lantus 4 hours earlier will not cause insulin overlap in my body and lead to dangerous hypo.. specially changing from 8pm to 2pm where I think lantus gone by that time

thanks guys
 
How confident are you that you're not just taking too much lantus? Have you done basal testing to ensure it's the right amount? If it's really only lasting 18 hours then you might need to move to a morning and evening dose, because 6 hours completely without basal is a long time. (Obviously you can take bolus to compemsate, but that rather defeats the object of a basal bolus regime.)
 
EllieM said:
How confident are you that you're not just taking too much lantus? Have you done basal testing to ensure it's the right amount? If it's really only lasting 18 hours then you might need to move to a morning and evening dose, because 6 hours completely without basal is a long time. (Obviously you can take bolus to compemsate, but that rather defeats the object of a basal bolus regime.)
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I agree..
Your Lantus is a bit high to cause a hypo. Maybe you should rather consider reducing Lantus not change the injection time. Again, you might need to consider pushing Lantus from Bolus 3 hours apart because you will gain those 3 hours in the next day and would separate the possibility of bolus causing the drop. Your sugar is 180 before Lantus+bolus or NovoApid (dinner) and then 80 the next morning. How can you tell which on is causing the drop? Maybe you are already sleeping at 100 and waking up at 80 so Lantus is not a suspect in this case. That is the best to do in your case. What size needle do you use? Has your insulin been exposed to heat? Where do you inject? Are there any bruises or lumps? Have you considered reducing Lantus?
 
Hi @azizdhl, some people split the Lantus dose, taking some in the morning and some in the evening, and this seems to work for them. Others find that taking it in the morning means the surge in Lantus activity, which occurs for many of us 4 - 6 hours after injecting, is countered when conscious and thus we’re safer.
Like @EllieM says, a basal test is probably your first step: ensuring you’re taking the right amount is vital
https://www.accu-chek.com/sites/g/files/iut341/f/accu-chek-aviva-expert-how-to-test-a-basal-rate.pdf
Is Lantus your only option? Once you’ve done a basal test you might also consider whether a different basal insulin would suit you better. Some find that Levemir or tresiba works well for them. We’re all individual and your diabetes healthcare person might be brought in to advise you too.
 
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