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Finally figured it out!

Discussion in 'Type 1 Diabetes' started by marktype1, Oct 10, 2016.

  1. marktype1

    marktype1 Type 1 · Well-Known Member

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    Ok, so I have been on Lantus and Humalog for some time now, possibly coming up to 5 years. Even though it was much better than my previous insulin regime (mixtard or whatever it is called now), I was having constant lows and highs at specific times of the day despite sussing out my carb counting and stuff. After deciding to ignore medical advice and do some experimenting on my own (I recently changed hospitals because my specialist told me that I should not get an insulin pump because needles are easier to take........despite the fact he was not Diabetic himself and I was at that point taking around 7 or 8 needles a day) I figured out that I was having frequent hypos on Lantus and Humalog due to 3 things: Lantus dosage to high, Dinner time Humalog dosage to high and the time of day Lantus was taken.

    Here is what I found:

    Pre experiment
    Lantus in the evening = hypo in the morning (it peaked overnight which is when sugars are low anyway)
    Lantus in the morning = high blood sugar the next morning (it was not lasting 24 hours, take more? hypos all day)

    I then moved my Lantus to dinner time (around 12PM). This worked great for a few days and I stopped having hypos in the morning but all of a sudden I started getting horrific hypos every night at tea time. I tried all I could with the dosage of Lantus and at this point was starting to get really stressed about it and was about to book an appointment to have my regime changed to something different. I then realised I should play around with Humalog dosage. Now I originally thought that I should ALWAYS take enough humalog to match the amount of carbs I have eaten (EG: for me 10 carbs = 1 unit of insulin). So I was originally taking 6 or 7 at dinner time to match the 60 or 70 grams of carbs. When I decided to lower the humalog dose JUST for that meal to about 2 or 3 units less, WALLA!!!!! Blood sugars are now much more stable. Although I still have some occasions where I am not perfect, I am barely having many hypos any more and that is the best thing in the world!!!!!

    Looking forward to my next HBA1c result!

    So I guess my advice is this if you are having trouble with Lantus --- Try Move it around to maybe midday or other time in the day and if it is the same time you are taking a humalog dose, lower the dose to 2 or 3 units less than what you would normally take with other meals.


    People have probably already worked this out to be fair, but thought I would share with the group anyway :')
     
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  2. Joah

    Joah Type 1 · Active Member

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    Did you try splitting your lantus dose as part of your experiments?
     
  3. Joah

    Joah Type 1 · Active Member

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    Actually if you split your lantus dose did they have to be 12 hours apart?
     
  4. asparagusp

    asparagusp · Guest

    That's my experience too and wonder if switching to Toujeo is an option as it can last up to 36 hours as opposed to 24.
     
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