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finally going basal/bolus,help??
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<blockquote data-quote="Katharine" data-source="post: 25399" data-attributes="member: 7958"><p>It's great that you've now got the tools to give you normal blood sugars. Your night hypos were giving me the heebie jeebies !</p><p></p><p>A couple of things. You may consider splitting the lantus dose. It is reasonable to split 50:50 between morning and bedtime to start with and see how you get on. So, if you are planning on 14 units over the 24 hours splitting it to 7u am and 7 units bedtime is where you would start.</p><p></p><p>The reason for this is that Lantus tends to wear off at about 22 hours for most people. If you have a dawn phenomenon your blood sugars could be too high in the morning without a dosage split. If you do have a dawn phenomenon or even just to play safe it is best to rely on the 2-4am blood sugar level when making decisions on adjusting the night time dosage.</p><p></p><p>As in everything to do with insulin you can only take what works for others and adjust it to suit your personal goals and results. A rule of thumb is that one unit of rapid acting insulin will drop bs by about 2.5 mmol. But guess what? Not only does this vary from person to person but according to the time of day, how high their blood sugar is in the first place and whether they are ill or well.</p><p></p><p>Gary Schiener's book Think Like a Pancreas will be invaluble to you in your quest to tailor your insulin regime. The site at <a href="http://www.dsolve.com" target="_blank">http://www.dsolve.com</a> goes into some depth too.</p></blockquote><p></p>
[QUOTE="Katharine, post: 25399, member: 7958"] It's great that you've now got the tools to give you normal blood sugars. Your night hypos were giving me the heebie jeebies ! A couple of things. You may consider splitting the lantus dose. It is reasonable to split 50:50 between morning and bedtime to start with and see how you get on. So, if you are planning on 14 units over the 24 hours splitting it to 7u am and 7 units bedtime is where you would start. The reason for this is that Lantus tends to wear off at about 22 hours for most people. If you have a dawn phenomenon your blood sugars could be too high in the morning without a dosage split. If you do have a dawn phenomenon or even just to play safe it is best to rely on the 2-4am blood sugar level when making decisions on adjusting the night time dosage. As in everything to do with insulin you can only take what works for others and adjust it to suit your personal goals and results. A rule of thumb is that one unit of rapid acting insulin will drop bs by about 2.5 mmol. But guess what? Not only does this vary from person to person but according to the time of day, how high their blood sugar is in the first place and whether they are ill or well. Gary Schiener's book Think Like a Pancreas will be invaluble to you in your quest to tailor your insulin regime. The site at [url=http://www.dsolve.com]http://www.dsolve.com[/url] goes into some depth too. [/QUOTE]
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