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Type 1 Diabetes
Help me understand last night's horrendous hypo
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<blockquote data-quote="Antje77" data-source="post: 2272522" data-attributes="member: 372207"><p>Yes. If you hit a very small blood vessel with Lantus it can act as a very quick acting insulin. It has to do with the way Lantus is made long acting. It needs to react with subcutaneous fatty tissue to slow it's action. Get some in your bloodstream and things go wrong.</p><p>Very glad you're OK now, and that your Dexcom saved you, together with good preparation on the fast glucose front!</p><p></p><p>This possible effect Lantus can have is the main reason I switched to another long acting insulin (Tresiba, but Levemir is safe too, in that it can't suddenly act as a quick acting insulin). It happened to me once, a couple of years ago. I remember my last thought before losing 2 hours being 'don't close your eyes now or you won't wake up again'. Obviously I did wake up, thanks to the massive amount of glucose I'd already taken, and the late meal with lots of carbs and fats likely helping as well.</p><p></p><p>This might be of interest to you. I'ts scary. <a href="https://www.diabettech.com/diabetes/lantus-lethal-or-lifesaver-doc-gbdoc/" target="_blank">https://www.diabettech.com/diabetes/lantus-lethal-or-lifesaver-doc-gbdoc/</a></p></blockquote><p></p>
[QUOTE="Antje77, post: 2272522, member: 372207"] Yes. If you hit a very small blood vessel with Lantus it can act as a very quick acting insulin. It has to do with the way Lantus is made long acting. It needs to react with subcutaneous fatty tissue to slow it's action. Get some in your bloodstream and things go wrong. Very glad you're OK now, and that your Dexcom saved you, together with good preparation on the fast glucose front! This possible effect Lantus can have is the main reason I switched to another long acting insulin (Tresiba, but Levemir is safe too, in that it can't suddenly act as a quick acting insulin). It happened to me once, a couple of years ago. I remember my last thought before losing 2 hours being 'don't close your eyes now or you won't wake up again'. Obviously I did wake up, thanks to the massive amount of glucose I'd already taken, and the late meal with lots of carbs and fats likely helping as well. This might be of interest to you. I'ts scary. [URL]https://www.diabettech.com/diabetes/lantus-lethal-or-lifesaver-doc-gbdoc/[/URL] [/QUOTE]
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