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Message: <blockquote data-quote="Binky21" data-source="post: 2737990" data-attributes="member: 187005">Still struggling with the Lantus vs Humalog debate I am having with my Dr.  I am obese, food intake is up to 150gms of carb a day.  I wake at 9.0 BG  to 11.5BG mainly depending on how long I sleep.  If I wake after 5 hours my BG will be 9.0, after 10 hours as high as 12.  I usually go to bed at about 8 - 8.5  BG.  I eat 4 times a day, 1 small meal, 1snack, 1 larger meal and 1 larger snack.  Food is consistent between about 15gms Carb to 50gms of Carb depending on which meal I am eating.  I dont exercise.   Morning food intake is usually 25grams. 2 L/C Toast and a coffee with milk  (15g +10g).  I take 44U Humalog and it comes down to about 10.4BG most days.Dr told me to drop Humalog by 20% (the 44U mentioned above) and to increase Lantus which I did by 30 units or about 38%.Nothing noticeable happened vis a vis the Lantus but after meal bloods went up from the 8's to high (9 and even 10s).  I am still struggling every day with the lower level of Humalog (Almost never see a reading below 8.5 after meals).  So in practice what does this mean (with 38% increase) I am taking 75U Lantus a day and seeing no significant change in my numbers and no low lows. (Below mid 5's in the afternoons if i dont eat for 5 hours).So is this solely insulin resistance?  Or should I push my Lantus up further?  or do I tell the Dr to stop being so hung up about which type of insulin I take and insist I get more humalog?  I tried empagliflozin and unsurprisingly after a lifetime of candida it was a non starter.  I am also on Trulicity that works well and lowers waking bloods by about 14%.Does anyone else find that they need very large doses of insulin to make a difference to BG?  And if so, what is better healthwise?  Or are all amounts of insulin equal and the type doesnt matter?</blockquote>

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