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Message: <blockquote data-quote="phoenix" data-source="post: 222103" data-attributes="member: 12578">For myself I used 16 units of lantus when I left hospital, that reduced a bit and now on a pump I take between 10 and 12 units of basal.I think maybe that the difference is in the amount of care, rather than the amount of insulin.As you say you're now not getting the potentially dangerous lows at night , this needed to be addressed.It's also telling thay you were on the same dose for 'many years'.   Sadly, we read a lot of accounts of people in the UK being left to fend for themselves  when they're adjusting doses... some even directly after diagnosis.  ( I'm sure there are people with good experiences but  perhaps they're less likely to post).   The big difference seems to me that  in other parts of Europe, they  don't have nearly as many patients to deal with compared with the UK  and I'm sure that makes a big difference.  I My local hospital in France has diabetes as a specialism so the ward has patients from a wide area  but the 2 doctors  and specialist nurse only have 300  diabetic outpatients between them. They have far more time to give me and that was especially true when I was first diagonosed and also when I moved onto using a pump.  My specialist  knows me as a person, rather than a set of notes put in front of her. One of the specialists at the Good Hope hospital in Birmingham notes compared his resources to those of a colleague in Holland. letter to BMJ  <a href="http://www.bmj.com/content/327/7409/260/reply" target="_blank">http://www.bmj.com/content/327/7409/260/reply</a></blockquote>

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