Insulin help please

[Mad76]

Hi all,
I'm hoping you brilliant experienced people can answer a few questions for me.

Quick background
I'm 1 year diagnosed type 1
On lantus and novorapid

1. Am i right in understanding that generally novorapid works and is around for about 4 hours after injecting ?

2. So if this is the case if I inject at 730 pm by about midnight its had it affect ? So any change after this is due to basal ?

3. I'm having hypos at about 3am. So is it correct that I need to gurther adjust my basal??

Thanks in advance

 

[Wayward Blood]

Hi Mad76, I think short-acting works for around 4–5 hours, with its peak at about 1 hour. So at 3am it should be out of your system. Therefore you're correct that your 3am hypo could well be down to your basal dose. One other thing to mention: I was on Lantus for over a decade, but I switched to Tresiba around 5 years ago. This was because I found Lantus unpredictable – it caused peaks and dips rather than keeping my background levels stable. Some people get on well with it, but I don't think I'm the only one who's had this problem.

 

[Mad76]

Thank you.

I know theres no norm for everyone but is it normal to keep having to tweak basal ?
When I was diagnosed first I was put on 10 units lantus this slowly reduced to 6. Then slowly increased to 12. And now I'm reducing it again.

 

[Jaylee]

Thank you.

I know theres no norm for everyone but is it normal to keep having to tweak basal ?
When I was diagnosed first I was put on 10 units lantus this slowly reduced to 6. Then slowly increased to 12. And now I'm reducing it again.

Hi @Mad76 ,

Here is a link to help you out regarding basal testing. https://www.mysugr.com/en/blog/basal-rate-testing/

Out of curiosity, are you finding the hypo frequency coinciding with starting a new Lantus cartridge? Thus requiring a reduction in dose?
Then finding after a number of days or about halfway down the cartridge, Lantus efficiency diminishing & having to increase the dose to compensate??

 

[Mad76]

Hi @Mad76 ,

Here is a link to help you out regarding basal testing. https://www.mysugr.com/en/blog/basal-rate-testing/

Out of curiosity, are you finding the hypo frequency coinciding with starting a new Lantus cartridge? Thus requiring a reduction in dose?
Then finding after a number of days or about halfway down the cartridge, Lantus efficiency diminishing & having to increase the dose to compensate??

No, I'm mid pen at the moment and have had hypos for the last 2 nights, so not a new pen

 

[Mad76]

Hi @Mad76 ,

Here is a link to help you out regarding basal testing. https://www.mysugr.com/en/blog/basal-rate-testing/

Out of curiosity, are you finding the hypo frequency coinciding with starting a new Lantus cartridge? Thus requiring a reduction in dose?
Then finding after a number of days or about halfway down the cartridge, Lantus efficiency diminishing & having to increase the dose to compensate??

Thanks for the link

 

[Bishop]

Hi all,
I'm hoping you brilliant experienced people can answer a few questions for me.

Quick background
I'm 1 year diagnosed type 1
On lantus and novorapid

1. Am i right in understanding that generally novorapid works and is around for about 4 hours after injecting ?

2. So if this is the case if I inject at 730 pm by about midnight its had it affect ? So any change after this is due to basal ?

3. I'm having hypos at about 3am. So is it correct that I need to gurther adjust my basal??

Thanks in advance

Hello
I use Novo Rapid as well. It should be out of your bloodstream after 4-5 hours. It's a little bit different from person to person but this is how Novo Nordisk says. If you want to be 100% sure don't eat anything in one evening. Have your lunch a bit later and then skip dinner.
I think Lantus is the problem. The question is how low do you go and what numbers you have in the morning? If you are really low and you have to treat the low then that should be simple, just take less Lantus until you see better numbers. Every time you change Lantus wait 2-3 days to see the results and never alter the dosage too much at once. Gradually decrease the dosage. For instance, I change it with 2-3 units and wait 2-3 days to see the results.
Good luck!