is it safe to reduce one whole dose

Personally, I think it's safer to reduce a dose by small increments, rather then a whole dose, but that's just my opinion. Maybe you should consult your health care provider.

Ive not come across people injecting Lantus twice a day just 1 a day in my case.

Do you aim for a particular target BG reading at a particular time? eg first thing on a morning.

In my case I followed a rule which I read on a hospital crib sheet.

A reading of less than 4.5mmol/L on waking then deduct 1 unit.

A reading of 4.5 to 4.9 on two consecutive days then deduct 1 unit.

This worked out ok (especially when losing weight) but I wouldn’t know if this rule could be applied to 2 injections.

In other words small increments (like has been mentioned ) then measure the result.

It's best to discuss it with your doc. I see an endocrinologist and he just asked me to change my basal dosage and mentioned that I'm to keep adjusting until I get the results. He commented that insulin needs do change. But the thing is he's only allowing me to increase by 1 unit at a time. I wouldn't think skipping a dose would be a good idea, reducing units you take would probably be the safer option. I wish you the best.

I Do not know I use Lantus and at my worst control I took Maximum of 28 Units am now on 12-14 Units both once a day So the thought of taking over 100 units a day is strange to me wonder what your Bs levels are
I also wonder if this dosage seems high to any other Lantus users

When I entered the maximum dose weight on this calculator 505lbs it showed a dose of 45 units once a day you are taking 133 units over a day which means you would have to be approx. 1500 lbs
any way something is not right perhaps you figures are your Blood Sugar Readings rather than your Lantus dosage

https://www.lantus.com/hcp/dosing-injection/insulin-dose-and-dosing-calculator

My lantus dosage is 20 units.

CDPM, what are your blood sugar levels? If not too personal, what is your weight category (normal, overweight, obese, or morbidly obese)? Do you also bolus? What other anti hyperglycemic agents do you take? What was your starting dosage of lantus and how did you get to your current dosage?

In a way I'm glad I was prescribed insulin because its easier to control when dieting. A low BG reading means you just lower the insulin one or two units next time.
With tablets (especially capsules) you are stuck with a fixed dose and you have just got the type of diet you are on to control the BG readings (using low carb diet). Whereas I never bothered to switch from an Eatwell diet.
With using insulin I reduced it 26 times to lose 5 stone.

Sorry this is a different question for you all what do you consider a low I'm finding that I start feeling low about 4.3

Farrowlily said:

Sorry this is a different question for you all what do you consider a low I'm finding that I start feeling low about 4.3

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It's probably a good idea to start a separate post. Although I will answer your question for you..... for me when I fall below 5 on the meter I start to feel it and it's usually because of the speed of the drop of my sugar levels I believe. Eg. I will be 5 on the meter and 15 mins later I'd be sitting on 3.9 or something like that. My endocrinologist advised that if you are getting hypo symptoms, don't ignore the symptoms and treat the hypo. I find personally that I rarely feel hypo when my sugar is in normal range or more on the high side. The only time I can get confused is when I have a migraine as I get more hypos during migraines and also my migraines give me similar symptoms to hypos at times so I have to be extra vigilant. Although on saying that I will always check my sugar on my meter any time I feel strange. On the odd occasion I may not feel too bad and I'm in the 3's on my meter.... when I treat it I then get the hypo symptoms when my sugar levels are coming back up. So I hope my experience helps shed some light for you. We're all different though. I was told by my endo to know your 'safe' number.... that's the number you shouldn't go below otherwise you risk getting a hypo. For me that number is 5 and that was on advice from my endo too. He's right... any time I fall below 5, I'm in trouble. Maybe that is something for you to consider too. Your safe number may be different to mine, but always good to give yourself a target to avoid hypos. I wish you the best.

rmz80 said:

In a way I'm glad I was prescribed insulin because its easier to control when dieting. A low BG reading means you just lower the insulin one or two units next time.
With tablets (especially capsules) you are stuck with a fixed dose and you have just got the type of diet you are on to control the BG readings (using low carb diet). Whereas I never bothered to switch from an Eatwell diet.
With using insulin I reduced it 26 times to lose 5 stone.

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Me too to lose 4st.
Back to more insulin now thou due to severe pain in my back/leg.
I could reduce novarapid but not basal. No matter what I did. Humf!

Thank you.mep that was really helpful and I must admit your experiences sound very similar so I won't feel bad for treating myself for a hypo at 4.5 and hopefully I'll comeback up a lot better