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Lantus and hypos

Discussion in 'Type 1 Diabetes' started by zed, Jun 6, 2014.

  1. Heathenlass

    Heathenlass Type 1 · Well-Known Member

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    This is quite interesting :

    Signy
     
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  2. Heathenlass

    Heathenlass Type 1 · Well-Known Member

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    And this :
    Source : http://www.diabetes-book.com/cms/ar...my-opinion-there-is-no-24-hour-basal-insulin-

    Signy
     
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  3. AndyS

    AndyS Type 1 · Well-Known Member

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    Just to add my experience when I was on Lantus. Doing basal testing, more or less as Spiker has mentioned with a day of no carb, I found that I saw a consistent rise at around the 16 to 18 hour mark. Increasing my Lantus dose only resulted in in me having a hypos over night (I took my lantus at around 7pm) and all the increase in the dose did was to make the hypo worse or add a second hypo later in the day.

    The key thing to remember is that what works for one person does not necessarily work for another. Some Dr's are slowly waking up to the concept of personalised medicine but it is a very difficult thing to wrap your head around largely due to the amount of data that has to be absorbed.

    Lantus worked great for me for the first 6 months or so after diagnosis but then it just did not do the trick. Luckily I had a DSN that was happy to work with me and look at the numbers with me. She agreed when I pointed out that it felt like the lantus was not lasting (I was angling for a pump) but Levemir has worked great for me and I am pretty happy with it.

    Advising people to simply up their Lantus is, in my opinion, rather dangerous advice without taking the time to look at their logs and getting a good handle on the patterns that may or may not be there. This alone is one of the biggest reasons why I am hesitant to tell people here how they should / should not adjust their doses. We often simply do not get enough data in a brief (or sometimes not so brief) post to be able to make a properly informed decision.

    /A
     
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  4. zed

    zed · Active Member

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    Hi andy

    Am curious when u switched from lantus did you take more or less of levemir ? I know it's an individual thing but I take 36u all together of lantus and I have been advised to take 24 of levemir again split does
    I hate the feeling of high BG if it's over 13 i feel horrible i think 24 won't cover me


    Sent from the Diabetes Forum App
     
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