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Lantus low? Help me work it out
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<blockquote data-quote="Antje77" data-source="post: 2315407" data-attributes="member: 372207"><p>If I only had access to Lantus, I think I would try the things you are proposing here. </p><p>[USER=525839]@MarkMunday[/USER] mentioned NPH being available, this might be something to look into as well if you want to get rid of the Lantus. I have been on NPH for a couple of weeks before I was changed to Lantus, but this was right after diagnosis so I have nothing sensible to tell on how it worked, I was changed to Lantus because my practice nurse thought NPH was a ridiculous choice.</p><p></p><p>After I had my Lantus low and figured out what must have went wrong I decided I'd go back to NPH if my nurse wouldn't agree with a switch to either Tresiba or Levemir. I actually used my old NPH for one night because the thought of taking Lantus again terrified me. This in turn terrified the practice nurse into prescribing me Tresiba the next day, I was very lucky with my practice nurse.</p><p></p><p>If you look up the action profile of NPH compared to other insulins, it looks like it has a rather steep start, tapering off over the next 12 to 16 hours. My guess is that it would take quite a lot of hits and misses getting it to work the way you want, likely taking it twice a day and possibly adjust the timing to your meal times as well, and it may well be this affects your mealtime doses too.</p><p></p><p>As for how low you need to go before passing out, I think it varies, as I have read from people in the 1's who didn't pass out. For myself, I think I was in the low 2's when my last thought before the light went out was "now don't put your head on that pillow or close your eyes, Antje, you might never wake up again'. Woke up some 2 hours later, thanks to all the sugar and carbs I'd already had, fighting this hypo before passing out. Was around 3 when I woke up again, if I remember correctly.</p></blockquote><p></p>
[QUOTE="Antje77, post: 2315407, member: 372207"] If I only had access to Lantus, I think I would try the things you are proposing here. [USER=525839]@MarkMunday[/USER] mentioned NPH being available, this might be something to look into as well if you want to get rid of the Lantus. I have been on NPH for a couple of weeks before I was changed to Lantus, but this was right after diagnosis so I have nothing sensible to tell on how it worked, I was changed to Lantus because my practice nurse thought NPH was a ridiculous choice. After I had my Lantus low and figured out what must have went wrong I decided I'd go back to NPH if my nurse wouldn't agree with a switch to either Tresiba or Levemir. I actually used my old NPH for one night because the thought of taking Lantus again terrified me. This in turn terrified the practice nurse into prescribing me Tresiba the next day, I was very lucky with my practice nurse. If you look up the action profile of NPH compared to other insulins, it looks like it has a rather steep start, tapering off over the next 12 to 16 hours. My guess is that it would take quite a lot of hits and misses getting it to work the way you want, likely taking it twice a day and possibly adjust the timing to your meal times as well, and it may well be this affects your mealtime doses too. As for how low you need to go before passing out, I think it varies, as I have read from people in the 1's who didn't pass out. For myself, I think I was in the low 2's when my last thought before the light went out was "now don't put your head on that pillow or close your eyes, Antje, you might never wake up again'. Woke up some 2 hours later, thanks to all the sugar and carbs I'd already had, fighting this hypo before passing out. Was around 3 when I woke up again, if I remember correctly. [/QUOTE]
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