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Lantus Question...

J

jameshallam

Well-Known Member
Messages
109
Hey all - I was diagnosed 6 weeks ago and using Lantus Basel and NovoRapid Bosul. I'm doing some self-testing to try and get my Basel dose right (in the random-ness of the honeymoon phase at the moment!)

The DN told me in the hospital that changes in Lantus injection can take 3 days to take effect - is this right? To me this seems bizarre as the insulin lasts between 20-24 hrs (less in some cases). If anyone could shed some light on this that'd be great.

P.S. Can we try and avoid turning this into another '**** of Lantus' thread - I didn't choose Lantus, it was given to me. The DN said I could tyr another type of Insulin (Levimer I assume) at my next check up if I want to...

Cheers!
James
 
hi im on lantus and nova to ,i'm no expert(only been diabetic just over a year so still learning the fine art of contolling bg levels :? ) but i know when i was adjusting lantus (and i have just about got it right now i think lol)i was told to only adjust it once a week, as you are probably finding out one days readings are rarly the same on the next day so you need a good few days reading to compare and adjust.
 
James

i was diagnosed t1 back in July. My consultant put me on lantus and novorapid and it has worked fine for me. I am concerned about all the bad comments that lantus gets on here but it is working very well for me . my last hb1ac down to 5.7 from 12.8 in 5 months. Some of my friends at work are also type 1 and have been for 20 years and are on levemir and are always struggling to control their levels. I was told to give 3 days after adjusting dosage to see the results. I gues it is to eliminate the chance of rogue readings. Mine settled down at 14 of lantus but was very close to what the consultant suggested on diagnosis.

Cheers

Curleous
 
I have been on Lantus for so many years, I can't remember.......I have found it brilliant.

I take mine at tea time, as I found at bedtime I was having very severe, frequent hypo's, but it wasn't the lantus..it was just when I was giving it to myself. Since changing to tea time I occasionally very rarely get a night hypo.

Yes, I have always been told 3 days before altering dose. My GP used to get me to email him once a week with my readings and food etc. Then once a week he would revise them by email with me. It only took a matter of months to sort out which really is minimal time considering the complexitys of diabetes. I think, as said previously it is to check that you are not getting a one off reading due to more exercise. less food etc, and doing certain things on certain days.

best wishes Sha
 
i on lantus and novorapid flexi pen and yes its true it takes three to four days to see a pattern on how the insulin and sugar levels r wrking . i been on this insulin for many yrs now and i think its excellent cause me sugar level r perfect and as b4 i went on this tey been high .

so it takes 3 to 4 days to see if insulin wrking and u know this by testing ure blood so doc r right it tellin u this u sud listen ot them
 
head323 said:
i on lantus and novorapid flexi pen and yes its true it takes three to four days to see a pattern on how the insulin and sugar levels r wrking . i been on this insulin for many yrs now and i think its excellent cause me sugar level r perfect and as b4 i went on this tey been high .

so it takes 3 to 4 days to see if insulin wrking and u know this by testing ure blood so doc r right it tellin u this u sud listen ot them
Click to expand...

This is some kind of foreign language to me? :lol:
 
Hi all,

Those of you that use lantus and get on well with it - do you have one shot a day or do you split into two doses?

Trying to work out which of the two is better for me. I get slightly better control with two shots but I feel much healthier and more with it with one shot....!

ANy help/advice would be greatly appreciated.

Thanks
Paul
 
Hully 118,

In some people, one injection a day is sufficient (myself included) but others find that it doesn't last beyond 18-20 hours, therefore split their dose accordingly. It is a case of testing really, should you notice that your blood sugar is rising after 18 hrs, this may well be the case. Seeing as you feel healthy on the 2 doses, and I assume your bg's are fine, I wouldn't bother changing; why fix something if it isn't broken!

Nigel
 
Thanks to you both for replying - I think the two doses work best for me as it stops the mid afternoon rise I was getting after taking one shot at 7pm...

Onwards and er... well not upwards hopefully!
 
i too have it once a day at 8am approx, just do which works best for you :D
 
Hi

After reading comments I changed my dose of lantus to 7am and 7pm and halved the dosage that I was having in the mornings only......wow.....what a brilliant result......Not had a hypo since.....not one.

Bloods consistently between 3 and 8.....best thing I have done in 25 years......GP's and Consultants have NEVER suggested dosing twice a day instead of once, they were horrified when I went from night dosing to morning dosing, so I never told them I was changing to twice aday.

I have never felt better.

Thanks everybody, if I hadn't read posts on twice daily dosing I would never have tried it. 25 years I have suffered chronic hypo's at night, not recognising hypo's and living in fear of them.

Wicked.....thankyou
Sha
 
I have been on Lantus a number of years and it originally took about 2 days to work properly. I have one dose at about 8:30pm and that works well fo me.
 
I've been on lantus for years. Since going on the dafne course I've started injecting once in the evening (no point doing it in the morning as sometimes I'm up at 8 and sometimes not til 2!) and it's working a lot better than the split dose I was on before. Also I've managed to decrease the dose by actually injecting the correct doses of quick acting insulin when I eat.
Yep, you do need to wait 2 or 3 days after any dose adjustment to give it time for any patterns to make themselves apparent. And always make small gradual changes. My non dafne trained consultant told me to increase my lantus by 4iu as that's their answer to everything. I had 7 hypos in 3 days and changed it back down again! So be careful with changes to your lantus as it doesn't get used up as quickly as your mealtime doses. Test more frequently after a change to your lantus.
By the way, 3 is definitely a hypo. If your levels run that low all the time, you'll develop hypo unawareness, which can be very dangerous.
 
No levels are not 3 all the time, just on an odd occasion or two. My hypo's do not become apparent to me unless they my readings are LLL or below 1.9.
Yes, I do know that below 4 is on the floor, but as said my occasional 3's are soley first thing in the morning and as I can actually get thorught the night without having 1 or 2 hypo's I think I am pretty good. 1 dose a day in the evenings was giving me chronic hypo's , sometimes two each night, and now,,,I am superb, just an odd one when I have screwed up. I now have my life back having 2 shots a day.
 
That sounds like some pretty serious hypo unawareness. You need to be able to feel it well before it gets to 1.9. I'm not trying to annoy you, but hypo unawareness is incredibly dangerous.
 
CarbsRok said:
donnellysdogs said:
Hi

After reading comments I changed my dose of lantus to 7am and 7pm and halved the dosage that I was having in the mornings only......wow.....what a brilliant result......Not had a hypo since.....not one.

Bloods consistently between 3 and 8
Click to expand...

Can I let you into a secret? 3 is well and truly hypo :roll:
Click to expand...

Here, here! How do people function on 3 mmol/L BG??? (bearing in mind that meter readings can have a 10-20% margin of error - so it could actually be less than 3!!!)
 
AchillesHeel said:
Here, here! How do people function on 3 mmol/L BG??? (bearing in mind that meter readings can have a 10-20% margin of error - so it could actually be less than 3!!!)
Click to expand...

Quite right AchillesHeel! Whether or not someone feels fine and can still function at this level, doesn't take away the fact that they are in a state of hypoglycemia and are putting their own life in danger. Little is known of the long-term effects of repeated hypoglycemic state, but research is ongoing, but in any case its far safer to stay above mid 4's at all times.

Nigel
 
Hi all

This is really interesting. I was diagnosed 7 months ago and am on novorapid and lantus. I don't really understand the full purpose of lantus and sometimes don't want to take it. I've taken the same amount of units-10, until maybe two months ago when I continually hypoed at lunch and so am now down to 8 units.

I always take lantus last thing at night and can't tell if lantus works during the night because when I've had a big meal or been naughty and indulged in the wrong foods, I've still woken up high even when I've adjusted the nivorapid for that meal.

I think my post sounds confusing-I am!
 
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