Lantus Question

I'd move it forward an hour to eight, go at that time for two or three days & if there's no adverse reactions, move it to seven.

I think with lantus, slow moves are probably the way to go. It's certainly how I alter the dosage, make a change monitor for two or three days & then make the next step.

Hope this helps.

I still do not understand how my body reacts lantus( diabetic since march 2014)
I inject around at 10 or 11 pm,14 units max.

The only way to find out for sure is basal testing... this involves setting an alarm and testing at regular times through the night.

Continuous monitoring is even better. Having done my basal testing, I was going to bed with readings of 5.5 & waking up around the same. Job done I thought, until I bought the Libre and that showed that I was going to bed with readings of 5.5, waking up the same but dropping under 4 for most of the night. Reducing the Lantus sorted that, leading to a better sleep and staying above 4.5 all night.

moray lass.... I find that it doesn't really peak... whatever I am at when going to bed is pretty much where it will run through the night & then there will be a rise when I wake, say from 5.5 to 7.5, this I think being due to the liver performing a clear out of glycogen that it doesn't think it needs any more. If I were not to eat in the morning, my blood levels will then drift back down to the 5.5 without any rapid acting.

I also find that the Lantus can run out of steam after 18 hours and have experimented with splitting my dose, taking two thirds in the evening and the other third, late morning. Currently I'm back on a single dose just to double check the results.

I've only been diagnosed for less than a year & am finding that my insulin use hasn't settled to a steady state. I think this is the 'honeymoon' effect where the pancreas recovers slightly after diagnosis as better diet, more exercise & the insulin take some of the strain from an ailing organ. While this means you can use less insulin, it's also quite unpredictable as to carb/insulin ratios so good monitoring is worth it's weight in gold in the early days.

It does, occasionally, get quite frustrating when you dose and your sugars don't come down as you expect or worse go lower than you can afford and have to resort to the jelly babies! As long as changes are thought through & given a chance to work, you shouldn't go far wrong.

@jackois, I've experienced the Lantus lasting issue in the past and ended up splitting my dose to account for the break. I found that I got about 16-18 hours out of it rather than 24, so you are not alone in that boat, and I know that others have had to do similar. I ran a nearly 50:50 split though, rather than a 66:33 split, but that was purely based on my own personal results.

What you are experiencing first thing is the liver dump, where the body pumps glucose into the system to kickstart the day, and is common across both diabetics and non-diabetics.

@moray lass My experience with Lantus is that there wasn't much in the way of a peak. It tends to be a very flat profile, unlike Insulatard, which has a clear peak.

tim2000... the dump never used to bother me until I had the libre graph for it to mess up!

moray lass said:

Hi
Thanks all Can you take you rapid acting in my case Humalog at the same time as the Lantus . As you can see I'm very new to this and just finding my way around.

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Yes you can, but don't inject both insulins into the same site, so inject your humalog in your stomach and your lantus say in your bum or legs.

I take my evening dose of lantus at the same time that I take my Novorapid with my evening meal, I switched from taking my lantus at bedtime to early evening for the same reasons as you are Moray lass.

moray lass said:

I thought that was the case but just wanted to make sure. It's all trial and error at the moment and until my pancreas packs up completely I suppose I will be getting some strange things happening.I will concentrate on getting my Lantus moved to early evening and then try a basal test once that is done.Thanks for all your help and maybe soon I can have a decent sleep!!!!

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Without stating the obvious, but if you do take both insulins around the same time of the evening just make sure you don't get them mixed up. Good luck.