1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Lantus

Discussion in 'Type 1 Diabetes' started by Sarahxx, Apr 10, 2018.

  1. Sarahxx

    Sarahxx Type 1 · Member

    Messages:
    7
    Likes Received:
    3
    Trophy Points:
    43
    Hi all,

    So I’m at my wits end with my Lantus ATM. I take it around 9.30am but I am having hypos around 1-1.30am. I reduced by one unit and found I ran higher all day yet I went to bed with a higher than normal reading 9.8 woke up at 1.30 was at 6.2 and by morning it was 4.8.
    Did this for a few days an reduced by another unit which then I ran high all day.
    Has anyone else had this? How did you overcome it?

    Any advice greatly appreciated.
     
    • Like Like x 1
  2. Circuspony

    Circuspony Type 1 · Well-Known Member

    Messages:
    850
    Likes Received:
    483
    Trophy Points:
    103
    I changed to Tresiba!
     
    • Agree Agree x 2
  3. LooperCat

    LooperCat Type 1 · Expert

    Messages:
    5,219
    Likes Received:
    7,627
    Trophy Points:
    198
    Same...
     
  4. Levy

    Levy Type 1 · Well-Known Member

    Messages:
    312
    Likes Received:
    100
    Trophy Points:
    83
    I agree with the above - if the profile of Lantus doesn't suit you (which it seems like it isn't) then ask for a different basal insulin. I personally haven't been on Lantus for years, but was recently switched from Levemir to Tresiba on advice of my consultant. I wasn't sure at first, but it's been really great for me as it has a very flat profile (not curved, like Lantus, where it starts slow and peaks after a number of hours) and it is ultra long acting so I never run out before my next shot!
     
  5. porl69

    porl69 Type 1 · Well-Known Member

    Messages:
    3,654
    Likes Received:
    4,080
    Trophy Points:
    198
    Same here
     
  6. kev-w

    kev-w Type 1 · Well-Known Member

    Messages:
    1,903
    Likes Received:
    3,156
    Trophy Points:
    178
    I think I'm finding Lantus to require a larger dose to last 24 hours than it needs to maintain a baseline (if that makes sense) and I also think I see variations in how it works from day to day, it's a lot more stable than I remember the older (humalin I & human insulatard and ones before) insulin to be. The consultant suggested changing to Tresiba back in January but I didn't fancy it then, but think I do now whilst wearing the Libre.
    Question tho (sorry for the thread hijack) do you inject the same amount each day around the same time?
     
  7. eabhamurphy

    eabhamurphy · Well-Known Member

    Messages:
    94
    Likes Received:
    43
    Trophy Points:
    38
    This was my problem with Lantus. To avoid hypos I had to have highs which I wouldn't accept. First thing was splitting the Lantus dose, which confused me and I honestly struggled to remember to take it twice. They then switched me to tresiba. They said if that didn't work they would have to give me a pump. I didn't even try the tresiba, I wanted a pump.
    It was odd for me because for the first five or so years, Lantus worked really well. Then it didn't.
     
    • Like Like x 1
  8. LooperCat

    LooperCat Type 1 · Expert

    Messages:
    5,219
    Likes Received:
    7,627
    Trophy Points:
    198
    I inject 17 units at 8am, but for one week in the month when I’m a bit I insulin resistant I up it to 18.
     
    • Like Like x 1
  9. porl69

    porl69 Type 1 · Well-Known Member

    Messages:
    3,654
    Likes Received:
    4,080
    Trophy Points:
    198
    I went from 18 units of Lantus at 10pm to 11 units of Tresiba at 10pm within 2 months with the help of the Libre
     
    • Like Like x 1
  10. kev-w

    kev-w Type 1 · Well-Known Member

    Messages:
    1,903
    Likes Received:
    3,156
    Trophy Points:
    178
    I skipped that thread and the menopause HRT one :) but thanks as it's the 24 hour life I', hoping for.
    Again thanks as it's the 24 hours :).
    Last week whilst chasing my Libre script I was told I could ring to book to see a DSN, but today I'm told I can't as there's no appointments, but am owed 4 sensors from clinic and am going to go get some .8mm needles to try as they asked why I was using 12mm's so will have a pester in person...

    To the OP, do you carb count, eat around the same times etc? Myself I have my Lantus around 10pm and if late eating the following evening can see a drop from it as I've no active bolus at that point.
    Why do I take my basal on an evening? I haven't got a clue, other than that's what I was told to do 33 years back, and no-ones suggested changing...
     
  11. Sarahxx

    Sarahxx Type 1 · Member

    Messages:
    7
    Likes Received:
    3
    Trophy Points:
    43
    I take the same amount at the same time each day and carb count. I don’t eat late so by 10-11pm all short acting should be out my system.
    I tried split dose but again remembering an extra needle was a pain an found my requirements where more during the day and couldn’t sort the doses so that’s why I put it to the morning.
    I’m finding I also need a lot of the Lantus (27 units) just to get me through the day then hypo at night.
    I also used to take the Lantus at night but morning sugars where always high and when it got to teatime I was running high.
     
    • Like Like x 1
  12. karen8967

    karen8967 Type 1 · Expert

    Messages:
    9,219
    Likes Received:
    26,498
    Trophy Points:
    198
    i am currently using lantus i took 10 units at 10pm but that was not enough yet 11 units sent me hypo around 3/4am mentioned this to diabetes team and was given a half unit pen so now i take 10and a half units and that seems fine although reading what others have said about tresiba will ask if maybe i can change to that :)
     
  13. Sarahxx

    Sarahxx Type 1 · Member

    Messages:
    7
    Likes Received:
    3
    Trophy Points:
    43
    See the problem I’m having is that if I reduce my insulin by one unit I run high all day then still drop overnight.
    Maybe tresiba is a better option.
     
  14. scorpius14

    scorpius14 Type 1 · Active Member

    Messages:
    38
    Likes Received:
    13
    Trophy Points:
    28
    lantus always did have its side effects or maybe thats just me
     
  15. karen8967

    karen8967 Type 1 · Expert

    Messages:
    9,219
    Likes Received:
    26,498
    Trophy Points:
    198
    it may well be sarah but as i said b4 ask about a half unit pen its worked fine for me also i take my lantus at nighttime not if a day thats what i was told to do and i notice in your post you take yours at 9am:)
     
  16. porl69

    porl69 Type 1 · Well-Known Member

    Messages:
    3,654
    Likes Received:
    4,080
    Trophy Points:
    198
    12mm in length??? WOW you must have thick skin Kev. Mine are 4mm in length :D
     
    • Funny Funny x 2
  17. kev-w

    kev-w Type 1 · Well-Known Member

    Messages:
    1,903
    Likes Received:
    3,156
    Trophy Points:
    178
    I've recently discovered taking 3 units less of Lantus each day has no noticeable effect, so maybe you're right :)
    I discovered shorter needles from this site, I asked my GP who told me to ask the clinic and they were getting back to me so I got back to them, and today I was told that 12mm weren't recommended....
    33 years....
     
  18. porl69

    porl69 Type 1 · Well-Known Member

    Messages:
    3,654
    Likes Received:
    4,080
    Trophy Points:
    198
    @kev-w that size brings back terrible memories from my childhood with the glass and metal syringes and needles as long as darning needles (darning needles were probably sharper!). Been on 4mm for 3 years now, was on 6mm for probably 10 years before that. You'll think your in heaven with the shorter needles mate :)
     
    • Like Like x 1
  19. becca59

    becca59 Type 1 · Well-Known Member

    Messages:
    2,061
    Likes Received:
    2,634
    Trophy Points:
    198
    Go for 4mm told by my team nobody needs anything longer these days.
     
    • Like Like x 1
    • Agree Agree x 1
  20. becca59

    becca59 Type 1 · Well-Known Member

    Messages:
    2,061
    Likes Received:
    2,634
    Trophy Points:
    198
    Changed from Lantus to Toujeo two years ago. So much flatter, and back to one dose a day instead of two. I take it first thing in the morning as that is convenient for me. I was told it doesn’t matter when you take basal as long as it’s the same time each day.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook