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Late with my lantus

rachy0121

Well-Known Member
It’s my first day starting to split my lantus in half and I’ve already forgotten it and am a few hours late. I’m worried now and getting anxious. Just done my bloods they are 9 but I am defiantly setting an alarm tomorrow for it
 
I do believe we have all missed/forgotten to do a basal injection at some point in our diabetic lives. Keep an eye on your BG's today thou AND set an alarm until you get into the swing of the split basal jabs
 
porl69 said:
I do believe we have all missed/forgotten to do a basal injection at some point in our diabetic lives. Keep an eye on your BG's today thou AND set an alarm until you get into the swing of the split basal jabs
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Agree - it should not bee too much of a problem. You could have more problems coming from the splitting of doses, than being a few hours late on the "time stamp"...
 
porl69 said:
I do believe we have all missed/forgotten to do a basal injection at some point in our diabetic lives. Keep an eye on your BG's today thou AND set an alarm until you get into the swing of the split basal jabs
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Ok as long as there is nothing to get scared of I felt like such a idiot when I remembered
 
rachy0121 said:
Ok as long as there is nothing to get scared of I felt like such a idiot when I remembered
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I have forgotten basal a few times (terrible memory!)....I noticed my BG's were getting high for no apparent reason....when thinking back it was the basal.
 
porl69 said:
I have forgotten basal a few times (terrible memory!)....I noticed my BG's were getting high for no apparent reason....when thinking back it was the basal.
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My bloods are always bloody high hence the split now see if this works but yeah deffo if you see something changing you know it’s definitely something fishy going on. I only thank god there ate forums like this and support groups on fb for anytime you need advice!
 
How long have you been type 1?
 
I was diagnosed with Type 2 back in 1995 when I was 49 but I wasn't and never have been overweight but my father had it and my sister has it so maybe it's late onset Type 1 and in my genes. I was on tablets for about eight years and then went on to Lantus then Novorapid was also added. My fluctuating sugar levels settled down on the insulin but the bed time level would be quite high and earlier this year I thought it might be because the Lantus wasn't lasting long enough so I decided to split the dose and my evening sugar levels have been much better since doing that. I set an alarm for 10.00am and 10.00pm so I don't forget but that is also to do with some tablets I have to take. I was admitted to hospital without notice a few months ago and didn't take my insulin for over a day and it didn't make a lot of difference to my sugar levels, until I had a mug of drinking chocolate that is! I don't think being late or missing a dose occasionally will hurt.
 

Oh my goodness this is amazing (not the fact we are diabetics) but what you’ve just said! You know the worrying part though, none of the doctors have actually given me much advice with this and ive used my initiative to go and find local diabetics via social media to meet up with and ask for advice and 90% of them say the split they’re longer acting insulin. Thank you for these words of encouragement! And yes I will be setting alarms loud and clear also! Sorry you’ve had to go through this now for over twenty years
 
porl69 said:
Lol....lots of testing. DAFNE course is a must do. T1D is a PITA. I will not let it beat me. I control it...it doesn't control me
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Sorry what is a PITA? I am now waiting for a DAPHNE course to come through the post for me to attend
 
Hi rachy0121,

Presumably, ma'am, you've given yourself your split dose of Lantus (insulin glargine) now that you've realised that you were late?

You have little to worry about, ma'am, as Lantus has a period of action of up to 24 hours, which means that although your previous dose was about half of your total basal insulin dose youd have still had some working within your system.

Diabetes.co.uk do have a page that shows the periods of action of different types of insulin here: https://www.diabetes.co.uk/insulin/insulin-actions-and-durations.html but I much prefer a similar chart here: https://www.joslin.org/info/insulin_action.html as it indicates the names of the different types of insulin, which you MAY find of more use.

As for your question to porl69 about what PITA is an acronym for, it means Pain In The Ass ... if you'll pardon the French. ;-)

Don't knock yourself, rachy0121. As you can see from the responses you've already received, you are NOT the only one that has missed giving, or been late giving, an injection.

Be well, ma'am.

Lots of Love and Light.

Mick
x x x x
x x x

P.S. Please don't be offended, or alarmed, at the 'x's'. It's merely a logo, of sorts, that I've used for 40-odd years now.
 
rachy0121 said:
Sorry what is a PITA? I am now waiting for a DAPHNE course to come through the post for me to attend
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Howdy again

a PITA is the same as a Pain In The - you know...

rachy0121 said:
Crikey! So you have a lot of wise words for us newbies?
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We do have some really wise people around here, but I don't admit to belonging to them - have only had T1 for 53 years yet, as one of the good reasons why

Edited to say: OK - I noticed a bit late, that a few more here already had the opinion that T1 is a PITA...
(writing slowly - mother tongue = swedish)
 
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Hi @rachy0121, Yes, I have forgotten my doses before breakfast in the past and double dosed myself in the evening - so you are in good company. Besides how else do we learn except from making mistakes?
From my past experience as T1D, not as professional advice or opinion: I have never used Lantus and some have had problems with it regarding absorption, and rarely, from hypos if accidentally injected into a blood vessel.
And even if it it is not lasting 24 hours there is a concern, at least in theory, that if used every 12 hours the overlap could be a problem.
As an example, say the Lantus last 18 hours, if given every 12 hours, there would be an overlap of first and second doses at the 12 to 18 hours mark after the first dose dose. The overlap is called insulin on board or insulin stacking. This term is mainly used where short acting insulin (? what is yours?) overlaps in its action with another dose of short acting and risks hypos occurring. So twice daily Lantus may work if the overlap is not too great and is timed well but otherwise might be a problem.
Consider say the first dose of lantus at 10 pm and the next at say 8 am the next morning, based on a 18 hour action. the overlap is from 8 am the next morning to 4 pm. With the next pm dose of lantus at 10 pm the next night the overlap is from 10 pm til 2am. So hypos might be more likely based on this at say halfway in overlap onwards so ?1pm to 4 pm and 12mn to 2 am.
I and others have also noted that the insulin we take works better, dose for carbs eaten, in the evening compared to the morning. So if more 'umph' is needed say in the morning we might take more short-acting insulin for the number of carbs at breakfast than in the evening. The overlap of lantus in the morning (8am to 4 pm) might helpa little the after breakfast BSL reading to be lower but ? hypo later. Similarly a risk of hypo at 12 to 2 am is not something to wish for !!
So perhaps talk with your DN about what you are doing with your Lantus.
Have you wondered if the high BSLs could be due to something other than the Lantus insulin dosage etc?
Could the highs be due to diet or associated with stressful time of day? And we have already noted that some of us need more short-acting insulin before breakfast. Others also find that their BSL has already started to rise before they wake up.
Also by testing BSLs some find that their short-acting insulin takes longer to 'kick in' than others.
Take Novorapid for example: its peak of action (ability to lower BSLs) is max at say 2 to 3 hours and overall effect may last 5 to ?7 to 8 hours. Lots of variation there. So some of us find that taking Novorapid just before breakfast allows the BSL peak from breakfast to beat the Novorapid peak effect. To better match the rising BSL to the peak in Novorapid effect some delay breakfast for say 3/4 to one hour after the Novorapid is given and obtain a better 2 hours after meal BSL result.
For others the Novorapid taken just before breakfast works fine.
Again some thoughts to share with your DN to help sort things out.
Please keep posting about how things go!!
 

Hi! Yes once I realised I had missed it yes I then took my dose
Thank you I will take a look at the link that you put down! Haha okay I will start using that phrase more often now!! I have read so many times that people have been diabetic for 20/30 years and they are still working progress. But my specialists at the hospital make me feel like I should know everything about everything when I’ve only been diabetic 5 years and I’ve had more knowledge off here than them at all. It’s not great
Thanks!
 
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