Long Acting Swap

[xambernx]

Hey all
I’ve been T1 for 20 years and for the last 3 have been on Fiasp and Levemir. I was splitting my long acting as I live quite an active lifestyle and that helped with overall control.
Levemir is being discontinued so I’ve been swapped onto Lantus and my control has been APPALLING since. It’s now once a day in the AM.
I’ve gone from 85%+ in range on manual injections to 64% in the green and the only change is my long acting. I have been running super high and almost nothing is bringing me down so I’m rage bolusing and then going low.
For most of this week I’ve run high all night and my alarms haven’t woken me, so I wake up feeling rough AF. Then managing to get it down with a correction and exercise then going SKY HIGH with dawn phenomenon (I assume) but I’ve not suffered with this for years
Any advice would be great as I’m getting really really frustrated
xoxo

 

[Jaylee]

Hi,

I’ve used Lantus or a variant for decades.

My experience. I inject PM.
The basal don’t last a full 24hs. But I’m more insulin sensitive at evening/ small hours of the night. Which kinda works as the last dose tails off before the next kicks in.

Dispite this. I’ve never been a massive fan of this basal. Trying & failing for years to get a change if not access to a pump?
The closest I’ve got to help me on this is a half unit basal pen (Sanofi Junior star.)
Lantus for me can also randomly lose potency, too. Changing the cartridge rectifies this for the next day..
leaving me coasting on Novorapid..

Though I’ve had little joy. I would recommend talking to your diabetic team.
Keep records of where it’s going wrong & push for a resolution.

Best wishes..

 

[EllieM]

I was on lantus for a couple of decades and though it worked well at the beginning in latter years I had issues, including a couple of lantus lows. I also found its strength very unpredictable.

Things improved for me when I split the dose morning and night and things drastically improved when my clinic took pity on my hypos and put me on a pump....

(Not sure what the current pump situation is in the UK but in New Zealand all T1s are now entitled to a pump, though there is a big delay in the changeover because they don't have enough staff to do the changeover.)

 

[Jaylee]

(Not sure what the current pump situation is in the UK but in New Zealand all T1s are now entitled to a pump, though there is a big delay in the changeover because they don't have enough staff to do the changeover.)

On the subject of pump enquiry for me in my NHS area. I was told they have the funding. But not enough trained experts.
Meant to be a “5year roll out on the NHS” for pumps? (Or HCL systems.) Of which we are 2.5 years in??