Hi, I am recently new Type 1. Recently moved from 2 mixed injections to basal Bolus. Humalog and Lantus.This is far more flexible, However I only seem to need small doses as am currently honeymooning. Anyway my question is, Lantus seems to be runnning out after about 16 hrs. My lunch time and tea time readings are strange. I can start pre lunch with 6 ish, then 2 hr 8 3hrs 11 4hrs 12 ish. Therefore tea starts off higher and by bed time am into early teens. I have my Lantus around 11pm, therefore think it runs out about 16 hrs. Also I find in the mornings if I have say even half breadstick my bg rises by about 3 points. I think I can quite succesfully carb count to a point so don't think Humalog ratio is incorrect, however feel like i am chasing the bg post lunch to bedtime.I have to correct morning bgs to gain some control til lunch. I am seeing hosp again wed and would really appreciate some feedback. I realise that it is still early days but I am finding this all v confusing.
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new Type 1 needing advice.
- Thread starter SmithyJ
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Easiest way to see if it is your lantus running out and not your insulin/carb ratio being wrong at lunch is to do a fasting check from breakfast to tea-time, this involves not eating lunch and obviously not injecting Humalog.
So say your bg is 6 at lunch (as you have said) then it should stay around this figure till your evening meal, if it starts to climb considerably then it probably is the lantus running out.
I use lantus and find it does last 24 hours but other people don't, some people do split the dose but lantus isn't designed to be split and often changing to levemir using a split dose is often helpful in overcoming this problem.
So say your bg is 6 at lunch (as you have said) then it should stay around this figure till your evening meal, if it starts to climb considerably then it probably is the lantus running out.
I use lantus and find it does last 24 hours but other people don't, some people do split the dose but lantus isn't designed to be split and often changing to levemir using a split dose is often helpful in overcoming this problem.
Hi SmithyJ,
Like yourself, I could only ever get at best 15 or 16 hours out of Lantus. I ended up splitting the dose in half and injecting AM/PM. This gave me genuine 24 hour coverage rather than the overdose/underdose effect I was getting on a single shot, coupled with the fact that two smaller doses of insulin will always work more predictably than one large dose. You also get the benefit of being able to tweek your AM/PM ratios to suit your needs.
Like yourself, I could only ever get at best 15 or 16 hours out of Lantus. I ended up splitting the dose in half and injecting AM/PM. This gave me genuine 24 hour coverage rather than the overdose/underdose effect I was getting on a single shot, coupled with the fact that two smaller doses of insulin will always work more predictably than one large dose. You also get the benefit of being able to tweek your AM/PM ratios to suit your needs.
Thanks for the advise, may try fast tomorrow. I have thought about splitting dose, however the original dose that hosp put me on is only 2 units so a little difficult. Not sure if that dose is still correct anyway, because I have had to up my insulin carb ratio considerably in the last fortnight. Wondering if honeymoon is coming to an end.
