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Rising levels in the evening??

susieg

susieg

Well-Known Member
Messages
116
Location
nothamptonshire
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
the confusion about what and what not to eat, provided by others who know it all!
I'm wondering why, over the past week my levels have started rising in the evening, usually around 9-10pm - all day I have readings of about 5-7 ish, and then after 9pm they seem to shoot up to about 9 !!
I am using lantus at 10pm each night and humalog at each meal. my fasting readings are 7's. I am wondering if I ought to up the lantus dose?? any suggestions,
I query this as I've only been dx 7months and am not totally sure.
 
Hi,

Sounds like to me your lantus is running out and not lasting the full 24 hours, many people split their lantus or levemir dose into two injections 12 hours apart to ensure full 24 hours coverage.

When i used lantus i split my dose after a while as i too was going high just before my next dose would be due.

Your diabetes specialist should talk you through how to do this if thats the way you want to go.

It can take some tweaking as some people find they need a slightly higher dose in the morning sometimes so it may not be a straight 50/50 split.

It's also handy to do as if you are particularly active in the day on occasion you can alter say the morning dose of insulin to compensate but still have your normal nightime dose to keep you going through the night.

Like i said many people experience this is sometimes the case and splitting the insulin usually works a treat :)
 
Thanks Ebony, I'll have a word with my DSN and discuss it. sounds like your option makes sense.
 
HI susieg,

As ebony321 said, it's most likely that your Lantus is tailing off too soon. You may be noticing this more in the hot weather because the heat tends to speed up the 'profile' of the insulin, basically meaning that it works slightly quicker and tails off slightly sooner than you've been use to. Another reason could be that your own insulin production is waning, so you're starting to notice the fact that Lantus is a "24 hour insulin" that doesn't always last 24 hours. :?

If you can beg, steal or borrow a copy of 'Think like a pancreas' by Gary Scheiner, then page 84 gives a good example of what the true basal requirements of an average type 1 are. In my opinion, a single daily shot of Lantus is never going to match the true basal needs of the average type 1.

Good luck.
 
Ahhhh. Thanks Slimtony, I'll see if they have it in the library. I'm always keen to gen up on these things. If you don't find out for yourself no-one is interested (in the health dept) in telling you these things!

PS. just ordered it from amazon... the reviews were great, so I'm going to add it to my library, seeing as how I don't think I'm ever NOT going to be type 1 :(
 
I'm reading 'think like a pancreas' now..... can't put it down. so much information!! excellent book! I hope now to get my life on track!!!! thanks slimtony!!
 
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