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Should I split my Lantus dose?

Discussion in 'Insulin' started by Cookiebell, Sep 11, 2014.

  1. Cookiebell

    Cookiebell Type 1 · Well-Known Member

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    I currently take 13 units of Lantus at 9pm every night.

    I've noticed that my blood sugars creep up from about 4pm, is his due to my Lantus 'running out'?

    Is it common to take Lantus twice a day? If so, how do you work out how much to take and when?

    Many thanks :)
     
  2. pdjenna

    pdjenna Type 1 · Member

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    hi, its been a few years since i took lantus - not a particularly effective insulin for t1's as it really only works effectively for around 20hours (in my experience). I did split mine which helped a bit, but clinic were not happy as i think its only licence for once a day - could be wrong about that, and it might have changed since i took it!
     
  3. Indiana91

    Indiana91 Type 1 · Well-Known Member

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    I split mine when I was on it too. It didn't really work for me and the doses I had were ridiculous! 36u in the morning and 38u in the evening. I think you spilt it down the middle and work from there. You're best to ask your DSN before splitting it.

    Indiana x


    Sent from my iPhone using Tapatalk
     
  4. Cookiebell

    Cookiebell Type 1 · Well-Known Member

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    Thanks, I'm seeing my DSN on 3rd October, so will ask then x
     
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  5. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

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    you would tend to split 50/50 initially then test the dose overnight first.......

    Lantus takes 2-3 days to see the effect of any dose change and so pinning down the right dose for both the AM an PM portions of the day could take some time.......

    Levemir however can be split and changes are noticed immediately, so much more flexible.........

    some people prefer Lantus though for varying reasons but it would be worth a shot I believe.......
     
  6. noblehead

    noblehead Type 1 · Guru
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    Do some basal testing to make sure it is your basal insulin that is running out late afternoon and early evening, if your not sure how to do this take a look at following:

    http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

    If you find it is your lantus and you don't want to split-dose ask your consultant if you can change basal insulins, there was a new basal insulin launched last year in the UK called Tresiba, it last up to 42 hours and is taken once a day, it's a bit more expensive than the likes of lantus & levemir so they may well not prescribe it, although there's no harm in asking.

    Robert72, a member on here has changed to Tresiba and highly recommends it.
     
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  7. Cookiebell

    Cookiebell Type 1 · Well-Known Member

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    Ooh thanks, will ask about that - Tresiba sounds great!

    Yes, I know how to test my basal insulin, will keep testing etc so I can see if there's a definite pattern.
     
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  8. noblehead

    noblehead Type 1 · Guru
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    The 42 hour action of Trisiba allows some flexibility in the timing of your basal dose, I quite fancy it myself :)
     
  9. Cookiebell

    Cookiebell Type 1 · Well-Known Member

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    How does that work then? Surely if it lasts 42 hours, then some of it is going to overlap if taken daily?
     
  10. Medusa41

    Medusa41 Type 1 · Well-Known Member

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    Hi Cookiebell - I split my Lantus as advised by my DSN. I take 10 units in the morning and 10 units in the evening. This works well for me and if I'm doing aerobics in the morning I minus a couple of units. HTH.
     
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  11. Cookiebell

    Cookiebell Type 1 · Well-Known Member

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    Thank you, yes that's very helpful. :cool:
     
  12. novorapidboi26

    novorapidboi26 Type 1 · Well-Known Member

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    you should also think about alcohol/exercise/illness.............a split dose can be brilliant in times like these.........

    an overlap is actually advantageous sometimes..........

    when i was on Levemir, I took a dose in the morning, then one before bed, so my AM dose was working longer, or not, but compensated with Novorapid in order to get the overlap in the morning time to help keep the dawn phenomenon at bay.........
     
  13. robert72

    robert72 Type 1 · Well-Known Member

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    Hi Cookiebell

    As Nigel said, I have been taking Tresiba for about 3 months now and finding it suits me much better than Lantus, which I found didn't last the full 24 hours. I tried splitting Lantus but that wasn't very successful in my case so my consultant agreed to switch me to Tresiba.

    You take it once a day even though it lasts 42 hours. There is obviously an overlap but I am only taking a few units less per day than I did of Lantus. So far I really like it :)
     
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    #13 robert72, Sep 11, 2014 at 1:44 PM
    Last edited by a moderator: Sep 11, 2014
  14. Stevo500

    Stevo500 Type 1 · Active Member

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    Wow so glad I joined this forum, I habe had nothing but hassle with lantus insulin since using it, dodgy results in the morning,feeling like **** most days, low moods and such like, also there's not a day goes by when I am awake from morning till bedtine, after reading some of the symptoms other people are experiencing on here, I am putting it down too this insulin.will be calling the hospital in the morning I think.thanks folks:).
     
  15. dtennant9

    dtennant9 Type 1 · Well-Known Member

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    I was originally on 1 dose at bedtime.
    I ended up having it at different times which was giving me erratic readings so moved it to around 7pm.
    I also used to get issues around dinner time with my levels going higher and the DSN actually asked me to add in extra units in the morning. So when I went on to a split dose the morning one was actually an extra dose which I didn't previously take.
    Best to speak with your DSN when you see them.
     
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