Sliding Slowly Higher and Higher

Hey everyone,

Happy New Year to all you folks on here.

Back in September 2013, I had a HbA1C and my BG average was 7.1, which my diabetic practitioner was more than pleased with, as I am bang on the "well controlled" range, but around this time, through (and I admit it) intermittent monitoring that I could see a gradual increase in my base numbers.

I have been on Lantus since December 2012 and continue to take Metformin and Gliclazide too.

Started on 10 units of Lantus an evening, and slowly dialled up to 12, which seemed to give me great control (and hence the results above).

Now, over Christmas I decided that I should be half sensible, and I should start monitoring again, as I want to make sure I get everything under control and the only way to know this is to make sure I know what is going on with the bloods.

I wish I had be living in ignorance!!! (I don't really).

I am struggling to get my overnight fast below 9, which is very strange for me. I would usually hit 6.5 overnight, and before lunch, I would be around 8, and before dinner. maybe 7.5.

I am now seeing early morning readings of 9+, and last night, before my insulin, I had a 24.6, which is the highest reading I have had ever.

It seems anything, and I mean anything I eat is sending my bloods high. Example was two days ago when I had a opening reading of 9.1, and I had two slices of toast for breakfast, and two hours later I was well over 13.

Help!!!!

Anyone else found that the Lantus just seems to "stop" working??

Really quite concerned at my levels, and looking for some support on how to try and turn this around.

Thanks all.

Mark.

Thanks everyone.

The new regime of testing 8 times a day (1 when I get up, 1 hour and 2 hours after each meal, and one before insulin at bed time) will reveal a lot, and I am now going to document every meal too, which is something I have not been doing.

The advice above (link) is really only common sense, but sometimes you cannot see the woods for the trees!

Basically, I think two things are going on:-

1 - I think taking a lot more care on the diet will help a lot, as although I am actively avoiding some carbs, and sources of sugar and glucose, I need to take this to the next level and micro manage my diet input.

2 - I had not appreciated that the Lantus although stated as 24 hour, could tail off. I shall speak to the Doctor/Diabetic team about splitting my dose into two parts, one at night and one 12 hours later.

BTW - I do test before driving - just was not testing at other times!

Thanks for the advice - I feel like I can try and take things back into control again, as I felt so down about it all this morning.

Mark.