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<blockquote data-quote="Scott-C" data-source="post: 2020622" data-attributes="member: 374531"><p>Hi, Samantha, definitely look into basal testing, it makes a huge difference to managing T1.</p><p></p><p>Your basal insulin, Lantus, is meant to hold your bg steady overnight and between meals when your novorapid shot has worn out.</p><p></p><p>Inject too much lantus, your bg will be dropping slowly all the time and you might find yourself having to snack a lot to keep above 4.</p><p></p><p>Inject too little, and it'll be constantly rising after the last bolus has worn off, so you might end up injecting novorapid between meals to calm it down a bit.</p><p></p><p>Get it right, though, and you should end up riding more or less steady between meals, and that makes a huge difference - trying to adjust a wrong basal rate by tweaking with food and bolus shots is never going to be pretty.</p><p></p><p>Basal testing isn't difficult. It just involves not eating stuff and being lazy for about 8 hours or so, and watching to see if your bg goes up or down or stays about the same. </p><p></p><p>I sometimes just have a long lie in on a Saturday till afternoon and watch a few movies to see how things are working.</p><p></p><p>If it goes up or down a lot (say, 3 to 4), raise or lower lantus by about 10%, and see how that pans out over the next few days.</p><p></p><p>Once you get basal more or less right, all the other stuff, like ratios for meals, is a whole lot easier, because you're not having to use novo for the sort of thing which lantus should be taking care of.</p><p></p><p>We can't advise on doses here. My weight in kilos divided by 5 seems to work well for me, your diabetes may vary.</p><p></p><p>Use your libre to help figure this out. Watch the lines you're seeing each morning, whether they're rising or falling and tweak the lantus dose.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 2020622, member: 374531"] Hi, Samantha, definitely look into basal testing, it makes a huge difference to managing T1. Your basal insulin, Lantus, is meant to hold your bg steady overnight and between meals when your novorapid shot has worn out. Inject too much lantus, your bg will be dropping slowly all the time and you might find yourself having to snack a lot to keep above 4. Inject too little, and it'll be constantly rising after the last bolus has worn off, so you might end up injecting novorapid between meals to calm it down a bit. Get it right, though, and you should end up riding more or less steady between meals, and that makes a huge difference - trying to adjust a wrong basal rate by tweaking with food and bolus shots is never going to be pretty. Basal testing isn't difficult. It just involves not eating stuff and being lazy for about 8 hours or so, and watching to see if your bg goes up or down or stays about the same. I sometimes just have a long lie in on a Saturday till afternoon and watch a few movies to see how things are working. If it goes up or down a lot (say, 3 to 4), raise or lower lantus by about 10%, and see how that pans out over the next few days. Once you get basal more or less right, all the other stuff, like ratios for meals, is a whole lot easier, because you're not having to use novo for the sort of thing which lantus should be taking care of. We can't advise on doses here. My weight in kilos divided by 5 seems to work well for me, your diabetes may vary. Use your libre to help figure this out. Watch the lines you're seeing each morning, whether they're rising or falling and tweak the lantus dose. [/QUOTE]
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