Can Too Much Lantus Rasie Blood Sugar?

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Can Too Much Lantus Rasie Blood Sugar?


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Old 03-25-2010, 04:24   #1
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Question Can Too Much Lantus Rasie Blood Sugar?

I've been noticing that the more Lantus I take, the higher my fasting number is. When I back off the dosage, the fasting number goes down too!

Just wondering if anyone else is having similar problems???

Pastor Paul

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Old 03-25-2010, 04:34   #2
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Not sure i understand why this presents a problem. The goal is lower fastings, attained by using as little insulin as possible, right? What am I missing here?

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Old 03-25-2010, 04:43   #3
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Quote:
Originally Posted by removethehaze View Post
I've been noticing that the more Lantus I take, the higher my fasting number is. When I back off the dosage, the fasting number goes down too!

Just wondering if anyone else is having similar problems???

Pastor Paul
I have noticed some weird things happening while taking Lantus. I have had to skip my bedtime dose several times. I had surgery done in February and didn't take any Lantus the night before and my blood sugar was perfect all day. I skipped a dose one night when I just didn't want to take it and my blood sugar was perfect all day. The beginning of March I started to decrease the dose because I was having too many lows and I really haven't notice much change. The only change is that my FBS is a little higher, but that is what I wanted the decrease in dosage to do. My FBS is between 75 and 85. I think that there are some things about insulin which we just don't have an answer for. I have read that your basal insulin should be 70% of your TDD.

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Old 03-25-2010, 05:28   #4
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Quote:
Originally Posted by breezeonby View Post
I have noticed some weird things happening while taking Lantus. I have had to skip my bedtime dose several times. I had surgery done in February and didn't take any Lantus the night before and my blood sugar was perfect all day. I skipped a dose one night when I just didn't want to take it and my blood sugar was perfect all day. The beginning of March I started to decrease the dose because I was having too many lows and I really haven't notice much change. The only change is that my FBS is a little higher, but that is what I wanted the decrease in dosage to do. My FBS is between 75 and 85. I think that there are some things about insulin which we just don't have an answer for. I have read that your basal insulin should be 70% of your TDD.
... experiencing too! My doctor wanted me to increase it to 52, but, I notice that a dose in the low 40's seems to give me a FBS in the 80-120 range. The higher dose seems to make my FBS run over 130 before breakfast. However, once I'm up and around for a 1/2 hour or so, my FBS drops by 5 to 10 points.

The word "strange" is right on , and I appreciate your feedback, it helps to validate my conclusions. I'll just have to play around with it and report back to my doctor.

Thanks....

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Old 03-25-2010, 05:37   #5
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Quote:
Originally Posted by Shanny View Post
Not sure i understand why this presents a problem. The goal is lower fastings, attained by using as little insulin as possible, right? What am I missing here?
I've been told to increase my bedtime numbers to 52. But, I've noticed that with the higher dosage of Lantus, so goes my FBS. They are running in the 130's to 140's, and after I'm up and walking around before breakfast, I notice a drop of 5 to 10 points.

However, when I take smaller doses, like n the low 40's, my FBS seem to be more within the 80 - 120 range.

breezeonby hit the nail on the head.... there are some strange things going on when it comes to some of us and our taking Lantus.

Anyway, I was looking to see if anyone else noticed the same thing, and breezeonby helps to validate my own conclusions.

I hope that clears up the confusion?

Thanks for asking Shanny.

Shalom

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Old 03-25-2010, 07:01   #6
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with the higher Lantis you could be going low enough at night to cause your liver to dump glucagon (sp) and raise your BGL for the morning measurement.

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Old 03-25-2010, 23:21   #7
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Just right off had my first thought would be that the higher dose of Lantus is cusing you to go lower at night when you are sleeping and your liver is dumping glucose into your system. You could try setting an alarm to get up in the middle of the night a few times and test to see if this is what is happening.

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Old 03-26-2010, 04:28   #8
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Quote:
Originally Posted by removethehaze View Post
I've been told to increase my bedtime numbers to 52. But, I've noticed that with the higher dosage of Lantus, so goes my FBS. They are running in the 130's to 140's, and after I'm up and walking around before breakfast, I notice a drop of 5 to 10 points.

However, when I take smaller doses, like n the low 40's, my FBS seem to be more within the 80 - 120 range.

breezeonby hit the nail on the head.... there are some strange things going on when it comes to some of us and our taking Lantus.

Anyway, I was looking to see if anyone else noticed the same thing, and breezeonby helps to validate my own conclusions.

I hope that clears up the confusion?

Thanks for asking Shanny.

Shalom

Pastor Paul
Pastor Paul: I will have to go into my Diabetes Pilot software and run a months worth of my total Novolog & Lantus doses and find out what my total daily dose of insulin is. Then I will find out how much 70% is and see how close my Lantus dose is to that number. My Lantus dose right now is 80 units at bedtime. That is down 14 units per night since March 1st. When I was only taking 40-60 units, I was not achieving the desired fasting numbers. To achieve the dose I needed, I started off with 60 units per night, I was then given the go ahead from my doctor to increase my dosage 2 units every 3 days until my fasting numbers were 80-120. It took about 2 1/2 months to reach the right dose. I then wanted to decrease my insulin usuage due to weight gain and decided to tinker with the Lantus dose, so far so good. Play around with it and I am sure you will reach your desired dose.

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Old 03-26-2010, 05:02   #9
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Quote:
Originally Posted by breezeonby View Post
Pastor Paul: I will have to go into my Diabetes Pilot software and run a months worth of my total Novolog & Lantus doses and find out what my total daily dose of insulin is. Then I will find out how much 70% is and see how close my Lantus dose is to that number. My Lantus dose right now is 80 units at bedtime. That is down 14 units per night since March 1st. When I was only taking 40-60 units, I was not achieving the desired fasting numbers. To achieve the dose I needed, I started off with 60 units per night, I was then given the go ahead from my doctor to increase my dosage 2 units every 3 days until my fasting numbers were 80-120. It took about 2 1/2 months to reach the right dose. I then wanted to decrease my insulin usuage due to weight gain and decided to tinker with the Lantus dose, so far so good. Play around with it and I am sure you will reach your desired dose.
My mouth dropped open, and my jaw nearly hit my chest when I saw you were taking 80 units... I heard that this was an acceptable dose, but, you are the first I've come across who uses that amount. I'm sure that there are a lot more that use this amount. It's just that I'm not that familiar with Lantus. Only been on it about 11 months now, and it seems that I am continuously needing to increase it.

My dose is 52, so I don't feel too bad... your suggestion is a good one. I do need to let the dose have some time to start working within my body.

You have relieved my concerns about taking too much. I thought 50 was extremely high, and it was causing me some "worry", but, not now. I appreciate your feedback, and you'll never know just how much stress you lifted from my back.

You're right about the weight... it seems that I am pushing the scale up a little, but, I've increased my exercise by 10 minutes a day, and moved from 4 days, to 5-6 days a week.. This helped to keep my weight at an acceptable 198.

Again, you have eased my concerns, and I do appreciate this. Not only is the 52 pretty low, it will take some time for me to get my body back to the tighter numbers I was getting prior to my Novolog overdose, 9 days ago.

Blessings on You Brother,

Pastor Paul

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Old 03-26-2010, 21:36   #10
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I also take Lantus, as well as Humalog. When I first went on insulin my blood sugar had been so high for so long that I had developed an extremely high resistance to insulin. It took large doses of insulin to finally get my blood sugar back down to a more normal level. Now that I have been having a more normal blood sugar for the last couple of months my resistance is also improving. My Dr explained to me that this would happen and that my insulin requirement would drop as I became more sensitive to it again. I had actually developed something referred to as glucose toxicity. This causes damage to the Islet cells of the pancreas. Sometimes it is partially reversible. My islets were already damaged due to my sorry excuse for a pancreas anyway..and my poor control just damaged them even more *sigh* The good news is I am showing signs of some sensitivity starting to return. I was finally up to 80 units of Lantus per day along with humalog at least 90u per day..sometimes more with a sliding scale. I am now at 70u of lantus per day with 25u of humalog before meals(often less since my blood sugar has been on the low side). So at least its getting better

It does take time for your body to adjust. Just keep plugging along and doing what you are doing!

Cheers
Pam

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