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Old 03-09-2017, 03:28   #11
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Quote:
Originally Posted by Bunjee View Post
I might have missed it, but why do you have days you have no food? Part of your diet plan? Nausea? Something else? Do you have access to a diabetic educator? They can be helpful and you often don't have to make an appointment - just call.

They told me that when I was sick this past January, if nausea persisted, I needed to eat at least 800 calories. If that went over more than a day or two or I was having lows, then eat carbs for the lows and call them and they would recalculate my Levemir. Now, in my case, I was ill, but if this is part of your diet goal, then I would still speak to them to find out how to adjust the Lantus. I don't have enough knowledge of insulin to really advise beyond that.
it was the diabetes educator (cde) that was unhappy
with my new low a1c
i have an appt next month to show her the logs
she asked me to keep then i guess we go from there
the reason for some times with no food- financial
and i told her this but she didnt tell me how to adust
the lantus for that but she did give me two boxes
of glucerna bars
maybe i will have to tell her again next appt
i just dont understand how to adjust for something
i cant even anticipate
for example how do i adjust the lantus when i dont
even know what days i have food or not
its becoming very complicated now

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Old 03-09-2017, 13:35   #12
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Correct me if I'm wrong, but isn't Lantus a long-acting, basal insulin? Isn't basal meant to be the background insulin that keeps things going, food or not? I haven't read of anyone adjusting basal insulin for meals - wouldn't that be job of a fast-acting insulin?

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Old 03-09-2017, 15:45   #13
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I have been on Lantus insulin for around 5-6 years. My doctor told me I could adjust my dosage up or down 2-3u! Then wait 2-3 weeks watching my blood sugar BS readings (remember Lantus acts slowly and it is unlikely you will see a dangerous low, if you go slowly).

If I saw I was up over 120 (on average) over the last 2-3 weeks, I would increase my insulin by 3u. If my overall BS was down where I like it, say 100's then I stay at that level on my Lantus injections. If I go to low over a period of 2-3 weeks I would decrease my Lantus.

Following this method, back in 2013-2014, I had increased my daily Lantus up to 126u. Yep, inject one full shot, then without pulling out the needle, wind up a few more units....that was not fun, and still was not hitting healthy BS!

Then I found LCHF, followed it and eventually was able to drop my Lantus down to 25u! And that is where I have stayed since 2015.....SMILE!

Bottom Line....don't be afraid of Lantus, just go slow and give your body time to adjust and tell you what you need.....!

Good Luck

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Old 03-11-2017, 00:59   #14
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Quote:
Originally Posted by VeeJay View Post
Correct me if I'm wrong, but isn't Lantus a long-acting, basal insulin? Isn't basal meant to be the background insulin that keeps things going, food or not? I haven't read of anyone adjusting basal insulin for meals - wouldn't that be job of a fast-acting insulin?
that was my understanding too
so i did adjust my fast acting
mainly by reducing it by having
more meals not requiring any

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Old 03-11-2017, 01:13   #15
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i dont know where to go from here
i do much better when i rarely have to see a diabetes
educator because it bothers me when they pressure me
to eat more carbs and now this last visit to make my
a1c be 6.5 when 5.6 is better
but here they make you see them so it seems
i have no choice and the visits throw me off everytime
but this last one really has me confused and "freaking out"
it took a long time to reduce my carbs and eat more
fat and even to eat meat
i want to hopefully just eventually be using just
lantus but to get to 6.5 i will need to increase the carbs
which means more hunger more binging more insulin
i really dont know what to do now
i thought i could just continue with the low carb and
and the reduced symptoms that came with it
like less being tired less thirst/urination and less needles
i have seen a few different cde's because at the clinic
there are several and you just get whoever there is
and they all teach the same so basically they arent helpful

thankyou for listening -reading
any ideas may be helpful

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Last edited by pctm; 03-11-2017 at 01:16.
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Old 03-11-2017, 13:25   #16
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upon thinking about what happened
here are some things i could try

1) refuse to go to the cde appts
2) try a 4 to 1 ratio (4 units insulin per 1 gram carbs
instead of 3 to 1) thus ending up wth bad results
3) try decreasing lantus
4) reduce carbs even more
5) add more carbs
6) go to cde appts and completely ignore whats said
7) refuse the a1c test
8) completely stop insulin and ignore everyone
9) eat less food then none
10) try fasting


some of these arent good choices
i know

is there any anyone could add
the change needed is to reduce the minor
lows i get and get the cde's off my back
for achieving a good a1c

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Old 03-11-2017, 13:45   #17
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11) change my blood sugar goals

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Old 03-11-2017, 19:55   #18
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Quote:
get the cde's off my back
You missed the most important one: CALL YOUR DOCTOR. No matter what the cde's say, your doc has the final say. Make a list of why you are trying to achieve a certain result, without lows and what you can do to achieve a certain result without eating less (med. adjust). As I recall, you are already underweight so cutting MORE carbs really isn't an option. State that the CDE simply parrots her information and doesn't help you with the options YOU NEED to achieve goals. Writing it all down before a call or visit helps, IMHO, keep you organized when speaking to doc. Well, most of the time. Docs tend to like to go in their own order, which confuses the heck out of we patients.

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Old 03-13-2017, 14:18   #19
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So happy finally joined the 5% club(5.8) my doctor was elated. I couldn't have done it without the support and advice from this site. Thanks to all!


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Old 03-14-2017, 14:41   #20
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finally saw my dr about the new a1c
and she had no problem with the 5.6
so it was just the cde who had the issue with it
so im feeling alot better about it now

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