Lantus no longer working? Help!

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Lantus no longer working? Help!


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Old 04-04-2010, 01:53   #1
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Default Lantus no longer working? Help!

I have been on Lantus for almost seven weeks. I had got the dosage set up such that my fasting and pre-meal BSL's were good. Now for the last three mornings my fasting BSL has been way way too high! Plus all day the before meals levels have been way too high! I also take NovoRapid before meals. But the doctor and diabetes educator, and the books Think Like a Pancreas and Using Insulin, say to adapt Lantus so your morning fasting BSL is correct and you are not having night hypos. I am no longer having any night hypos that i am aware of.

I am eating the same as I have the last few weeks and I am counting carbs as per Gary's counting carbs book.

What has gone wrong for me? I am getting the helpless feeling i got when my BSLs were very high, before I went on insulin. Help!!

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Old 04-04-2010, 02:26   #2
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Letting you know we're still open for business, Annieliese, but I have no experience to help you out, so hang on until another member gets here who knows about insulin. Sorry things are out of sync again already.




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Old 04-04-2010, 02:46   #3
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Have you gotten a 3:00 AM BGL that will tell you if your going hypo and doing a liver dump

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Old 04-04-2010, 03:34   #4
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I only get up and test during the night if I feel I am definitely having a hypo. I wake up having a hot flush (I am menopausal) but assume it is only that as I don't feel too bad. I am too lethargic to actually get up and test unless I am sure eg pounding heart etc. Maybe I should get up anyway and test. But if it is only a very mild hypo, I wouldn't have thought it would raise my morning pre-breakfast BSL all that much -especially as I have not had any carbs during the night.

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Old 04-04-2010, 03:56   #5
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I do know about those pre-waking liver dumps, and yes, they can raise you quite a bit. And if you've gone a bit hypo, I would expect the dump to be even more. I used to keep beef sticks on the nightstand just in case I wakened in "liver dump" territory, I could eat some protein to signal my liver that I didn't need any help, thank you!




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Old 04-04-2010, 04:07   #6
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What are "liver dumps", Shanny?

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Old 04-04-2010, 04:24   #7
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Quote:
Originally Posted by Annieliese View Post
I have been on Lantus for almost seven weeks. I had got the dosage set up such that my fasting and pre-meal BSL's were good. Now for the last three mornings my fasting BSL has been way way too high! Plus all day the before meals levels have been way too high! I also take NovoRapid before meals. But the doctor and diabetes educator, and the books Think Like a Pancreas and Using Insulin, say to adapt Lantus so your morning fasting BSL is correct and you are not having night hypos. I am no longer having any night hypos that i am aware of.

I am eating the same as I have the last few weeks and I am counting carbs as per Gary's counting carbs book.

What has gone wrong for me? I am getting the helpless feeling i got when my BSLs were very high, before I went on insulin. Help!!
I hope this reply doesn't disappear like the other one. For starters, do not throw in the towel. Begin by adding 2 units of Lantus every three days. You thought you were at the right dose, but Lantus does some mysterious things. If that does not help, you may need to split your total daily dose in 1/2 and take Lantus twice a day. You can also change to the other long acting insulin Levemir. Keep trying different things, something will help-hang in there! Try the increase first.

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Old 04-04-2010, 14:14   #8
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A liver dump is when glycogen stored in the liver is turned into glucose - a process known as glycogenolysis - and is released into the bloodstream. This causes a rise in our blood glucose, despite no food having been eaten. It is a natural process & often happens when it has been a long time since your last meal, which is why a lot of people get liver dumps in the morning (and why I was keeping beef sticks at my bedside). It also happens when we diabetics go begin to drop lower than our liver likes, so it helps out whether we need it or not.




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Old 04-05-2010, 01:15   #9
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Well I tested at 5 am and was 81. I tested because I was perspiring. Obviously only due to a hot flush- which being menopausal, I get alot. My fasting level now is 100 so I guess my liver has done a "dump". Still the level is ok and not too high. I actually had a carb snack before bed (sultanas which I love) so I would not be as likely to really hypo so I guess it worked. I had taken 28 units of Lantus at bedtime.


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Old 04-05-2010, 03:04   #10
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Well I tested at 5 am and was 81. I tested because I was perspiring. Obviously only due to a hot flush- which being menopausal, I get alot. My fasting level now is 100 so I guess my liver has done a "dump". Still the level is ok and not too high. I actually had a carb snack before bed (sultanas which i love) so I would not be as likely to really hypo so i guess it worked. I had taken 28 units of Lantus at bedtime.
Annieliese-your fasting level is within an acceptable range. When you wake up really early or if you are perspiring, be sure and test. When I wake up really early, I always test to make sure I am not low. I am perimenopausal and I have an occasional hot flash, not looking forward to menopause

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