Lantus Questions

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes Treatment

Diabetes Treatment As there is currently no cure for the chronic, Diabetes mellitus – the emphasis must be on treatment and management to avoid complications. Please use this section to discuss how you carefully control and manage your Diabetes. Please let us know what is and isn’t working for you. Feel free to discuss all areas of treatment and management of Diabetes including diet, exercise, weight loss, insulin usage, oral drugs and more.


Like Tree9Likes

Lantus Questions


Closed Thread
 
Shared Thread Thread Tools
Old 06-20-2012, 19:38   #1
tmtwins
Guest
 
Posts: n/a


Default Lantus Questions

Hi everyone! I was diagnosed with diabetes May 7 and was started on Metformin. I slowly increased over a few weeks until max dosage was reached and it did little to help get my numbers go down and it caused major gastro problems. A month later, I was put on Lantus 12 units a night and to increase 3 units every 3rd day. I thought it was early to be put on insulin but I know my case is unique. I became diabetic because of all the prednisone I had to have while on life support in February. Doc told me in the beginning that I may not stay a diabetic but he now thinks theres a great possibility I will remain diabetic.... When I asked him about putting me on insulin so soon, he feels its the best way to control my numbers/insulin. I have UC and the metformin just about killed me Or at least it felt like that!!! What is strange is I can give myself a shot and take my bg reading and it jumps from 160 to like 220 and that is a hour after my shot. Also, my morning bgs are so high. This is all so confusing to me. The lowest I have been able to get is 160 so far. I have been limiting myself to 30 carbs a day. I am not sure what is going on and was hoping I could get some insight from here. xoxoxo

 
Old 06-20-2012, 19:53   #2
Active Member
 
Join Date: Sep 2010
Posts: 8,607


10903 likes received
1862 likes given
Default

Quote:
Originally Posted by tmtwins View Post
Hi everyone! I was diagnosed with diabetes May 7 and was started on Metformin. I slowly increased over a few weeks until max dosage was reached and it did little to help get my numbers go down and it caused major gastro problems. A month later, I was put on Lantus 12 units a night and to increase 3 units every 3rd day. I thought it was early to be put on insulin but I know my case is unique. I became diabetic because of all the prednisone I had to have while on life support in February. Doc told me in the beginning that I may not stay a diabetic but he now thinks theres a great possibility I will remain diabetic.... When I asked him about putting me on insulin so soon, he feels its the best way to control my numbers/insulin. I have UC and the metformin just about killed me Or at least it felt like that!!! What is strange is I can give myself a shot and take my bg reading and it jumps from 160 to like 220 and that is a hour after my shot. Also, my morning bgs are so high. This is all so confusing to me. The lowest I have been able to get is 160 so far. I have been limiting myself to 30 carbs a day. I am not sure what is going on and was hoping I could get some insight from here. xoxoxo
My guess - and it is only a guess - is that the issue is insulin resistance rather than lack of insulin. Cutting back the carbohydrates - as you have done - is probably the best thing to do.

Over time as you stay the course, your resistance will reduce and you'll hopefully start to see some improvement all round.

John

John.in.France is offline  
Old 06-20-2012, 20:05   #3
tmtwins
Guest
 
Posts: n/a


Default

I feel I will never hit good bg numbers (I have to laugh). Geez! lol
Do you think it was early to go on insulin after only being diagnosed for a month? I know the doc feels its the only way to get my numbers down but its still hard to understand. Yes, the prednisone caused insulin resistance. I will be glad when my body starts making my own steriods at a normal level.

 
 
Old 06-20-2012, 20:42   #4
Senior Member
 
Join Date: Mar 2010
Location: MA, USA
Posts: 1,491

Member Type
Type 2
Diagnosed in 1986

908 likes received
948 likes given
Default

insulin is the best way to control BG. Lantus is a basal insulin or background insulin it will not cover food you eat, (your low carb is taking care of that) but lantus is not an instant BG lowering insulin. It takes a couple of hours to get going.

__________________
I am not a doctor this is what works for me
You results may differ
diabetes86 is offline  
Old 06-20-2012, 20:53   #5
Active Member
 
Join Date: Sep 2010
Posts: 8,607


10903 likes received
1862 likes given
Default

Quote:
Originally Posted by tmtwins View Post
I feel I will never hit good bg numbers (I have to laugh). Geez! lol
Do you think it was early to go on insulin after only being diagnosed for a month? I know the doc feels its the only way to get my numbers down but its still hard to understand. Yes, the prednisone caused insulin resistance. I will be glad when my body starts making my own steriods at a normal level.
If it's any consolation - I started my treatment on insulin. (Levemir - another basal insulin) After less than three months, I was off medication completely and haven't needed any since.

My numbers aren't too bad now!

I agree with Diabetes86 and were I forced back onto medication I would be pushing the doctor for insulin rather than oral meds. With insulin you have the opportunity for much finer control and a better chance (long term) to get off the roller coaster ride of hyper followed by hypo followed by hyper....

Honest, guv, stick with it - it will get better.

John

tmtwins likes this.

Last edited by John.in.France; 06-20-2012 at 20:55. Reason: specify the insulin
John.in.France is offline  
Old 06-20-2012, 21:10   #6
Inactive Member
 
David Burke's Avatar
 
Join Date: Dec 2011
Posts: 5,318

Member Type
Type Undiagnosed
Diagnosed in None

5321 likes received
Default

I was started on insulin instead of oral meds as well, Lantus and Novolog (rapid acting to cover meals). I now don't use any meds and no longer have the hi/low roller coaster associated with insulin usage. Though I had my ratios figure out and new how much rapid insulin to take per meal, there were days where the insulin either worked better than expected or worse. I just didn't like the ups and downs.

Give it time. It will stabilize as you learn your ratio.

Also, have you tried splitting the dosage into a morning an evening shot. It helped me achieve nice FBG numbers that way.

Sent from my iPhone

tmtwins likes this.
David Burke is offline  
Old 06-20-2012, 21:32   #7
Jen
Senior Member
 
Join Date: Apr 2010
Location: Topanga, CA
Posts: 710

Member Type
Type 1
Diagnosed in 2007

506 likes received
229 likes given
Default

It looks to me like you need to add some fast-acting insulin to your regimen, and probably increase the Lantus.

Here are two books that can help you understand how to build a you-centered insulin therapy program: Using Insulin by John Walsh and Think Like a Pancreas by Gary Scheiner. Either will take you step-by-step through setting the appropriate dose of Lantus, and then through establishing proper doses of fast-acting insulin.

Good luck with this. It can be overwhelming at first, but in a short time you'll get the hang of it! Don't be afraid of using both types of insulin. Even if your pancreatic function returns later, it looks like you need to take advantage of this wonderful tool now.

Best,
Jen

tmtwins likes this.
Jen is offline  
Old 06-20-2012, 22:37   #8
Senior Member
 
Humhum's Avatar
 
Join Date: Sep 2011
Location: Alabama USA
Posts: 360

Member Type
Type 2
Diagnosed in 2010

151 likes received
73 likes given
Default

I am on Lantus. Started it about 2 months after trying metformin. The Lantus works so much better for me. Kinda like you..... My pancreas was injured due to a cyst and became diabetic almost over night. I am up to 30 units.

tmtwins likes this.
__________________
Type 1.2
DX Oct 2010
60 yrs of
140 lbs
Lantus 32 units
Crestor
Singular
Creon 2 three times a day
Low carb and walking
Humhum is offline  
Old 06-21-2012, 00:53   #9
tmtwins
Guest
 
Posts: n/a


Default

Thanks for all the info/comments from all. Trying to understand and actually know what to do gets overwhelming in the beginning. I will get it straight. LOL I was thinking that I will have to add something to my Lantus as well. I can not get under 160. Doc said to increase 3 units every 3 days. I started off at 12 units and now tonight I will be up to 24 units. Will see doc in a couple of weeks so will prob be at 36 units by the time I see him. Whats nice is the doctor who is treating me was my doctor in the ICU when I was on life support and knows my case very well. I trust him for sure but just want to be as accurate with notes and questions for him as much as possible. This forum is defo helping with this <3

 
Old 06-21-2012, 20:36   #10
Senior Member
 
Join Date: Nov 2011
Location: Phoenix AZ, US
Posts: 267

Member Type
Type 2
Diagnosed in 2011

312 likes received
225 likes given
Default

I think you are lucky you got a doctor who will use insulin. I had to fight for it. Even after metformin gave me lactic acidosis, I still had to fight for it.

My numbers weren't as high as yours but I have found great success with Novolog 70/30 right now. Maybe talk to your doctor about it. I thought I may need a separate basal/bolus program but with low carb, I am able to keep very close to non diabetic readings now days. I love my insulin. While trying to find a new medical team, I made sure they would support my insulin habit as I am now addicted to great BG's. I say screw my guns, you will have to pry my insulin from cold, dead hands.

moon and tmtwins like this.
__________________
“Speed has never killed anyone. Suddenly becoming stationary, that's what gets you.”
― Jeremy Clarkson

It's better to go into a corner slow and come out fast than it is to go into a corner fast and come out dead. - Sir Sterling Moss
rudeboysti is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
NPH or Lantus! What Say You? righteousdude2 Diabetes Treatment 14 01-13-2012 04:04
lantus am or pm? caltexbhb Diabetes Treatment 19 01-13-2012 04:00
lantus lee mcwilliams Diabetes News 4 10-23-2011 21:44
About Lantus Or Something Else? breezeonby Diabetes Treatment 2 06-03-2011 23:28
lantus-does it last 24 hrs slide Diabetes 14 08-26-2010 02:19

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 10:02.




Powered by vBulletin®
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.