lantus am or pm?

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lantus am or pm?


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Old 12-20-2011, 04:44   #1
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Default lantus am or pm?

I am a new Type 1 diagnosis..less than 6 weeks...44 years young. I am on 10 units of Lantus nightly. Question, many tell me to take it in the morning ans not night...numbers range 44 to 595...slowly coming down.. last night I was 90 going to bed and 52 at 3 a.m. I can feel the low coming on.. also on 1000 metformin and bolus at meals if number is 200 or higher..also, many tell me to take insulin with every meal regardless..4 units... any advice?

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Old 12-20-2011, 14:07   #2
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The amount of bolus insulin depends on what you eat. the insulin must mach the food there is no "X" amount for each meal "unless you eat EXACTLY the same thing at each meal and your BG is the same each time before you eat.

Lantus has a small spike at ~ 12 hours so taking it in the AM would produce a bigger BG drop at night.

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Old 12-20-2011, 15:19   #3
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thanks for your insight. I was 280 last night at 10.. did the 10 u of Language..at 4 a.m., I was 50 and felt terrible. I ate some cereal, drank o.j. and was 91 this morning..I also take metformin 1000 daily.. so frustrating...

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Old 12-20-2011, 21:55   #4
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When I was first diagnosed I was put on Lantus and told to take at night. But if I wished I could take in the morning. I don't think there is a real exact time on when it should be taken. I was off for some time and started again a few days ago and started in the morning but saw that I had some pretty high numbers in the morning. But with exercise I am back down so yesterday was my last again hopefully for a long time.

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Old 12-20-2011, 23:08   #5
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Originally Posted by caltexbhb View Post
thanks for your insight. I was 280 last night at 10.. did the 10 u of Language..at 4 a.m., I was 50 and felt terrible. I ate some cereal, drank o.j. and was 91 this morning..I also take metformin 1000 daily.. so frustrating...

I dont know what Language is. Your a T1 it maybe that 10 IU is too much.

Why are you on metformin?

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Old 12-20-2011, 23:34   #6
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It sounds like you didn't get properly educated on Insulin therapy.

As a type 1, you usually take a basal Insulin (lantus or levemir) and a mealtime insulin.

Your "treatment plan" sounds like a mess.
Also, type 1s usually don't take metformin as the only thing that stuff will do is kill your islet cells even faster. Maybe your doc put you on metformin to lose weight?

You should really talk to your doctor or find another one. I'm afraid the help we can give you won't be enough.

Your numbers range from hypo to severly high blood sugars which is a result of a lack of education and insulin.
It is exactly this rollercoaster what will cause damage to your body.

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Old 12-21-2011, 00:04   #7
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My guess you haven't settled in on a low carb diet...some doctors don't like them and don't prescribe them. In order to learn how things should work you need to get one of the books suggested on this forum and read it quickly. It may be that your doctor doesn't know if you are type 1 or type 2 and is using the shotgun approach?

I personally found that Lantus sent me low about 4 hrs after my basal dose of 18 units at night. I tried to take it in morning and found it petered out before the next morning. So I tried taking 1/2 in the am and 1/2 in the evening, and that is what worked for me. But you have to find out what works best for you after hearing what everyone else does. There is no silver bullet, diabetes is just a bunch of hard work, if you are going to manage it well.

Good luck!

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Old 12-21-2011, 00:26   #8
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Also, type 1s usually don't take metformin as the only thing that stuff will do is kill your islet cells even faster.
Julian? You are mistaken about metformin on both counts. It does NOT work in the pancreas killing islet cells like the sulfonylurea drugs do - it is a biguanide, which do not hammer the pancreas to produce more insulin. Metformin is prescribed for insulin resistance, so it may very well be helpful for type 1 diabetics who develop insulin resistance (and there are many - some even on this very forum).





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Old 12-21-2011, 07:11   #9
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Oh ok. Sorry...Yeah I mixed them up
But it still sounds like a pretty chaotic treatment plan

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Old 12-21-2011, 13:19   #10
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Julian? You are mistaken about metformin on both counts. It does NOT work in the pancreas killing islet cells like the sulfonylurea drugs do - it is a biguanide, which do not hammer the pancreas to produce more insulin. Metformin is prescribed for insulin resistance, so it may very well be helpful for type 1 diabetics who develop insulin resistance (and there are many - some even on this very forum).
I'm one of them.

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