preventing hypos

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preventing hypos


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Old 02-28-2017, 02:20   #1
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Default preventing hypos

since i recently got my a1c lowered
i have been having frequent hypos
but i also use way less rapid insulin
some days none

i also use 140 units of lantus daily
what is the best way to prevent hypos
eat a few more carbs
or reduce the lantus dose?

im concerned about lowering the lantus dose
beause i finally get a good morning reading
after more than 10 years of having high morning
readings
but adding more carbs could mean using more rapid
insulin

whats the best way to handle this?

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Old 03-01-2017, 14:13   #2
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What time of day are you most often having hypos? What times do you take your Lantus and how much is in each dose?

Sometimes if the problem is hypos during the day, you can lower your morning basal insulin dose, and keep the evening dose higher to help with high fasting blood sugar. Though it is critical to test overnight a couple times to make sure that you aren't going low while sleeping.

I always aim to adjust my insulin to match what I need, and hate having to change what I eat because my insulin doses are off.

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Old 03-01-2017, 22:09   #3
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Quote:
Originally Posted by Daytona View Post
What time of day are you most often having hypos? What times do you take your Lantus and how much is in each dose?

Sometimes if the problem is hypos during the day, you can lower your morning basal insulin dose, and keep the evening dose higher to help with high fasting blood sugar. Though it is critical to test overnight a couple times to make sure that you aren't going low while sleeping.

I always aim to adjust my insulin to match what I need, and hate having to change what I eat because my insulin doses are off.

most hypos are from 1 in the afternoon to bedtime
anytime in there
i take 70 units lantus in the morning and 70 u at
night
as close to 11am and 11pm as i can get
my ratio for the rapid insulin is 3 to 1
3 units per gram of carb

so maybe try something like the 70u at night
and lower the am dose?

i cant figure it out because the readings between
meals are good too
now i rarely go over 126
at any time
the morning fasting go from 72 to 110 which
is a great improvement for me
between meals go to 100
its just the hypo once a day
maybe nothing to worry about
but sometimes its as low as 47

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Old 03-05-2017, 21:53   #4
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I haven't been on insulin yet for a year, so I have little experience, BUT I just wanted to remind you that Lantus is roughly a 24 hour med, so any change in the a.m. dose may very well change your overnight results. So, keep the decreases small (1-2 units) and wait it out for 4-5 days and see what happens.

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Old 03-05-2017, 23:45   #5
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When I was on lantus I took more at bed time than in the morning.

May I suggest reading using insulin by John Walsh.

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Old 03-07-2017, 03:09   #6
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Originally Posted by pctm View Post
most hypos are from 1 in the afternoon to bedtime
anytime in there
i take 70 units lantus in the morning and 70 u at
night
as close to 11am and 11pm as i can get
I get hypos at the same time, between lunch and dinner. I have been slowly lowering my daytime dose, and keeping my evening dose the same.

For hypos within 5 hours of a fast acting insulin dose, I would look at making sure I counted mealtime carbs right, reduce my bolus when my pre-meal blood sugar is below my target. For example, if I'm at 80 before dinner, instead of taking my normal amount of insulin based on the number of carbs in the meal, I'll lower it to account for being 20 points below my target of 100.

Maybe keep track of your lows for a week and figure out if they are happening more than 5 hours after your last fast acting insulin bolus, or if they are happening as a result of your last bolus. That will lead you in the right direction to fix whatever is causing them. Also it's worth looking at if you are doing any activity that would be contributing, not just going to the gym, but walking around, doing chores, etc.

Quote:
its just the hypo once a day
maybe nothing to worry about
but sometimes its as low as 47
I shoot for no hypos at all. Once a day is enough that it's definitely worth doing something about.

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Old 03-07-2017, 23:02   #7
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Quote:
Originally Posted by Bunjee View Post
I haven't been on insulin yet for a year, so I have little experience, BUT I just wanted to remind you that Lantus is roughly a 24 hour med, so any change in the a.m. dose may very well change your overnight results. So, keep the decreases small (1-2 units) and wait it out for 4-5 days and see what happens.
that might be the next plan

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