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-   -   Basal Insulin and split dose (https://www.diabetesforum.com/diabetes-treatment/99025-basal-insulin-split-dose.html)

rsfletcher 01-23-2019 15:09

Basal Insulin and split dose
 
Hello - has anyone gone from 1 basal dose of insulin to 2? My Basal is Lantus and I'm looking at changing things up a bit in the hope of acquiring better control at particular times of the day.

I have heard of other people going to 2 shots of Lantus - one in the evening and one in the morning. I think I may give it a try this weekend and monitor my BGs very closely to determine exactly how much for each shot and if it's worth the effort.

So if anyone has done this before - let me know how it worked out for you. I'd be interested in knowing about it.

Thanks!

Cassie2922 01-23-2019 21:36

Quote:

Originally Posted by rsfletcher (Post 1315631)
Hello - has anyone gone from 1 basal dose of insulin to 2? My Basal is Lantus and I'm looking at changing things up a bit in the hope of acquiring better control at particular times of the day.

I have heard of other people going to 2 shots of Lantus - one in the evening and one in the morning. I think I may give it a try this weekend and monitor my BGs very closely to determine exactly how much for each shot and if it's worth the effort.

So if anyone has done this before - let me know how it worked out for you. I'd be interested in knowing about it.

Thanks!

I haven't done it, but one time my endo said I could experiment with it and see if it had any overall effect on my numbers. Of course you mean to split the dose into two, correct? You don't mean doubling your dose, I hope?

rsfletcher 01-24-2019 13:15

Quote:

Originally Posted by Cassie2922 (Post 1315639)
I haven't done it, but one time my endo said I could experiment with it and see if it had any overall effect on my numbers. Of course you mean to split the dose into two, correct? You don't mean doubling your dose, I hope?

That's right - splitting it! Doubling it probably be a bit extreme. :smile2: - thanks for the reply by the way!

Cassie2922 01-24-2019 13:41

Quote:

Originally Posted by rsfletcher (Post 1315691)
That's right - splitting it! Doubling it probably be a bit extreme. :smile2: - thanks for the reply by the way!

Also, my endo switched me to Tresiba about 6 months ago. It's a very stable basal insulin, and I've had wonderful results with it. Would your doctor let you try it?

rsfletcher 01-24-2019 15:01

Quote:

Originally Posted by Cassie2922 (Post 1315695)
Also, my endo switched me to Tresiba about 6 months ago. It's a very stable basal insulin, and I've had wonderful results with it. Would your doctor let you try it?

I see him next Friday so I'll mention it to him - when you switched to Treshiba was there much of a difference in the dosage?

Cassie2922 01-24-2019 15:32

Quote:

Originally Posted by rsfletcher (Post 1315701)
I see him next Friday so I'll mention it to him - when you switched to Treshiba was there much of a difference in the dosage?

Actually, yes. My doc said I could use it 1:1 with Tujeo, but I found out that the tresiba is much more potent,and I had to cut the dose way down.

rsfletcher 01-28-2019 13:15

So I started with 2 shots of Lantus Friday and spent the weekend testing myself often to measure the impact. My BGs were pretty stable for the most part but just slightly above the normal - they seemed to be running steady at 162 - this was a fast so I suspect there's a bit of tweaking to do but so far so good. This will be day 3 and work day where I'm not fasting.
When all is said and done it will be interesting to see how much Lantus I end up taking - so far I'm running 18 units in the evening and 14 units in the morning which is 6 units more than when I was taking just one shot.
I suspect my dosages will change and be somewhat different once I hit upon the ideal amount. I'm basically doing an experiment on myself.

TheRealKenG 01-31-2019 00:26

Quote:

Originally Posted by rsfletcher (Post 1315631)
Hello - has anyone gone from 1 basal dose of insulin to 2? My Basal is Lantus and I'm looking at changing things up a bit in the hope of acquiring better control at particular times of the day.

I have heard of other people going to 2 shots of Lantus - one in the evening and one in the morning. I think I may give it a try this weekend and monitor my BGs very closely to determine exactly how much for each shot and if it's worth the effort.

So if anyone has done this before - let me know how it worked out for you. I'd be interested in knowing about it.

Thanks!


I take five shots a day. In the morning, I take 53 units of Lantus and 20u of Novolog. At lunch, it's 20u of Novolog. Dinnertime has me shooting up with 52u Lantus and 20u Novolog again.

What I'm concerned with is seeing you folks talking about making decisions to change your insulin on your own. Does no one follow what their doctor says?

Down with D 01-31-2019 03:55

Type 1 here. I learned that with insulin glargine (Lantus, Basaglar) I run through it faster than the "average" 24 hour time. That was after being on it for a few years. Working with my doctor, I split my dose. He likes to see a 60/40 split. I am a little more like 70/30. I take the 70% in the a.m and the 30% in the p.m. I adjust as I need to. YMMV.

Down with D 01-31-2019 03:58

If you don't mind my asking, why are you looking to split doses? For me, I started running high before my next single dose and if I upped my single dose, I'd have lows at the mild peak time that insuline glargine has for some of us.


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