I have noticed some weird things happening while taking Lantus. I have had to skip my bedtime dose several times. I had surgery done in February and didn't take any Lantus the night before and my blood sugar was perfect all day. I skipped a dose one night when I just didn't want to take it and my blood sugar was perfect all day. The beginning of March I started to decrease the dose because I was having too many lows and I really haven't notice much change. The only change is that my FBS is a little higher, but that is what I wanted the decrease in dosage to do. My FBS is between 75 and 85. I think that there are some things about insulin which we just don't have an answer for. I have read that your basal insulin should be 70% of your TDD.
... experiencing too! My doctor wanted me to increase it to 52, but, I notice that a dose in the low 40's seems to give me a FBS in the 80-120 range. The higher dose seems to make my FBS run over 130 before breakfast. However, once I'm up and around for a 1/2 hour or so, my FBS drops by 5 to 10 points.
I've been told to increase my bedtime numbers to 52. But, I've noticed that with the higher dosage of Lantus, so goes my FBS. They are running in the 130's to 140's, and after I'm up and walking around before breakfast, I notice a drop of 5 to 10 points.
Pastor Paul: I will have to go into my Diabetes Pilot software and run a months worth of my total Novolog & Lantus doses and find out what my total daily dose of insulin is. Then I will find out how much 70% is and see how close my Lantus dose is to that number. My Lantus dose right now is 80 units at bedtime. That is down 14 units per night since March 1st. When I was only taking 40-60 units, I was not achieving the desired fasting numbers. To achieve the dose I needed, I started off with 60 units per night, I was then given the go ahead from my doctor to increase my dosage 2 units every 3 days until my fasting numbers were 80-120. It took about 2 1/2 months to reach the right dose. I then wanted to decrease my insulin usuage due to weight gain and decided to tinker with the Lantus dose, so far so good. Play around with it and I am sure you will reach your desired dose.
My mouth dropped open, and my jaw nearly hit my chest when I saw you were taking 80 units... I heard that this was an acceptable dose, but, you are the first I've come across who uses that amount. I'm sure that there are a lot more that use this amount. It's just that I'm not that familiar with Lantus. Only been on it about 11 months now, and it seems that I am continuously needing to increase it.Pastor Paul: I will have to go into my Diabetes Pilot software and run a months worth of my total Novolog & Lantus doses and find out what my total daily dose of insulin is. Then I will find out how much 70% is and see how close my Lantus dose is to that number. My Lantus dose right now is 80 units at bedtime. That is down 14 units per night since March 1st. When I was only taking 40-60 units, I was not achieving the desired fasting numbers. To achieve the dose I needed, I started off with 60 units per night, I was then given the go ahead from my doctor to increase my dosage 2 units every 3 days until my fasting numbers were 80-120. It took about 2 1/2 months to reach the right dose. I then wanted to decrease my insulin usuage due to weight gain and decided to tinker with the Lantus dose, so far so good. Play around with it and I am sure you will reach your desired dose.
That makes a lot of sense, and I'll be able to look at this recent problem with more clarity. One of the reasons I may be needing more insulin right now may be linked to my Novolog overdose 10 days ago. Since that night, my numbers have been absolutely wacky!I also take Lantus, as well as Humalog. When I first went on insulin my blood sugar had been so high for so long that I had developed an extremely high resistance to insulin. It took large doses of insulin to finally get my blood sugar back down to a more normal level. Now that I have been having a more normal blood sugar for the last couple of months my resistance is also improving. My Dr explained to me that this would happen and that my insulin requirement would drop as I became more sensitive to it again. I had actually developed something referred to as glucose toxicity. This causes damage to the Islet cells of the pancreas. Sometimes it is partially reversible. My islets were already damaged due to my sorry excuse for a pancreas anyway..and my poor control just damaged them even more *sigh* The good news is I am showing signs of some sensitivity starting to return. I was finally up to 80 units of Lantus per day along with humalog at least 90u per day..sometimes more with a sliding scale. I am now at 70u of lantus per day with 25u of humalog before meals(often less since my blood sugar has been on the low side). So at least its getting better
It does take time for your body to adjust. Just keep plugging along and doing what you are doing!
Cheers
Pam
I just got back on Lantus cannot take orals because of liver enzymes and even though PCP wanted me to start off wit 10u I wanted to start off with 5u cause with the newly diagnosed gastroparesis this week my fasting BG's are 130's I've also have heard of people using Lantus twice a day splitting their dose might do that I'm finally eating solid foods and following WWW.GICARE.COM/Diets/Gastroparesis extremely helpful since I was discharged from ER with no information and still dehydrated no insurance:Cry:
Ok must be something wrong with me but I take 5 units of lantus AM and 4 units PM I noticed that with taking it only at night time I would have hypo's in early hours of the morning around 1.5 - 2.0 mmols.
