lantus lows

my doctor had me start by removing only 1 unit of my morning dose of Lantus, and then that night I took 1 unit of Lantus. That meant that I was only 1 unit shy of my total for the day. Then I waited 2 days to see what the pattern would be (you could even wait longer to see what happens). Then I did the same procedure again, removing another unit from my morning dose of Lantus and adding it to my evening dose. And wait several days to see what happens in the mornings.

I take mine in the morning like you do, for the same reason, avoidance of night lows. I will have mid- to late-afternoon lows if I let the bottle of insulin get old. Lantus works by crystallizing after injection and the crystals slowly release all day. But in small print in the paperwork that comes with a bottle of Lantus, there is the warning that it should be replaced every 30 days.

If you do give Lantus another try, remember that it may take a day or two for things to level out as the NPH moves out of the bloodstream and the Lantus builds up. Watch carefully for lows that might occur because of overlapping doses. Which short acting insulin are you using for meals? Some are very short (Novolog/Humalog) and Regular lasts a bit longer. If you can possible standardize your meals for a few days, you might be able to figure out what's going on.

My daughter is 17 and is having trouble with adjusting insulin doses...how much lantus would be a good dose to start with?

and weights well over 230 pounds only takes 34 units of lantus at night and up to 16 units of humalog if he eats pizza. I have told him that the lantus dose is governed by weight and since I weigh 220 and take 33 units a day, he isn't taking nearly enough. I think he is compensating with the humalog, which runs a higher risk that he will and does have insulin reactions. I also started out taking lantus at night.

My 16 year old daugher has been diabetic for 4 years now. She used to be on Lantus but it caused a lot of lows and weight gain. We always thought that she needed to take the long acting insulin 2 times a day rather than 1 and when we saw her endocrinologist about a year ago, they changed her to Levimere insulin. You take this insulin morning and night. It has been a life saver for her in that she feels her lows quicker and her reactions aren't as pronounced.

Some of us who have problems with lows in our sleep do this, and the reason is that Lantus does have a peak time of action, about 4-5 hours after the injection. For some people, that peak is a stronger event than for other people. And so night lows can happen. Because the Lantus lasts for 24 hours, the way we do this is to back off one unit of the evening dose the first night, and take a 1-unit shot the next morning.

I have had so much problem with that Lantus Opticlik that my Health Providers will switch me to the Levimere Flex Pen after I use up all the lantus cartridges. Is lantus a better insulin or is Levimere just as good as Lantus using it as a basal 24 Hour insulin???. I get my supplies from the Military Hospital because I am a retired service member and they do not have the lantus solostar flex pen but they do have the levimer flex pen.

I am on Lantus since Jan 2014 and find it very hard to addapt. I was told to use 8 units at bedtime no matter what my reading is at night now i have notice at night when my reading is 9.7 and give myself 8 units of lantus my reading is very high in the morning 13.8 or more now when is lantus then suppose to kick in . my mealtime insulien is 2 to 3 units at mealtime, Surely I have to give myself more lantus at night maybe 12 units.

I grew up on NPH and really had to watch for mid-day lows. Most doctors nowadays use Lantus alone as the long-lasting insulin and have given up NPH altogether because of the scary lows that often happen when it peaks. Most diabetics in America who take injections rather than using a pump use Lantus once or twice a day and a quick-acting insulin like Novolog before meals. We do not normally take NPH with the Lantus, for they do similar things.

Your bolus will peak a couple hours after bedtime and then your levels will be correct and then your Lantus will be peaking right after that. This is why you are getting lows. Additionally, you should NOT be mixing the two Insulins in the same syringe. I believe that the switch from evening Lantus to moring Lantus is generally made in the following manner but you should REALLY see a Dr. to do it correctly.

The 72-hour glucose monitor is used often by doctors to attempt to ascertain what kind of glucose patterns a patient is having or how certain foods or activities affect that patient's glucose readings. If you are having trouble fine-tuning your insulin regimen, then your doctor may hope that using this device for a short period of time will help him or her try to establish a better combination of basal dose and mealtiime bolus to keep your glucose levels more even-keeled than they are now.

many type 1 folks who are prone to night-time lows (myself included) find that taking the bulk of their Lantus in the MORNING rather than at night helps prevent lows while asleep. The reason is that Lantus, while advertised as a 24-hour insulin, does not have a magic 24-hour shutoff button, but actuallly sort of disappears in your body in a range of 20-24 hours, gradually sort of wearing off.

I seemed to be gaining a lot of weight since being on Lantus for the last two years as well I have mood swings and irritability and now started having severe lows right after injecting the Lantus (it usually happens if I bleed after my shot and has happened since switching to the Solostar disposable pen needle. Anyone else have any bad reactions to the Lantus.

Less lows = less need to treat and risk of overtreating; Plus avoiding the cycle of more insulin to cover more food and needing more insulin, etc.) However, my thoughts are only theory. If you send me a PM I will give you the name of a website with a lot more diabetics and many of them on pumps. There is even a separate pumper's forum. I'm sure you will get some good input there. One more thing I noticed re-reading your post: Are your Bolus doses fixed?

I use a short-acting insulin, Novolog, and a 24-period insulin, Lantis. I give Novolog with each meal, and Lantus when I go to bed. I am having troubles with my sugars in the morning. I wake up at 7am, and eat breakfast. I give my shot immediately after eating breakfast, around 7:20. I test my sugar before I eat breakfast and it is normally good. Then at 8am, I head to school. When I arrive at school around 9am, I test my sugar, which is usually pretty high (200-300).

Since then he has been on many differnet variation of meds. Just over the past 6 months or so, they gave him LANTUS, in addition to his meds. (Actos, Glypizide, Metaformin) He takes the meds in the morning and the LANTUS at night. Here is my problem. He has a lot of highs and lows. Just 3 weeks ago, his average was 115. This week a different story. He has been in the mid 200's and he has not changed his diet. This morning, before breakfast, his sugar was 337.

Hello Lesley40, First I want to apologize for the delay in my response. I am so sorry. Also. I need to tell you that I am not a medical profesional, so my input is solely based on personal experience and knowledge. My son, now 9-1/2 was diagnosed at the age of 3 and my sister, now 32 was dagnosed at the age of 24. My sister is on lantis and humalog. She takes only one shot of lantis a day. She takes this at bedtime. She has been on lantis for 5 months.

NPH and regular Humilin are older therapies. Something like Lantus or Levemir as the long acting and something like Novolog or another fast acting insulin are much more common these days. They give more consistent coverage with fewer spikes. Does he have hypoglycemia unawareness? If he's getting down to 19, it sounds like he may. That is a condition where he can't tell he's getting low. It is possible to correct the condition, you just have to work out a plan with his endo.

Some of us who have had problems with morning lows who take Lantus insulin find that we are safer if we take our dose in the morning and only a couple of units if any at bedtime. This is because the insulin doesn't peak while we sleep if this is our schedule, and also it is wearing off as we sleep so severe lows actually will sort of fix themselves as hours go by. I prefer to do this because I was prone to night lows.

It is your body and the work is for you to do. I take my Lantus in the morning (11). That works for me, reduces lows overnight. Gives me more flexibility in the morning when I might want to exercise. My carb ratio in the morning is 1:4 - just enough to cover the milk in my coffee. A little later i have 16g of carbs - and I need 2H for that. etc all day long. Document! Pour over your documents and learn your own body's response to the insulin.

Yes, it takes a few days to recover. He needs to test more often and absolutely avoid ANY lows for a period of supposedly about 2 weeks after a severe low like this, or he may start to lose his warning symptoms of lows. Studies have shown that when this happens, called 'hypoglycemic unawareness' (a very dangerous situation for we diabetic people when the body no longer lets us know when we are dropping too low), the warning symptoms CAN BE RECOVERED.

I am a type 1A diabetic with normal insulin sensitivity and predictable bg responses to insulin doses. Until now. I went on a reducing diet (high protein, next to 0 carbs, increased exercise) but never decreased my once daily PM dose of Lantus (10 units.) Immediately my AM bg's jumped to over 200 and stayed there. No hypoglycemia during sleep (I never woke up, anyway.)I could bring my daily bg's down with my shortacting insulin.

If you find that your problem is not due to night lows or to timing of Lantus injections, but is a Dawn Phenomenon evidencing itself, then please tell your doctor what you have read about (do a Google search on "Dawn Phenomenon and print out some articles for him or her). That way you can discuss it with your doctor and maybe help some of his or her other patients as well.

If your husband is taking Lantus and Humalog or Novalog, he may want to talk to his endo about switching the time of the dose of Lantus. For people with night lows, taking the Lantus in the morning is the safest way to take this particular type of insulin, for it DOES have a slight peak action about 4 hours after injection, and for people taking it at night, the peak is while they sleep.

But have some concerns and questions. There was a very good posting a few weeks ago on a Lantus question about Symlin. I thought we could move this to a new subject. Question - I don't always see a "spike" in glucose after meals. Would I now be at risk for lows after a meal? Question - Nausea seems to be a common side-effect. Wouldn't the nausea cause more lows if not able to eat normally?

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