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In a message dated 10/17/01 3:38:42 PM Central Daylight Time,

stbrettell@... writes:

<<

Has anyone had any experience with Lantus? My doc has changed me

over, and I'm not thrilled with the result.

>>

I had no problems with it. What dose did you start at?? Are your numbers

still high?

ressy

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In a message dated 10/17/01 3:38:42 PM Central Daylight Time,

stbrettell@... writes:

<<

Has anyone had any experience with Lantus? My doc has changed me

over, and I'm not thrilled with the result.

>>

I had no problems with it. What dose did you start at?? Are your numbers

still high?

ressy

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In a message dated 10/17/01 3:38:42 PM Central Daylight Time,

stbrettell@... writes:

<<

Has anyone had any experience with Lantus? My doc has changed me

over, and I'm not thrilled with the result.

>>

I had no problems with it. What dose did you start at?? Are your numbers

still high?

ressy

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<<

Has anyone had any experience with Lantus? My doc has changed me

over, and I'm not thrilled with the result.

>>

Yes, I've been taking it for about two months now. I really like taking one

less shot a day. I had to adjust my meal Humalog upwards, though. Vicki

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In a message dated 10/18/01 7:33:10 AM Central Daylight Time,

stbrettell@... writes:

<< I'm up to 70 units, and my numbers are very high.

Does this have to build up?

>>

Hmm....I think so but only for 3 days. I was only on 5 units so i cannot

speak to the higher doses....anyone else??

ressy

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In a message dated 10/18/01 7:33:10 AM Central Daylight Time,

stbrettell@... writes:

<< I'm up to 70 units, and my numbers are very high.

Does this have to build up?

>>

Hmm....I think so but only for 3 days. I was only on 5 units so i cannot

speak to the higher doses....anyone else??

ressy

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Steve, are you covering your meals with Humalog? If you're only taking

Lantus, and your numbers are that high, perhaps it's time for some different

choices.

Barb

> I'm up to 70 units, and my numbers are very high.

> Does this have to build up?

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Steve, are you covering your meals with Humalog? If you're only taking

Lantus, and your numbers are that high, perhaps it's time for some different

choices.

Barb

> I'm up to 70 units, and my numbers are very high.

> Does this have to build up?

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Steve, are you covering your meals with Humalog? If you're only taking

Lantus, and your numbers are that high, perhaps it's time for some different

choices.

Barb

> I'm up to 70 units, and my numbers are very high.

> Does this have to build up?

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> Has anyone had any experience with Lantus? My doc has changed me

> over, and I'm not thrilled with the result.

hi steve I'm new to lantus also. I'm up to 12units at bedtime and my

morning bs are running 250 range. Im taking 15units of humalog at

meals which seem to be doing what they are suppose to but im not sure

the lantus is.

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> Has anyone had any experience with Lantus? My doc has changed me

> over, and I'm not thrilled with the result.

hi steve I'm new to lantus also. I'm up to 12units at bedtime and my

morning bs are running 250 range. Im taking 15units of humalog at

meals which seem to be doing what they are suppose to but im not sure

the lantus is.

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> Has anyone had any experience with Lantus? My doc has changed me

> over, and I'm not thrilled with the result.

hi steve I'm new to lantus also. I'm up to 12units at bedtime and my

morning bs are running 250 range. Im taking 15units of humalog at

meals which seem to be doing what they are suppose to but im not sure

the lantus is.

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Recently, some of you have raised questions about insulin dosing, such as

Steve's question about basal dosing with Lantus and 's recent post re:

fasting blood sugars in the 250 range. First, I strongly suggest that you

get and read the book Dr. Bernstein's Diabetes Solution for general

information (if you haven't already). It's a necessity. I cannot really

help with dosing issues since I am diet controlled.

But, on another list -- Low Carb Diabetes or [LC-D] -- Ron Sebol is just

beginning a series of tutorials re: dosing techniques, and he is starting

with basal dosing. I understand that the techniques he has developed work

regardless of one's WOE and can lead to really good control with minimal

hypo risk. You do not have to join that list to access this information

since the list's archives are open and can be referenced at:

http://maelstrom.stjohns.edu/archives/lc-diabetes.html.

You can then search the archives for Ron's posts by entering

" ersebol@... " (without the quotes)

in the author's address box on the search screen.

The tutorials to date are:

015201 01/10/17 21:58 89 2) example of proportional scaling for basal

dosing setup, and

015202 01/10/17 23:13 154 1) Basal dosing via proportional scaling

You then click on the underlined reference number to read the posts. I

highly recommend these and the tutorals that will follow to anyone using

insulin.

Tom the Actuary

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Recently, some of you have raised questions about insulin dosing, such as

Steve's question about basal dosing with Lantus and 's recent post re:

fasting blood sugars in the 250 range. First, I strongly suggest that you

get and read the book Dr. Bernstein's Diabetes Solution for general

information (if you haven't already). It's a necessity. I cannot really

help with dosing issues since I am diet controlled.

But, on another list -- Low Carb Diabetes or [LC-D] -- Ron Sebol is just

beginning a series of tutorials re: dosing techniques, and he is starting

with basal dosing. I understand that the techniques he has developed work

regardless of one's WOE and can lead to really good control with minimal

hypo risk. You do not have to join that list to access this information

since the list's archives are open and can be referenced at:

http://maelstrom.stjohns.edu/archives/lc-diabetes.html.

You can then search the archives for Ron's posts by entering

" ersebol@... " (without the quotes)

in the author's address box on the search screen.

The tutorials to date are:

015201 01/10/17 21:58 89 2) example of proportional scaling for basal

dosing setup, and

015202 01/10/17 23:13 154 1) Basal dosing via proportional scaling

You then click on the underlined reference number to read the posts. I

highly recommend these and the tutorals that will follow to anyone using

insulin.

Tom the Actuary

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Recently, some of you have raised questions about insulin dosing, such as

Steve's question about basal dosing with Lantus and 's recent post re:

fasting blood sugars in the 250 range. First, I strongly suggest that you

get and read the book Dr. Bernstein's Diabetes Solution for general

information (if you haven't already). It's a necessity. I cannot really

help with dosing issues since I am diet controlled.

But, on another list -- Low Carb Diabetes or [LC-D] -- Ron Sebol is just

beginning a series of tutorials re: dosing techniques, and he is starting

with basal dosing. I understand that the techniques he has developed work

regardless of one's WOE and can lead to really good control with minimal

hypo risk. You do not have to join that list to access this information

since the list's archives are open and can be referenced at:

http://maelstrom.stjohns.edu/archives/lc-diabetes.html.

You can then search the archives for Ron's posts by entering

" ersebol@... " (without the quotes)

in the author's address box on the search screen.

The tutorials to date are:

015201 01/10/17 21:58 89 2) example of proportional scaling for basal

dosing setup, and

015202 01/10/17 23:13 154 1) Basal dosing via proportional scaling

You then click on the underlined reference number to read the posts. I

highly recommend these and the tutorals that will follow to anyone using

insulin.

Tom the Actuary

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> Recently, some of you have raised questions about insulin dosing,

such as

> Steve's question about basal dosing with Lantus and 's recent

post re:

> fasting blood sugars in the 250 range. First, I strongly suggest

that you

> get and read the book Dr. Bernstein's Diabetes Solution for general

> information (if you haven't already). It's a necessity. I cannot

really

> help with dosing issues since I am diet controlled.

>

> But, on another list -- Low Carb Diabetes or [LC-D] -- Ron Sebol is

just

> beginning a series of tutorials re: dosing techniques, and he is

starting

> with basal dosing. I understand that the techniques he has

developed work

> regardless of one's WOE and can lead to really good control with

minimal

> hypo risk. You do not have to join that list to access this

information

> since the list's archives are open and can be referenced at:

> http://maelstrom.stjohns.edu/archives/lc-diabetes.html.

>

> You can then search the archives for Ron's posts by entering

> " ersebol@E... " (without the quotes)

> in the author's address box on the search screen.

>

> The tutorials to date are:

> 015201 01/10/17 21:58 89 2) example of proportional scaling for

basal

> dosing setup, and

> 015202 01/10/17 23:13 154 1) Basal dosing via proportional scaling

>

> You then click on the underlined reference number to read the

posts. I

> highly recommend these and the tutorals that will follow to anyone

using

> insulin.

>

thanks tom. i will check it out. mary

> Tom the Actuary

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From what I've read, Lantus is to replace, unit for

unit, the other insulin you've been taking. I take

this to mean that you total up the amount you've been

taking for the day, and replace that total amount with

one shot of Lantus before bed. If you've been

supplimenting with oral medication, you should

continue. Lantus's literature says you can take up to

100 units a day. Diet seems to be very, very

important. For me, that means under 50 g of carbs a

day. Anything more, and my b/g soars.

After a week or so of increasing dosages, I've finally

gotten to the replacement amount of Lantus, and I'm

more in control in my target range. Is 12 units all

the humalog you were taking in a day?

__________________________________________________

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> From what I've read, Lantus is to replace, unit for

> unit, the other insulin you've been taking. I take

> this to mean that you total up the amount you've been

> taking for the day, and replace that total amount with

> one shot of Lantus before bed. If you've been

> supplimenting with oral medication, you should

> continue. Lantus's literature says you can take up to

> 100 units a day. Diet seems to be very, very

> important. For me, that means under 50 g of carbs a

> day. Anything more, and my b/g soars.

>

> After a week or so of increasing dosages, I've finally

> gotten to the replacement amount of Lantus, and I'm

> more in control in my target range. Is 12 units all

> the humalog you were taking in a day?

>

hi steve, no I'm taking 15units of humalog at each meal. My doctor

is very conservative I think. she started me out at 7 units which

did absolutely nothing. I was on max oral drugs before I started the

humalog, she took me off all of that. I don't like having that high

a ready every morning. So what your saying is if I take 45 units of

humalog a day I should be taking 45 units of lantus a night? thanks

for any help. mary

> __________________________________________________

>

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<< So what your saying is if I take 45 units of

humalog a day I should be taking 45 units of lantus a night? thanks

for any help. mary >>

Oh, no, no NO, ! Those are two different kinds of insulin with different

action curves. Are you a type 1 or 2? And how much Lantus are you taking

now? I'm sorry, I don't remember the beginning of this thread...

Never, ever make large increases in your insulin dose! All increases should

be done in tiny, baby steps with at least a week's worth of data before

changing to the next biggest increment. And you need to keep careful notes

and test a LOT. Doing otherwise could be Very Dangerous! Vicki

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<< So what your saying is if I take 45 units of

humalog a day I should be taking 45 units of lantus a night? thanks

for any help. mary >>

Oh, no, no NO, ! Those are two different kinds of insulin with different

action curves. Are you a type 1 or 2? And how much Lantus are you taking

now? I'm sorry, I don't remember the beginning of this thread...

Never, ever make large increases in your insulin dose! All increases should

be done in tiny, baby steps with at least a week's worth of data before

changing to the next biggest increment. And you need to keep careful notes

and test a LOT. Doing otherwise could be Very Dangerous! Vicki

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<< From what I've read, Lantus is to replace, unit for

> unit, the other insulin you've been taking. I take

> this to mean that you total up the amount you've been

> taking for the day, and replace that total amount with

> one shot of Lantus before bed. >>

This is quite unclear and misleading (and dangerous), Steve...what I think

you meant to say was to replace unit for unit the other BASAL insulin you're

using. Also, from my own experience, Lantus requirement is LESS than any

other basal insulin you're taking. For instance, before I switched to Lantus

I was taking a total of 11 units of Ultralente split 5 and 6 units at two

different times per day for basal. When I switched to Lantus I started at 7

units and had to decrease down to 5.5 units once a day, which is my current

dose. .

My Humalog dose continued to be basically the same (with some adjustment

upwards) dosing based on carbs in that meal. Vicki

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