Guest guest Posted October 21, 2001 Report Share Posted October 21, 2001 << 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2001 Report Share Posted October 21, 2001 listen to what your doctor or diabetes educator says. Read the package insert on the Lantus. Look it up on line. Talk to your doctor. Don't take any fool's advice on line. Steve __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2001 Report Share Posted October 21, 2001 listen to what your doctor or diabetes educator says. Read the package insert on the Lantus. Look it up on line. Talk to your doctor. Don't take any fool's advice on line. Steve __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 I am not giving advice. As I said, only a fool takes advice from some idiot on line. Talk to your doctor, read the literature, and make intelligent decisions about yourself. Don't rely on this crap. I was just asking about other people's experience, not asking for a course of medication or suggesting one to anyone else. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 I am not giving advice. As I said, only a fool takes advice from some idiot on line. Talk to your doctor, read the literature, and make intelligent decisions about yourself. Don't rely on this crap. I was just asking about other people's experience, not asking for a course of medication or suggesting one to anyone else. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 I am not giving advice. As I said, only a fool takes advice from some idiot on line. Talk to your doctor, read the literature, and make intelligent decisions about yourself. Don't rely on this crap. I was just asking about other people's experience, not asking for a course of medication or suggesting one to anyone else. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Hello m.l.mckane@... (mary), In reference to your comment: è What I cant figure out is why my sugars go up over è night instead of down. i dont sleepeat ya know(LOL). è my diabetes educators want me to 60% of my calories è in carbs and I think that is just too much. Your diabetic educator needs to do some reading and get some more up to date info.... go get Dr Bernstein's book and also read this. <A HREF= " http://www.dfhi.com/interviews/rosedale.html " >Ron Rosedale, M.D. - Insulin and Its Metabolic Effects</A> in the mean time you need to learn about " dawn effect " or dawn phenomon, this is when the liver creates glucose because it " thinks " you are starving overnight when you don't eat cuz you are asleep. Medications like glucophage help lower the dawn effect. Why don't you leave the insulin stuff alone, while you do some reading and gain some knowledge. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Hello m.l.mckane@... (mary), In reference to your comment: è What I cant figure out is why my sugars go up over è night instead of down. i dont sleepeat ya know(LOL). è my diabetes educators want me to 60% of my calories è in carbs and I think that is just too much. Your diabetic educator needs to do some reading and get some more up to date info.... go get Dr Bernstein's book and also read this. <A HREF= " http://www.dfhi.com/interviews/rosedale.html " >Ron Rosedale, M.D. - Insulin and Its Metabolic Effects</A> in the mean time you need to learn about " dawn effect " or dawn phenomon, this is when the liver creates glucose because it " thinks " you are starving overnight when you don't eat cuz you are asleep. Medications like glucophage help lower the dawn effect. Why don't you leave the insulin stuff alone, while you do some reading and gain some knowledge. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 > In a message dated 10/21/01 5:31:22 PM EST, m.l.mckane@a... writes: > > << 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 ok listen up people, im just trying to see how this stuff works Ok? im not stupid and wouldn't just take anything for granted. i started out at 7units of lantus. 15 units of humalog before each meal and now im up to 12 units of lantus at night. ive been testing alot. last night I ate at 500pm. at bedtime much bs was 132 it was 234 this morning before breakfast. Last night I had chicken veg. soup and 6 saltine crackers. What I cant figure out is why my sugars go up over night instead of down. i dont sleepeat ya know(LOL). my diabetes educators want me to 60% of my calories in carbs and I think that is just too much. anyway sorry to cause a fuss. thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 > In a message dated 10/21/01 5:31:22 PM EST, m.l.mckane@a... writes: > > << 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 ok listen up people, im just trying to see how this stuff works Ok? im not stupid and wouldn't just take anything for granted. i started out at 7units of lantus. 15 units of humalog before each meal and now im up to 12 units of lantus at night. ive been testing alot. last night I ate at 500pm. at bedtime much bs was 132 it was 234 this morning before breakfast. Last night I had chicken veg. soup and 6 saltine crackers. What I cant figure out is why my sugars go up over night instead of down. i dont sleepeat ya know(LOL). my diabetes educators want me to 60% of my calories in carbs and I think that is just too much. anyway sorry to cause a fuss. thanks Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Hi, , not to worry...you didn't create a fuss. First of all, your BGs go up because you're experiencing the " dawn effect " -- just about all diabetics get it to some degree, some more, some less. I'll leave it for someone else to explain the mechanics of it. A lot of things affect it...like what you ate for dinner, if you had any snack at bedtime, etc. etc. It sounds like your dietitian has you on the " traditional " diabetic diet. Many of us have found success with eating a lower carb diet. I suggest if you haven't already, do read " Dr. Bernstein's Diabetes Solutions " by K. Bernstein, M.D. He's diabetic and has written a very easily understandable about diabetes, both type 1 and 2, and how to control it. He's also online. There's a link to his website on our website, URL at bottom of this page. Vicki << What I cant figure out is why my sugars go up over night instead of down. i dont sleepeat ya know(LOL). my diabetes educators want me to 60% of my calories in carbs and I think that is just too much. anyway sorry to cause a fuss. thanks >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 Hi, , not to worry...you didn't create a fuss. First of all, your BGs go up because you're experiencing the " dawn effect " -- just about all diabetics get it to some degree, some more, some less. I'll leave it for someone else to explain the mechanics of it. A lot of things affect it...like what you ate for dinner, if you had any snack at bedtime, etc. etc. It sounds like your dietitian has you on the " traditional " diabetic diet. Many of us have found success with eating a lower carb diet. I suggest if you haven't already, do read " Dr. Bernstein's Diabetes Solutions " by K. Bernstein, M.D. He's diabetic and has written a very easily understandable about diabetes, both type 1 and 2, and how to control it. He's also online. There's a link to his website on our website, URL at bottom of this page. Vicki << What I cant figure out is why my sugars go up over night instead of down. i dont sleepeat ya know(LOL). my diabetes educators want me to 60% of my calories in carbs and I think that is just too much. anyway sorry to cause a fuss. thanks >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 > -----Original Message----- > From: mary > and 6 saltine crackers. What I cant figure out is why my sugars go > up over night instead of down. i dont sleepeat ya know(LOL). my > diabetes educators want me to 60% of my calories in carbs and I think My blood sugars would sure go up if I ate 6 saltine crackers. They're high glycemic carbs and provide a lot of carbs for your liver to store and release in the morning. If I had a diabetes educator tell me to eat 60% carbs I probably wouldn't argue -- at least right away; I'd just go home and keep eating my 30 g or less carbs/ day and come back and show them how well controlled my blood sugars are. No matter what they tell you, it is you, not your doctor or diabetes educator, who will suffer from poor control. Actually, it is common for blood sugars to be higher in the morning than at night -- it's the way our bodies work. My lowest readings are at night -- then a little higher when I first get up. I then peak a couple of hours later and start gradually down. My post meal peaks are generally smaller than my dawn phenomenon peak at 9 - 10 AM. Because of this morning peaking it is very important to be consistent in the timing of one's first reading in the morning. Otherwise, the statistical noise from the dawn phenom. can obscure any underlying pattern that might be informative. Note that I don't use meds. The pattern you describe can also indicate poor basal insulin dosing. For this, I would again highly recommned Ron's dosing tutorials on the LC-D list. Tom the Actuary Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2001 Report Share Posted October 22, 2001 > -----Original Message----- > From: mary > and 6 saltine crackers. What I cant figure out is why my sugars go > up over night instead of down. i dont sleepeat ya know(LOL). my > diabetes educators want me to 60% of my calories in carbs and I think My blood sugars would sure go up if I ate 6 saltine crackers. They're high glycemic carbs and provide a lot of carbs for your liver to store and release in the morning. If I had a diabetes educator tell me to eat 60% carbs I probably wouldn't argue -- at least right away; I'd just go home and keep eating my 30 g or less carbs/ day and come back and show them how well controlled my blood sugars are. No matter what they tell you, it is you, not your doctor or diabetes educator, who will suffer from poor control. Actually, it is common for blood sugars to be higher in the morning than at night -- it's the way our bodies work. My lowest readings are at night -- then a little higher when I first get up. I then peak a couple of hours later and start gradually down. My post meal peaks are generally smaller than my dawn phenomenon peak at 9 - 10 AM. Because of this morning peaking it is very important to be consistent in the timing of one's first reading in the morning. Otherwise, the statistical noise from the dawn phenom. can obscure any underlying pattern that might be informative. Note that I don't use meds. The pattern you describe can also indicate poor basal insulin dosing. For this, I would again highly recommned Ron's dosing tutorials on the LC-D list. Tom the Actuary Quote Link to comment Share on other sites More sharing options...
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