Re: Splitting Lantus dose

October 12, 2006

What is the active life span of Lantus insulin?

Splitting Lantus dose

> Hello everyone,

>

> I'm wondering if anyone here splits their Lantus dose into two shots, one

> morning and one evening? I just saw my endocrinologist and he suggested

> that

> I split my Lantus dose starting tonight, because he thinks it may be

> running

> out before 24 hours is up. Apparently this is somewhat common among type

> 1s.

> I've been having a lot of difficulty keeping my bedtime and overnight

> readings within range so hopefully this will help. Just wondering if

> anyone

> else does it and if there has been an improvement.

>

> Jen

>

October 12, 2006

28 days

Splitting Lantus dose

>

>> Hello everyone,

>>

>> I'm wondering if anyone here splits their Lantus dose into two shots, one

>> morning and one evening? I just saw my endocrinologist and he suggested

>> that

>> I split my Lantus dose starting tonight, because he thinks it may be

>> running

>> out before 24 hours is up. Apparently this is somewhat common among type

>> 1s.

>> I've been having a lot of difficulty keeping my bedtime and overnight

>> readings within range so hopefully this will help. Just wondering if

>> anyone

>> else does it and if there has been an improvement.

>>

>> Jen

>>

October 12, 2006

I don't think so. I am sure Lantus will last in the vile for at least 28

days, but how long will it last once it is injected into the body is the

question, when talking about the life span of a medication.

Splitting Lantus dose

>>

>>> Hello everyone,

>>>

>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>> one

>>> morning and one evening? I just saw my endocrinologist and he suggested

>>> that

>>> I split my Lantus dose starting tonight, because he thinks it may be

>>> running

>>> out before 24 hours is up. Apparently this is somewhat common among type

>>> 1s.

>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>> readings within range so hopefully this will help. Just wondering if

>>> anyone

>>> else does it and if there has been an improvement.

>>>

>>> Jen

>>>

October 12, 2006

It is supposed to last 24 hours, and in the majority of people it does, but

apparently some type 1s find that it runs out before 24 hours is up. The

reason my doctor suggested that it might be running out (which I suspected

for a while now anyway) is because I can have a normal blood sugar two hours

after dinner, and then three hours later by bedtime it will have risen quite

a bit to be high. At breakfast if I have a normal blood sugar two hours

later it almost always drops slightly by the next meal. At lunch close to

dinner it rises slightly, but at bedtime once two hours had passed it always

rose very sharply by about 3 mmol/l and continued to rise by perhaps another

3 mmol/l till two hours after I took Lantus at which point the new dose

would begin to kick in. This would mean I could have a blood sugar of 6.2

mmol/l after dinner and by midnight it would be 12.0 mmol/l, which was

getting really frustrating.

Below is an article I found on PubMed about splitting Lantus.

Twice-daily compared with once-daily insulin glargine in people with Type 1

diabetes using meal-time insulin aspart

S. G. Ashwell, J. Gebbie and P. D. Home

Abstract

Aims To compare blood glucose control when using insulin glargine twice

daily at breakfast- and dinner-times with insulin glargine once daily at

dinner time, in unselected people with Type 1 diabetes using insulin aspart

at meal-times.

Methods In this 8-week, two-way, cross-over study, 20 people with Type 1

diabetes were randomized to insulin glargine injection once daily at

dinner-time or twice daily at breakfast- and dinner-times, both plus

meal-time insulin aspart. Each 4-week treatment period concluded with a 24-h

inpatient metabolic profile.

Results Insulin doses, HbA1c, fructosamine concentration and pre-breakfast

self-monitored blood glucose (SMBG) concentration did not differ between

treatment periods. SMBG concentrations after breakfast, after lunch and

before dinner were lower with twice-daily compared with once-daily

dinner-time glargine [9.3 ± 0.5 (± se) vs. 6.7 ± 0.5 mmol/l, P = 0.003; 10.2

± 0.9 vs. 7.0 ± 0.9 mmol/l, P = 0.024; 9.6 ± 0.5 vs. 6.6 ± 0.5 mmol/l, P =

0.001]. Mean 24-h SMBG concentration was lower with twice-daily glargine

(7.1 ± 0.5 vs. 8.8 ± 0.5 mmol/l, P = 0.031). Within-day variability of SMBG

concentration was lower with twice-daily glargine (sd 3.2 ± 0.2 vs. 4.0 ±

0.3 mmol/l, P = 0.044). Plasma free insulin concentration was higher in the

afternoon with twice-daily glargine (21.9 ± 1.4 vs. 16.1 ± 1.3 mU/l, P =

0.009), but lower overnight (12.1 ± 1.7 vs. 17.8 ± 1.7 mU/l, P = 0.030),

compared with once-daily injection. Plasma glucose concentration overnight

was higher with twice-daily compared with once-daily glargine (mean 9.0 ±

0.4 vs. 6.6 ± 0.4 mmol/l, P = 0.001).

Conclusions Blood glucose concentration rises in the late afternoon in

association with falling plasma insulin levels towards the end of the 24-h

period after insulin glargine injection in some people with Type 1 diabetes

using once-daily glargine at dinner-time plus a rapid-acting insulin

analogue at meal-times. This is prevented by twice-daily injection of

insulin glargine.

Diabet. Med. 23, 879–886 (2006)

Splitting Lantus dose

>

>> Hello everyone,

>>

>> I'm wondering if anyone here splits their Lantus dose into two shots, one

>> morning and one evening? I just saw my endocrinologist and he suggested

>> that

>> I split my Lantus dose starting tonight, because he thinks it may be

>> running

>> out before 24 hours is up. Apparently this is somewhat common among type

>> 1s.

>> I've been having a lot of difficulty keeping my bedtime and overnight

>> readings within range so hopefully this will help. Just wondering if

>> anyone

>> else does it and if there has been an improvement.

>>

>> Jen

>>

October 12, 2006

24 hours

Splitting Lantus dose

>>>

>>>> Hello everyone,

>>>>

>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>> one

>>>> morning and one evening? I just saw my endocrinologist and he suggested

>>>> that

>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>>> running

>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>> type

>>>> 1s.

>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>> readings within range so hopefully this will help. Just wondering if

>>>> anyone

>>>> else does it and if there has been an improvement.

>>>>

>>>> Jen

>>>>

October 12, 2006

i must mention that if you are ever prefilling needles with lantus insulin

you can do seven needles at a time. but my nurse did a two week supply and

my sugars went sky high. it turned out this is a no no just thought i would

trow that in,

Splitting Lantus dose

>>>>

>>>>> Hello everyone,

>>>>>

>>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>>> one

>>>>> morning and one evening? I just saw my endocrinologist and he

>>>>> suggested

>>>>> that

>>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>>>> running

>>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>>> type

>>>>> 1s.

>>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>>> readings within range so hopefully this will help. Just wondering if

>>>>> anyone

>>>>> else does it and if there has been an improvement.

>>>>>

>>>>> Jen

>>>>>

October 12, 2006

Thanks for this post, which is a keeper. Does it make any difference when

you take Lantus?

I ask because I have heard or read reports that taking Lantus at supper time

every day can prevent some wide swings, especially in type1 diabetics. I

take my Lantus at bed time around 9 or 10 PM, and I wake up sometimes at 3or

4 AM with a low sugar reaction? You know the shakes, sweat and

disorientation that often accompanies it.

Splitting Lantus dose

>>

>>> Hello everyone,

>>>

>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>> one

>>> morning and one evening? I just saw my endocrinologist and he suggested

>>> that

>>> I split my Lantus dose starting tonight, because he thinks it may be

>>> running

>>> out before 24 hours is up. Apparently this is somewhat common among type

>>> 1s.

>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>> readings within range so hopefully this will help. Just wondering if

>>> anyone

>>> else does it and if there has been an improvement.

>>>

>>> Jen

>>>

October 12, 2006

,

Although I don't inject Lantus, I do however, inject Nova Mix, which I have

to do twice a day. 26 units in the morning when I have breakfast, and 16

units when I have my evening meal.

I usually test my blood before I eat, and I have noticed that my sugar

readings can be higher in the mornings, and drop down to a normal readings

between 5MM and 6MM at about 2PM when I have my lunch.

Rowe

Splitting Lantus dose

> Hello everyone,

>

> I'm wondering if anyone here splits their Lantus dose into two shots, one

> morning and one evening? I just saw my endocrinologist and he suggested

that

> I split my Lantus dose starting tonight, because he thinks it may be

running

> out before 24 hours is up. Apparently this is somewhat common among type

1s.

> I've been having a lot of difficulty keeping my bedtime and overnight

> readings within range so hopefully this will help. Just wondering if

anyone

> else does it and if there has been an improvement.

>

> Jen

>

October 13, 2006

,

Help me out here. When I put Nova Mix,into a search engine, I get no

results about insulin. Do I have it spelled wrong?

Splitting Lantus dose

>

>> Hello everyone,

>>

>> I'm wondering if anyone here splits their Lantus dose into two shots, one

>> morning and one evening? I just saw my endocrinologist and he suggested

> that

>> I split my Lantus dose starting tonight, because he thinks it may be

> running

>> out before 24 hours is up. Apparently this is somewhat common among type

> 1s.

>> I've been having a lot of difficulty keeping my bedtime and overnight

>> readings within range so hopefully this will help. Just wondering if

> anyone

>> else does it and if there has been an improvement.

>>

>> Jen

>>

October 13, 2006

Harry,

As it is getting late here in England now, I will have someone check the

spelling tomorrow, and I will come back to you on that one! Being that both

my wife, , and I, are totally blind, and I can't remember how it's

spelt.

Rowe

Splitting Lantus dose

> >

> >> Hello everyone,

> >>

> >> I'm wondering if anyone here splits their Lantus dose into two shots,

one

> >> morning and one evening? I just saw my endocrinologist and he suggested

> > that

> >> I split my Lantus dose starting tonight, because he thinks it may be

> > running

> >> out before 24 hours is up. Apparently this is somewhat common among

type

> > 1s.

> >> I've been having a lot of difficulty keeping my bedtime and overnight

> >> readings within range so hopefully this will help. Just wondering if

> > anyone

> >> else does it and if there has been an improvement.

> >>

> >> Jen

> >>

October 13, 2006

I belive NovoMix (spelled N o v o not N o v a) is a pre-mixed insulin of

Novolog and NPH, which makes it completely different from Lantus. If you are

type 1 I would recommend you get off NPH of any kind. I was on NPH for the

first 13 years of having diabetes and even though I'm having problems with

Lantus, they're small compared to what it was like on NPH.

Jen

Splitting Lantus dose

>>

>>> Hello everyone,

>>>

>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>> one

>>> morning and one evening? I just saw my endocrinologist and he suggested

>> that

>>> I split my Lantus dose starting tonight, because he thinks it may be

>> running

>>> out before 24 hours is up. Apparently this is somewhat common among type

>> 1s.

>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>> readings within range so hopefully this will help. Just wondering if

>> anyone

>>> else does it and if there has been an improvement.

>>>

>>> Jen

>>>

October 13, 2006

Hi Ruth,

I used NPH and regular insulin after I was first diagnosed, and in 1998 switched

to Humalog instead of regular. NPH just requires snacks in the afternoon/evening

in order to not go low, or at least did with me. I used to have many nighttime

lows on NPH and my morning blood sugars were a mixture of highs and lows with no

pattern at all. With Lantus there is almost no peak and so you do not require

snacks between meals or before bed unless you have exercised that day. Lantus

also allows you to use carbohydrate counting to adjust the amount of Humalog to

your food. For example, I take a unit of Humalog for ever 13-15 grams of

carbohydrates I eat. This allows me to eat meals of varying sizes, especially at

lunch, which was previously covered by my morning dose of NPH and had to be

eating right on time and with the right amount of carbohydrates and protein to

tide me over without going low.

Overall using Lantus and Humalog is closer to what a working pancreas would do

than using NPH with a fast or rapid acting insulin. Also, the switch to Lantus,

without any extra effort on my part, casued my A1c to drop from the 8s to the

low 7s, where it has remained for the past year (until this last A1c which is in

the high 7s). My only complaint about Lantus is that it is difficult to

fine-tune, and also if you should happen to miscount carbohydrates in a certain

food or forget a shot at a meal you can spike extremely high (20-30 mmol/l). But

in general my blood sugars make much more sense and it's much easier to make

them " do what I want " in terms of going up and down by quite precise amounts

sometimes. It is easier to determine what each insulin is doing: if morning or

before-meal readings are high or low you adjust Lantus, if readings after meals

are high you adjust Humalog. I've still found overnight blood sugars (which may

be solved with this split, we shall see) and exercise hard to handle on this

regimen, but no more difficult than it was on NPH.

You are right that it is quite a few shots. With my split dose of Lantus I am

now on five shots a day if I do not snack (snacks of more than 15 or so

carbohydrates usually require a shot to cover them), and shots can also be given

between meals to bring down high blood sugars if needed, compared with two or

three shots a day on NPH. But for me the flexibility and stability is worth it.

The other option which is even more precise that Humalog/Lantus is a pump, which

I am looking into.

Jen

Splitting Lantus dose

>>

>>> Hello everyone,

>>>

>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>> one

>>> morning and one evening? I just saw my endocrinologist and he suggested

>> that

>>> I split my Lantus dose starting tonight, because he thinks it may be

>> running

>>> out before 24 hours is up. Apparently this is somewhat common among type

>> 1s.

>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>> readings within range so hopefully this will help. Just wondering if

>> anyone

>>> else does it and if there has been an improvement.

>>>

>>> Jen

>>>

October 13, 2006

Is there something besides prednasone that works for you? Steroids of any

kind mess up the blood glucose level plus a lot of other things. My

granddaughter is on steroids due to a birth defect for the rest of her life.

We have to watch her very carefully, and help her avoid infections and other

problems because this steroid suppresses her immune system.

Splitting Lantus dose

>>>

>>>> Hello everyone,

>>>>

>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>> one

>>>> morning and one evening? I just saw my endocrinologist and he suggested

>>> that

>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>> running

>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>> type

>>> 1s.

>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>> readings within range so hopefully this will help. Just wondering if

>>> anyone

>>>> else does it and if there has been an improvement.

>>>>

>>>> Jen

>>>>

October 13, 2006

Hi Harry.

Fraid not. I use the prednesone to keep my kidney transplant. Doctors have

been trying to find other drugs for this purpose, but have had no luck yet.

Ruth

Re: Splitting Lantus dose

Is there something besides prednasone that works for you? Steroids of any

kind mess up the blood glucose level plus a lot of other things. My

granddaughter is on steroids due to a birth defect for the rest of her life.

We have to watch her very carefully, and help her avoid infections and other

problems because this steroid suppresses her immune system.

Splitting Lantus dose

>>>

>>>> Hello everyone,

>>>>

>>>> I'm wondering if anyone here splits their Lantus dose into two

>>>> shots, one morning and one evening? I just saw my endocrinologist

>>>> and he suggested

>>> that

>>>> I split my Lantus dose starting tonight, because he thinks it may

>>>> be

>>> running

>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>> type

>>> 1s.

>>>> I've been having a lot of difficulty keeping my bedtime and

>>>> overnight readings within range so hopefully this will help. Just

>>>> wondering if

>>> anyone

>>>> else does it and if there has been an improvement.

>>>>

>>>> Jen

>>>>

October 13, 2006

Excuse me Ruth. I should have known, since I have a close aquaintance who

cured himself of diabetes via a kidney and pancreas transplant.He was cured,

so to speak and was doing fine the last time I saw him. Of course he has to

take steroids for the rest of his life and have frequent checkups, but that

is a small price for a diabetes cure.

Splitting Lantus dose

>>>>

>>>>> Hello everyone,

>>>>>

>>>>> I'm wondering if anyone here splits their Lantus dose into two

>>>>> shots, one morning and one evening? I just saw my endocrinologist

>>>>> and he suggested

>>>> that

>>>>> I split my Lantus dose starting tonight, because he thinks it may

>>>>> be

>>>> running

>>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>>> type

>>>> 1s.

>>>>> I've been having a lot of difficulty keeping my bedtime and

>>>>> overnight readings within range so hopefully this will help. Just

>>>>> wondering if

>>>> anyone

>>>>> else does it and if there has been an improvement.

>>>>>

>>>>> Jen

>>>>>

October 13, 2006

I heard from a pump user that insulin degrades when it's stored in plastic

such as a pump or a pre-filled syringe. I'm not sure how long it takes for

this to happen, but it's the reason that insulin is packaged in glass

bottles or vials. Usually I get about a week's worth of syringes pre-filled

and use those up before getting more, so that I can change my dose regularly

if I need to. You are also supposed to look for higher blood sugars once the

28 days has passed. It takes me about two months to use up a bottle of

Lantus, and because my insurance doesn't cover it and I pay for it myself, I

use the entire bottle. My blood sugars are too out of whack right now for me

to judge if it is Lantus running out making me high or just hormones or a

changing schedule.

Jen

Splitting Lantus dose

>>>>>

>>>>>> Hello everyone,

>>>>>>

>>>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>>>> one

>>>>>> morning and one evening? I just saw my endocrinologist and he

>>>>>> suggested

>>>>>> that

>>>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>>>>> running

>>>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>>>> type

>>>>>> 1s.

>>>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>>>> readings within range so hopefully this will help. Just wondering if

>>>>>> anyone

>>>>>> else does it and if there has been an improvement.

>>>>>>

>>>>>> Jen

>>>>>>

October 13, 2006

Harry,

As promised from my previous posting, The correct spelling for the insulin I

am injecting is: Novomix 30 Flexypen, " N O V O M I X " . It is a mixture of

both long and short term insulin, which needs to be injected at the time of

having a meal, or no later than 15 minutes after.

As to the question of storage and the life expectancy of the insulin I am

using. My Doctor gives me a proscription for two boxes of five pens, which I

keep in the fridge. I nearly always get my new supply of insulin when I'm

down to my last two pens, which is about two weeks before the old insulin

runs out.

Being that one pen of insulin lasts me a week, and the doctor proscribes me

ten weeks of insulin at a time, I don't think it should go off that quickly.

However, insulin is like a lot of other foods and drugs, it has a sell by

date, but it doesn't mean that it will loose its value so quickly after you

have purchased it.

Although the Novomix is in a plastic pen, and has 300 units of insulin, I'm

not sure if there might be some glass under the plastic. Plus, the fact it

is being stored in a fridge, would be a help to preserve the insulin.

Rowe

Splitting Lantus dose

> >

> >> Hello everyone,

> >>

> >> I'm wondering if anyone here splits their Lantus dose into two shots,

one

> >> morning and one evening? I just saw my endocrinologist and he suggested

> > that

> >> I split my Lantus dose starting tonight, because he thinks it may be

> > running

> >> out before 24 hours is up. Apparently this is somewhat common among

type

> > 1s.

> >> I've been having a lot of difficulty keeping my bedtime and overnight

> >> readings within range so hopefully this will help. Just wondering if

> > anyone

> >> else does it and if there has been an improvement.

> >>

> >> Jen

> >>

October 13, 2006

Hi Harry,

Good luck splitting your Lantus. I put my Lantus dose up to 21 units the

other night so when I split my Lantus I did 11 units at night and 10 units

in the morning. I will likely have to adjust this. I still shot up last

night despite the split dose. I was 6.8 before dinner, 6.1 after dinner, and

then dropped to 4.7 half an hour later, and then was 12.7 by the time I went

to bed. I think I might have gone low and not noticed. I also noticed that

my blood sugar rose slightly overnight but then dropped again by morning

(12.7 going to bed, 14.2 at 3:00 a.m., and 12.5 by morning), which is better

than I was getting before (I'd rather it go up than down!), and had I gone

to bed without being high it would have been fine.

Hopefully things will smooth out in a few days. I'm not sure why I still

shot up but tonight I will be more careful about making sure I'm nowhere

close to being low just in case that's what caused it. I'm really hoping

this split dose works. Right now I am using a 50/50 split but I have heard

some people use a 40/60 split which I might use if my blood sugar keeps

doing what it did today (seems I still need more in the evening and

overnight). I also gave my shots at 7:30 a.m. and 11:00 p.m. which is not 12

hours apart. My doctor said it didn't matter, but I might move my night dose

of Lantus to dinnertime to make it closer, and see what that does.

Jen

Splitting Lantus dose

>>>

>>>> Hello everyone,

>>>>

>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>> one

>>>> morning and one evening? I just saw my endocrinologist and he suggested

>>>> that

>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>>> running

>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>> type

>>>> 1s.

>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>> readings within range so hopefully this will help. Just wondering if

>>>> anyone

>>>> else does it and if there has been an improvement.

>>>>

>>>> Jen

>>>>

October 13, 2006

Is there anywhere to get information on the actual study they did?

Jen

Splitting Lantus dose

>>>

>>>> Hello everyone,

>>>>

>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>> one

>>>> morning and one evening? I just saw my endocrinologist and he suggested

>>>> that

>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>>> running

>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>> type

>>>> 1s.

>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>> readings within range so hopefully this will help. Just wondering if

>>>> anyone

>>>> else does it and if there has been an improvement.

>>>>

>>>> Jen

>>>>

October 13, 2006

I may be wrong as well, but wasn't Lantus available in Europe before it was

available in the States? Would there be a European study showing the same

results?

I just find it hard to believe that a company would " fake " results like

that. Wouldn't it come out as soon as patients started using it that this

insulin was not a 24-hour insulin? I do know people who use it once a day

with success.

Jen

Splitting Lantus dose

>>>>>

>>>>>> Hello everyone,

>>>>>>

>>>>>> I'm wondering if anyone here splits their Lantus dose into two shots,

>>>>>> one

>>>>>> morning and one evening? I just saw my endocrinologist and he

>>>>>> suggested

>>>>>> that

>>>>>> I split my Lantus dose starting tonight, because he thinks it may be

>>>>>> running

>>>>>> out before 24 hours is up. Apparently this is somewhat common among

>>>>>> type

>>>>>> 1s.

>>>>>> I've been having a lot of difficulty keeping my bedtime and overnight

>>>>>> readings within range so hopefully this will help. Just wondering if

>>>>>> anyone

>>>>>> else does it and if there has been an improvement.

>>>>>>

>>>>>> Jen

>>>>>>

October 13, 2006

,

If you read my article, you will discover that the magic number for

converting mole readings into USA readings is 18. The UK uses mole

readings, which report bs readings in decimal point readings. I prefer the

USA readings without the decimal points, and also the USA readings give a

finer calibration. It is kind of like telling the temperature. Celcius has

100 points between freezing and boiling. 0 for freezing and 100 for

boiling. The USA readings give 180 points for calibrating the difference,

32 for freezing and 212 for boiling. So just multiply the mole reading by

18 and now you have what it would be in a USA reading.

RE: Splitting Lantus dose

> , for one who is not yet testing and not familiar

> with the meters and test results, what does it mean when you

> say you were:

>

> I was 6.8 before dinner, 6.1 after dinner, and

> then dropped to 4.7 half an hour later, and then was 12.7 by

> the time I went

> to bed.

>

> How do those numbers correlate to glucose readings, or are

> they something totally different. They look like A1C

> numbers.

>

> Many thanks!

>

> SS

>

> --

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October 13, 2006