Re: splitting Lantus dose experience

[Guest guest]

Hi Harry,

I'm glad splitting Lantus has worked well for you. For me splitting Lantus has

resulted in much more stable blood sugars. During the evening I find that I no

longer have to fight to keep my blood sugar below 12, in fact I have had to

lower the amount of insulin I take at dinner by 2 units and have to be careful

about correcting anything after dinner or else I end up low. I'm taking 9 units

of Lantus in the morning and 11 units at night, but I think the morning dose may

be decreased as my next endo appointment. I think the morning dose may be

decreased and evening dose increased, as I tend to be very high in the morning

(13+ almost every morning, although through the night I'm fine) and low around

late afternoon/dinner.

Overall Lantus really isn't a 24-hour insulin. Given my readings now and how

*easy* they are to bring down especially in the evening, on the rare occasions I

am high, for me I think it was running out around 4:00 or 5:00, or in other

words a full 5-6 hours before the 24-hour mark.

The big problem I'm still having is high morning readings due to the dawn

phenomenon. I woke up the other morning by accident an hour before I usually do.

I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at 6:00 AM I was 11.9. I

didn't do anything, just went back to bed for an huor and when I tested when I

woke up for good I was 15.1! I can't think of how Lantus can fix this so I'm

glad I'm probably getting a pump soon.

Jen

[Guest guest]

Did you try Dr. Bernstein's suggestion for type1's? When you wake up in the

morning take a bs reading. If it isnormal or high take 1 unit of Humalog.

Now measure your bs again before you eat breakfast. This should eliminate

the dawn phenomena or close to eliminating it.

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo appointment.

> I think the morning dose may be decreased and evening dose increased, as I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at 6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

Maybe I should rephrase this last message. When you wake up in the morning

and you have a very high bs reading in the normal range or a higher reading

take 1 unit of Humalog. Now take your bs reading once again at breakfast

time. Is it better now?

Re: splitting Lantus dose experience

>

>

>> Hi Harry,

>>

>> I'm glad splitting Lantus has worked well for you. For me splitting

>> Lantus

>> has resulted in much more stable blood sugars. During the evening I find

>> that I no longer have to fight to keep my blood sugar below 12, in fact I

>> have had to lower the amount of insulin I take at dinner by 2 units and

>> have to be careful about correcting anything after dinner or else I end

>> up

>> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

>> but I think the morning dose may be decreased as my next endo

>> appointment.

>> I think the morning dose may be decreased and evening dose increased, as

>> I

>> tend to be very high in the morning (13+ almost every morning, although

>> through the night I'm fine) and low around late afternoon/dinner.

>>

>> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

>> how *easy* they are to bring down especially in the evening, on the rare

>> occasions I am high, for me I think it was running out around 4:00 or

>> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>>

>> The big problem I'm still having is high morning readings due to the dawn

>> phenomenon. I woke up the other morning by accident an hour before I

>> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at 6:00

>> AM I was 11.9. I didn't do anything, just went back to bed for an huor

>> and

>> when I tested when I woke up for good I was 15.1! I can't think of how

>> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>>

>> Jen

>>

>>

[Guest guest]

The problem is that I ususally have breakfast as soon as I wake up or very

shortly thereafter. Plus, my blood sugar is often high to begin with when I get

up, not that I get up normal and then am high by breakfast. It's often level

between when I go to bed and at 3:00 AM, and then has risen a lot by the time I

wake up at 6:00 or 7:00.

Jen

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo appointment.

> I think the morning dose may be decreased and evening dose increased, as I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at 6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

When yo get the pump Jen, you can set the pump to give you more insulin

during those hours when your sugar goes up. Forinstance, I use .3between 12

midnight and 3 and .5 between 3 and 6. Nomore high morning Bgs!

Re: splitting Lantus dose experience

The problem is that I ususally have breakfast as soon as I wake up or very

shortly thereafter. Plus, my blood sugar is often high to begin with when I

get up, not that I get up normal and then am high by breakfast. It's often

level between when I go to bed and at 3:00 AM, and then has risen a lot by

the time I wake up at 6:00 or 7:00.

Jen

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting

Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact

I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end

up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo

appointment.

> I think the morning dose may be decreased and evening dose increased, as

I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the

dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at

6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor

and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

Hi ,

Yes, this is what my doctor says, and also what I've heard from others on pumps.

One girl I know says that an increase in her basal rate by only 0.05 of a unit

is enough to stop her blood sugar from rising by 5 mmol/l (90 mg/dl) in the

early morning. This seems to be the amount my blood sguar goes up by. She says

that anything above 8 mmol/ makes her wonder what went wrong; for me right now I

would *love* to have morning readings that low! I can't wait to start the pump.

It will take four to six weeks for it to clear insurance, but my doctor wants me

to call next week to make an appointment to get started with pump training. I am

hoping I can start sometime over the holidays, but it might take longer, I'm not

sure.

Jen

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting

Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact

I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end

up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo

appointment.

> I think the morning dose may be decreased and evening dose increased, as

I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the

dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at

6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor

and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

How did your eye surgey go Jen? Yes, you will love the pump-it may take a

couple of weeks, or even more, to get the right adjustments and periodically

it will need adjustment again as the body changes, but you will love it!

Re: splitting Lantus dose experience

Hi ,

Yes, this is what my doctor says, and also what I've heard from others on

pumps. One girl I know says that an increase in her basal rate by only 0.05

of a unit is enough to stop her blood sugar from rising by 5 mmol/l (90

mg/dl) in the early morning. This seems to be the amount my blood sguar goes

up by. She says that anything above 8 mmol/ makes her wonder what went

wrong; for me right now I would *love* to have morning readings that low! I

can't wait to start the pump. It will take four to six weeks for it to clear

insurance, but my doctor wants me to call next week to make an appointment

to get started with pump training. I am hoping I can start sometime over the

holidays, but it might take longer, I'm not sure.

Jen

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting

Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact

I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end

up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo

appointment.

> I think the morning dose may be decreased and evening dose increased, as

I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the

dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at

6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor

and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

Hi ,

I think you might be mixing me up with another list member, I didn't have any

eye surgery. *smile*

Jen

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting

Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact

I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end

up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo

appointment.

> I think the morning dose may be decreased and evening dose increased, as

I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the

dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at

6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor

and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

Sorry Jen.

Re: splitting Lantus dose experience

Hi ,

I think you might be mixing me up with another list member, I didn't have

any eye surgery. *smile*

Jen

Re: splitting Lantus dose experience

> Hi Harry,

>

> I'm glad splitting Lantus has worked well for you. For me splitting

Lantus

> has resulted in much more stable blood sugars. During the evening I find

> that I no longer have to fight to keep my blood sugar below 12, in fact

I

> have had to lower the amount of insulin I take at dinner by 2 units and

> have to be careful about correcting anything after dinner or else I end

up

> low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> but I think the morning dose may be decreased as my next endo

appointment.

> I think the morning dose may be decreased and evening dose increased, as

I

> tend to be very high in the morning (13+ almost every morning, although

> through the night I'm fine) and low around late afternoon/dinner.

>

> Overall Lantus really isn't a 24-hour insulin. Given my readings now and

> how *easy* they are to bring down especially in the evening, on the rare

> occasions I am high, for me I think it was running out around 4:00 or

> 5:00, or in other words a full 5-6 hours before the 24-hour mark.

>

> The big problem I'm still having is high morning readings due to the

dawn

> phenomenon. I woke up the other morning by accident an hour before I

> usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at

6:00

> AM I was 11.9. I didn't do anything, just went back to bed for an huor

and

> when I tested when I woke up for good I was 15.1! I can't think of how

> Lantus can fix this so I'm glad I'm probably getting a pump soon.

>

> Jen

>

>

[Guest guest]

, I think you may have been thinking of myself. I had both eyes

done. and now I see nothing but darkness. But I was given no promises it was

a long shot. but things are good now I walk slower so I dont hit the walls,

smile. thank god for the treadmill which I am due to go on now. Thanks for

the thought,

Re: splitting Lantus dose experience

>

> > Hi Harry,

> >

> > I'm glad splitting Lantus has worked well for you. For me splitting

> Lantus

> > has resulted in much more stable blood sugars. During the evening I

> find

>

> > that I no longer have to fight to keep my blood sugar below 12, in fact

> I

> > have had to lower the amount of insulin I take at dinner by 2 units and

> > have to be careful about correcting anything after dinner or else I end

> up

> > low. I'm taking 9 units of Lantus in the morning and 11 units at night,

> > but I think the morning dose may be decreased as my next endo

> appointment.

> > I think the morning dose may be decreased and evening dose increased,

> as

> I

> > tend to be very high in the morning (13+ almost every morning, although

> > through the night I'm fine) and low around late afternoon/dinner.

> >

> > Overall Lantus really isn't a 24-hour insulin. Given my readings now

> and

>

> > how *easy* they are to bring down especially in the evening, on the

> rare

>

> > occasions I am high, for me I think it was running out around 4:00 or

> > 5:00, or in other words a full 5-6 hours before the 24-hour mark.

> >

> > The big problem I'm still having is high morning readings due to the

> dawn

> > phenomenon. I woke up the other morning by accident an hour before I

> > usually do. I had been 7.2 at bedtime and 7.9 at 3:00 AM, but now at

> 6:00

> > AM I was 11.9. I didn't do anything, just went back to bed for an huor

> and

> > when I tested when I woke up for good I was 15.1! I can't think of how

> > Lantus can fix this so I'm glad I'm probably getting a pump soon.

> >

> > Jen

> >

> >