Lantus ?

[Abadoo]

Im a type 1 and I take 23 units of lantus at 10 pm my problem is I cannot cover any food I eat at night without waking up with low blood sugars. Yet I still have highs during the day & find I'm taking about 2 units of regular for 15 carbs. I've been walking about 3 miles most days as I'm trying to lose about 10 pounds. Should I maybe try taking my lantus during the day instead since my lows are always at night, middle of the night in fact to early morning.I know I need to talk to my doc about this but I just wondered if this is just my weird body or if others have this same issue

[Mark1e]

The short answer is, try different things until you find what works best. Taking all your Lantus in the morning is a good place to start. I found, when doing this, that I woke with high blood sugars. I concluded that Lantus wasn't lasting the full 24 hours for me, and this together with the dawn phenomenon blood glucose surge, meant that I had to try something else. So I started splitting the Lantus dose between morning and evening shots. This works well for me, and it is also an option for you. But I would suggest trying taking all your in the morning first.

Mark

[Abadoo]

Thank You Mark I'm going to try it. I really worry about those highs in the evening from not covering my dinner.Plus my daytime highs don't seem right either.

[Mark1e]

You could also try switching from Regular to a faster acting pre-meal insulin. Because they act quicker and finish sooner, you won't have as much of a problem with night time blood sugars dropping because of the evening meal bolus. Covering meals with Humalog, Novorapid or Apidra is a lot easier.

[DibeticAthlete]

Hi Abadoo,
I had the exact same problems you are describing. Super high at night after dinner and so low in the morning I couldn't even think! Lantus works for 16-18 hours. I switched it to the morning and I wake up with normal sugars and that way I am covered until I go to bed. HUGE difference.

How I switched over is you have a 4 hour window with lantus. I used to take it at 11pm, then the next night I took it at at 2am, then the next day I took it at 6am, then after that I was set to take it in the mornings once I woke up. BUT you might want to ask your Endo before changing anything. I've been diabetic for 23 years so I'm used to adjusting insulin myself.

Mark1e's idea of splitting it is a great idea and I know someone who does that and she loves it. You need to figure out what works best for you.

Good luck!