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  #1  
Old 04-12-2007, 12:59 AM
Just Me
Guest
 
Posts: n/a
Default Lantus

Let me start this by saying that I know I should ask my doctor, but he just
keeps pushing more and more insulin. It peeked last summer when I went
unconscious from a low from the Lantus. I have since reduced my Lantus
intake from 70 units to 38 units. I also take Humalog with meals. My
question is, how do I determine how much Lantus I need? I am at the point
now that if I increase it (I take it at night) I go low overnight and then
have a high fasting in the morning. By low I mean in the 30's or 40's and
with highs in the 200's and 300's. I have tried splitting the dose and
tried it in the mornings also, bedtime seems to work best. Some mornings
my BS are in the 100's, so it isn't an every morning rise. Just looking
for some guidelines as to how to tell what is the correct dosage.


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  #2  
Old 04-12-2007, 12:59 AM
Glenn
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Posts: n/a
Default Re: Lantus

This sounds like a cop out, but the correct dosage is whatever is right
for you. I take 50 at night and 85 in the morning. I also take regular
insulin at 6 12 18 in the morning noon and night. There is no set
amount that is right for everybody. Just remember that Lantus is slow
acting and regular is fast acting. Get your doctor to give you a range
and increase or decrease within that range until you get it right for you.

Just Me wrote:
> Let me start this by saying that I know I should ask my doctor, but he just
> keeps pushing more and more insulin. It peeked last summer when I went
> unconscious from a low from the Lantus. I have since reduced my Lantus
> intake from 70 units to 38 units. I also take Humalog with meals. My
> question is, how do I determine how much Lantus I need? I am at the point
> now that if I increase it (I take it at night) I go low overnight and then
> have a high fasting in the morning. By low I mean in the 30's or 40's and
> with highs in the 200's and 300's. I have tried splitting the dose and
> tried it in the mornings also, bedtime seems to work best. Some mornings
> my BS are in the 100's, so it isn't an every morning rise. Just looking
> for some guidelines as to how to tell what is the correct dosage.
>
>

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  #3  
Old 04-12-2007, 03:33 AM
Alexander Arnakis
Guest
 
Posts: n/a
Default Re: Lantus

On Wed, 11 Apr 2007 19:12:52 -0400, "Just Me" <pstevenoops@smta.cc>
wrote:

>Let me start this by saying that I know I should ask my doctor, but he just
>keeps pushing more and more insulin. It peeked last summer when I went
>unconscious from a low from the Lantus. I have since reduced my Lantus
>intake from 70 units to 38 units. I also take Humalog with meals. My
>question is, how do I determine how much Lantus I need? I am at the point
>now that if I increase it (I take it at night) I go low overnight and then
>have a high fasting in the morning. By low I mean in the 30's or 40's and
>with highs in the 200's and 300's. I have tried splitting the dose and
>tried it in the mornings also, bedtime seems to work best. Some mornings
>my BS are in the 100's, so it isn't an every morning rise. Just looking
>for some guidelines as to how to tell what is the correct dosage.
>

I take it you're a Type 2? I'm a Type 1, and my basal dose of Lantus
is 26 units a day.

Try this experiment: Take your usual Lantus, but eat nothing (or at
least no carbohydrates) for a day and omit the Humalog. Test every
couple of hours throughout the day. If your Lantus dose is correct,
you should be close to your target BG, with no highs or lows. If not,
adjust your Lantus dose up or down and do the experiment again.

If your only low in this scenario is during the overnight hours, maybe
you should have a bedtime snack rather than further reducing the
Lantus.

Once you have your basal Lantus dose set, only then should you start
tinkering with the Humalog doses.

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  #4  
Old 04-12-2007, 03:33 AM
Kurt
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Posts: n/a
Default Re: Lantus

On Apr 11, 4:12�pm, "Just Me" <psteveno...@smta.cc> wrote:
> Let me start this by saying that I know I should ask my doctor, but he just
> keeps pushing more and more insulin. * It peeked last summer when I went
> unconscious from a low from the Lantus. * *I have since reduced my Lantus
> intake from 70 units to 38 units. * I also take Humalog with meals. *My
> question is, how do I determine how much Lantus I need? * I am at the point
> now that if I increase it (I take it at night) I go low overnight and then
> have a high fasting in the morning. * By low I mean in the 30's or 40'sand
> with highs in the 200's and 300's. * I have tried splitting the dose and
> tried it in the mornings also, bedtime seems to work best. * *Some mornings
> my BS are in the 100's, so it isn't an every morning rise. * Just looking
> for some guidelines as to how to tell what is the correct dosage.


Unfortunately there are no guidelines and it would be inadvisable and
wrong for any of us to tell you what dosage to take. I use Lantus but
I had a long discussion with my doctor about how to adjust the dosage
to fit my particular needs.

If you're not satisfied that your doctor is giving you good advice or
that he or she has your best interests in mind, then you should find
another doctor. You didn't mention if your doctor was an endo, but if
they're not you should get one. Lantus is a wonderful drug, but like
all drugs it can be very dangerous if used incorrectly.

Best of luck.

Kurt

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  #5  
Old 04-12-2007, 04:14 AM
TigerLily
Guest
 
Posts: n/a
Default Re: Lantus

i had to give up on Lantus and switch to Levemir

kate
--
Join us in the Diabetic-Talk Chatroom on UnderNet
/server irc.undernet.org --- /join #Diabetic-Talk
More info: http://www.diabetic-talk.org/
http://www.diabetic-talk.org/freeveggies.htm
I have no medical qualifications beyond my own
experience.
Choose your advisers carefully, because experience
can be
an expensive teacher.

"Just Me" <pstevenoops@smta.cc> wrote in message
news:c5qdnZBbJLrk9oDbnZ2dnUVZ_qarnZ2d@bright.net.. .
> Let me start this by saying that I know I should

ask my doctor, but he just
> keeps pushing more and more insulin. It peeked

last summer when I went
> unconscious from a low from the Lantus. I

have since reduced my Lantus
> intake from 70 units to 38 units. I also take

Humalog with meals. My
> question is, how do I determine how much Lantus

I need? I am at the point
> now that if I increase it (I take it at night) I

go low overnight and then
> have a high fasting in the morning. By low I

mean in the 30's or 40's and
> with highs in the 200's and 300's. I have

tried splitting the dose and
> tried it in the mornings also, bedtime seems to

work best. Some mornings
> my BS are in the 100's, so it isn't an every

morning rise. Just looking
> for some guidelines as to how to tell what is

the correct dosage.
>
>



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  #6  
Old 04-12-2007, 10:17 AM
rk
Guest
 
Posts: n/a
Default Re: Lantus

Regular insulin isn't "fast acting" it's moderately fast acting.
Regular starts to work in 30-45mins. It peaks at 2-4hrs and
it's usually gone within 5-7hrs. Humalog and/or Novolog is
much faster acting Insulin.

You must be severely insulin resistant with taking 135u of a
Basal Insulin. I would hope you're on a anti-resistant medication
to help reduce your severe IR.

--
Reisa, T1
dx-5/00 asd-7/00
Animas IR1250 pumper
Symlin 1u, 30gm meals
Daily CHO: 150-175gm
TDD: 36-38u
Last A1C: coming down.
"Glenn" <gdickso@swbell.net> wrote in message
news:TmeTh.4920$5e2.1631@newssvr11.news.prodigy.ne t...
> This sounds like a cop out, but the correct dosage is whatever is right
> for you. I take 50 at night and 85 in the morning. I also take regular
> insulin at 6 12 18 in the morning noon and night. There is no set amount
> that is right for everybody. Just remember that Lantus is slow acting
> and regular is fast acting. Get your doctor to give you a range and
> increase or decrease within that range until you get it right for you.
>
> Just Me wrote:
>> Let me start this by saying that I know I should ask my doctor, but he
>> just keeps pushing more and more insulin. It peeked last summer when I
>> went unconscious from a low from the Lantus. I have since reduced my
>> Lantus intake from 70 units to 38 units. I also take Humalog with
>> meals. My question is, how do I determine how much Lantus I need? I
>> am at the point now that if I increase it (I take it at night) I go low
>> overnight and then have a high fasting in the morning. By low I mean
>> in the 30's or 40's and with highs in the 200's and 300's. I have
>> tried splitting the dose and tried it in the mornings also, bedtime
>> seems to work best. Some mornings my BS are in the 100's, so it isn't
>> an every morning rise. Just looking for some guidelines as to how to
>> tell what is the correct dosage.



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  #7  
Old 04-12-2007, 10:18 AM
rk
Guest
 
Posts: n/a
Default Re: Lantus

Just Me" <pstevenoops@smta.cc> wrote in message
news:c5qdnZBbJLrk9oDbnZ2dnUVZ_qarnZ2d@bright.net.. .
> Let me start this by saying that I know I should ask my doctor, but he
> just keeps pushing more and more insulin. It peeked last summer when I
> went unconscious from a low from the Lantus. I have since reduced my
> Lantus intake from 70 units to 38 units. I also take Humalog with
> meals. My question is, how do I determine how much Lantus I need? I
> am at the point now that if I increase it (I take it at night) I go low
> overnight and then have a high fasting in the morning. By low I mean in
> the 30's or 40's and with highs in the 200's and 300's. I have tried
> splitting the dose and tried it in the mornings also, bedtime seems to
> work best. Some mornings my BS are in the 100's, so it isn't an every
> morning rise. Just looking for some guidelines as to how to tell what
> is the correct dosage.


Hello.. Yes, you probably should discuss this with your doctor as well...
but heres
a starter for you. Remember *I* am *NOT* a doctor. <g>

I'm a youth Olympic bowling coach and when the kids get frustrated, I tell
them to
go back to the very basics and start over and 9 times out of 10, they get
back in the
rythm quickly.. This is the same practice that I've done when I start to
have issues
with my bg control and my insulin dosages. Pretty much you need to start
with a
basic starter dose. To do this, calculate 0.5 units/kg/day body weight,
this is called
TDD/Total Daily Dose).

Then I do what Alex said as well, except, I follow what John Walsh (along
with my
CDE/Endo/GP all recommended) that you only fast until 1pm the first day
when
testing your basal. Then if you can go from waking until 1pm with steady
BG's,
your Basal insulin is set correctly. The following day, you fast from 1pm
until bedtime
and if your BG's remain stable then your afternoon Basal is set correctly.
By doing
this, I found that I have quite a varied daily insulin need, which prompted
my going
to a pump instead of staying on MDI.

There are some good websites that can walk you through this, one is....
http://www.diabetesnet.com/diabetes_tools/tools_tdd.php which has some
very
good insulin tools. The site is owned by John Walsh who's written a couple
of
very good books on how to properly use Insulin. Far better then Bernsquack
imho.
Walsh's information is up to date, which is most important along with he
gives
helps on living a normal life while taking insulin and getting the best
management.

If you want to have a go of it yourself, I found this information at
www.aamc.org/patientcare -- Another site you might want to check out is
www.insulin-pumpers.org -- The site isn't just for Insulin pumpers, it has
some very
good information on how to correctly set and check your Basal and Bolus
insulins.

Just remember to test frequently if you're going to take it into your own
hands if
you're new and not experienced. And as always, CHECK with your doctor
before
making any changes.

One last thing, you might need to change from Lantus to Levemir. Lantus
and Levemir
doesn't have a peak per-say. But Type 2's seem to think they notice a peak
because of
their own Insulin kicking in instead. (what my CDE told me when I asked why
T2's see
a peak with Lantus/Levemir and T1's don't)

HTH.

--
Reisa, T1
dx-5/00 asd-7/00
Animas IR1250 pumper
Symlin 1u, 30gm meals
Daily CHO: 150-175gm
TDD: 36-38u
Last A1C: coming down.


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  #8  
Old 04-12-2007, 10:36 PM
hemyd
Guest
 
Posts: n/a
Default Re: Lantus

"Just Me" <pstevenoops@smta.cc> wrote in message
news:c5qdnZBbJLrk9oDbnZ2dnUVZ_qarnZ2d@bright.net.. .
> Let me start this by saying that I know I should ask my doctor, but he
> just keeps pushing more and more insulin. It peeked last summer when I
> went unconscious from a low from the Lantus. I have since reduced my
> Lantus intake from 70 units to 38 units. I also take Humalog with meals.
> My question is, how do I determine how much Lantus I need? I am at the
> point now that if I increase it (I take it at night) I go low overnight
> and then have a high fasting in the morning. By low I mean in the 30's
> or 40's and with highs in the 200's and 300's. I have tried splitting
> the dose and tried it in the mornings also, bedtime seems to work best.
> Some mornings my BS are in the 100's, so it isn't an every morning rise.
> Just looking for some guidelines as to how to tell what is the correct
> dosage.
>

As Kurt says, it should be discussed with an endo. In my case, having read
up on insulin extensively, it took me a few days of experimenting to arrive
at the correct dose. For further information you can also go to
http://www.lantus.com/

Henry M.


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  #9  
Old 04-12-2007, 10:36 PM
TigerLily
Guest
 
Posts: n/a
Default Re: Lantus

Levemir has a distinct peak to it based on
units/kg of body weight

type 2's will notice this peak because they
typically take more units/kg of body weight

kate
--
Join us in the Diabetic-Talk Chatroom on UnderNet
/server irc.undernet.org --- /join #Diabetic-Talk
More info: http://www.diabetic-talk.org/
http://www.diabetic-talk.org/freeveggies.htm
I have no medical qualifications beyond my own
experience.
Choose your advisers carefully, because experience
can be
an expensive teacher.


But Type 2's seem to think they notice a peak
> because of
> their own Insulin kicking in instead. (what my

CDE told me when I asked why
> T2's see
> a peak with Lantus/Levemir and T1's don't)
>
> HTH.



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  #10  
Old 04-14-2007, 12:24 AM
jen_vanderlee@hotmail.com
Guest
 
Posts: n/a
Default Re: Lantus

Seiously START WRITTING EVERYTHING DOWN!!!

When i got pregnant my sugars were all over the shop!!! LIKE really
DANGERIOUS!

Keep a diary with everything... the time you check your sugars, the
times you eat and what you eat (INCLUDING APPROX SIZE AND BE HONEST)
how much insulin you take and when!!! also the type of activity you
do. then you can see if there are any specific patterns and then your
endo can change what your doing and help! you cant get a result from
one days sugar levels! give yourself a week of writting it down then
go see your doc!!!

another thing that helped me was that they told me to pretty much take
my weight in units (im 54kls, so i take around 54units a day... on a
normal day) Im trying to get this lower so I take a slightly less
amount of insulin and exercise and thats one way i get my weight down.

Please remember if your not being honest when you write everything
down, your only lying to yourself... the docs cant help you if your
not honest! DO it for yourself!!! you will appreciate it!

Good luck!

PS its hard work getting everything under control but my god its worth
it!!

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  #11  
Old 04-14-2007, 12:24 AM
jen_vanderlee@hotmail.com
Guest
 
Posts: n/a
Default Re: Lantus

Sorry just wanted to add, does anyone else find lantus painful??? I
find that everytime i inject it im in so much pain! LIKE sharp
stabbing.. and i get bad bruises from it??? keep forgetting to ask my
doctor about it!

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  #12  
Old 04-14-2007, 12:25 AM
Just Me
Guest
 
Posts: n/a
Default Re: Lantus

Thank you for some actual information. That is the sort of thing I was
looking for. My doctor is an endo, but just tells me to "play with the
doses" - not a good thing when he doesn't telll me how to get a basal set.
I have been on insulin for over 10 years, so it isn't new to me (I'm type
2), just not sure how to figure out how much of the basal I should be
taking. His response to high morning BS is just take more Lantus - which
isn't good when it causes me to go low overnight. The rest of my sugars
are in good control, it is just the morning ones that are wacky. I do
realize that I may just have to live with it too.
"rk" <p_haha_medium@gmail.com> wrote in message
news:ssydnWrKsNALMIDbnZ2dnUVZ_gOdnZ2d@wideopenwest .com...
> Just Me" <pstevenoops@smta.cc> wrote in message
> news:c5qdnZBbJLrk9oDbnZ2dnUVZ_qarnZ2d@bright.net.. .
>> Let me start this by saying that I know I should ask my doctor, but he
>> just keeps pushing more and more insulin. It peeked last summer when I
>> went unconscious from a low from the Lantus. I have since reduced my
>> Lantus intake from 70 units to 38 units. I also take Humalog with
>> meals. My question is, how do I determine how much Lantus I need? I
>> am at the point now that if I increase it (I take it at night) I go low
>> overnight and then have a high fasting in the morning. By low I mean in
>> the 30's or 40's and with highs in the 200's and 300's. I have tried
>> splitting the dose and tried it in the mornings also, bedtime seems to
>> work best. Some mornings my BS are in the 100's, so it isn't an every
>> morning rise. Just looking for some guidelines as to how to tell what
>> is the correct dosage.

>
> Hello.. Yes, you probably should discuss this with your doctor as well...
> but heres
> a starter for you. Remember *I* am *NOT* a doctor. <g>
>
> I'm a youth Olympic bowling coach and when the kids get frustrated, I tell
> them to
> go back to the very basics and start over and 9 times out of 10, they get
> back in the
> rythm quickly.. This is the same practice that I've done when I start to
> have issues
> with my bg control and my insulin dosages. Pretty much you need to start
> with a
> basic starter dose. To do this, calculate 0.5 units/kg/day body weight,
> this is called
> TDD/Total Daily Dose).
>
> Then I do what Alex said as well, except, I follow what John Walsh (along
> with my
> CDE/Endo/GP all recommended) that you only fast until 1pm the first day
> when
> testing your basal. Then if you can go from waking until 1pm with steady
> BG's,
> your Basal insulin is set correctly. The following day, you fast from 1pm
> until bedtime
> and if your BG's remain stable then your afternoon Basal is set correctly.
> By doing
> this, I found that I have quite a varied daily insulin need, which
> prompted my going
> to a pump instead of staying on MDI.
>
> There are some good websites that can walk you through this, one is....
> http://www.diabetesnet.com/diabetes_tools/tools_tdd.php which has some
> very
> good insulin tools. The site is owned by John Walsh who's written a
> couple of
> very good books on how to properly use Insulin. Far better then
> Bernsquack imho.
> Walsh's information is up to date, which is most important along with he
> gives
> helps on living a normal life while taking insulin and getting the best
> management.
>
> If you want to have a go of it yourself, I found this information at
> www.aamc.org/patientcare -- Another site you might want to check out is
> www.insulin-pumpers.org -- The site isn't just for Insulin pumpers, it has
> some very
> good information on how to correctly set and check your Basal and Bolus
> insulins.
>
> Just remember to test frequently if you're going to take it into your own
> hands if
> you're new and not experienced. And as always, CHECK with your doctor
> before
> making any changes.
>
> One last thing, you might need to change from Lantus to Levemir. Lantus
> and Levemir
> doesn't have a peak per-say. But Type 2's seem to think they notice a
> peak because of
> their own Insulin kicking in instead. (what my CDE told me when I asked
> why T2's see
> a peak with Lantus/Levemir and T1's don't)
>
> HTH.
>
> --
> Reisa, T1
> dx-5/00 asd-7/00
> Animas IR1250 pumper
> Symlin 1u, 30gm meals
> Daily CHO: 150-175gm
> TDD: 36-38u
> Last A1C: coming down.
>



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  #13  
Old 04-14-2007, 08:25 AM
jen_vanderlee@hotmail.com
Guest
 
Posts: n/a
Default Re: Lantus

OMG find a new endo! wish you could see mine!!! how are you treating
your hypo's? If your anything like I use to be at night, you keep
eating until you feel better. Control how much your eating. You dont
need any more than 5 lollies to get your levels safe for the rest of
the night. Then just eat some carbs and go back to bed. Give the sugar
time to work before you eat more. Its the lantus peaking that is
making you low in the middle of the night but the treatment of the low
thats making you high in the morning. START WRITTING EVERYTHING
DOWN!!! its a real pain but worth it. How low are your lows in the
night???

Once you've got your stable night dose of lantus right DONT CHANGE IT!
If your high before bed, give yourself a couple of units of your short
acting insulin BUT give it in a seperate injection sight from the
lantus. This will help the initial high and wont make you too low
during the night. DONT PLAY with your insulin... Remember it can make
you very sick and a friend of mine was killed by taking to much and
went into a coma and never came out! SO be careful. Start testing
lots! when you feel well as well! if your endo sees how much effort
you've put in they will be more likely to help you! And if they ever
tell you to play with the levels again walk out of there and find a
new one! its not as simple as just playing! GOODLUCK

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  #14  
Old 04-14-2007, 08:25 AM
rk
Guest
 
Posts: n/a
Default Re: Lantus


jen_vanderlee@hotmail.com> wrote in message
news:1176515299.815679.45640@y80g2000hsf.googlegro ups.com...
> Its the lantus peaking that is
> making you low in the middle of the night


Lantus doesn't have a noticeable peak. It might seem that way
for Type 2's who still produce insulin on their own which might
cause a bit of a low.


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  #15  
Old 04-14-2007, 08:25 AM
rk
Guest
 
Posts: n/a
Default Re: Lantus

"Just Me" <pstevenoops@smta.cc> wrote in message
news:9-SdnWb2AIegkb3bnZ2dnUVZWhednZ2d@bright.net...
> Thank you for some actual information.


You're welcomed.

That is the sort of thing I was
> looking for. My doctor is an endo, but just tells me to "play with the
> doses" - not a good thing when he doesn't telll me how to get a basal
> set.


Well, unfortunately, playing with the dosage is the best way to learn.
Yes,
your endo should be working closely with you. Have you tried to adjust
your
basal and check it over 2-3 days and then inform your endo of the results?

You could probably start with a set amount and then begin to adjust up/down
from there. For a T1 the starting dose is .5u/kg of body weight, for a T2
it's
1.0u/kg of body weight. You should adjust up 2u. Then wait 3 days before
making adjustments to see how you do. If you need to decrease your dose
then lower it by 1u. This is pretty much common practice of MDI.


> I have been on insulin for over 10 years, so it isn't new to me (I'm type
> 2), just not sure how to figure out how much of the basal I should be
> taking.


See above.

His response to high morning BS is just take more Lantus - which
> isn't good when it causes me to go low overnight.


No, that's not a good way to handle it. You might need to change your
Lantus dose to mornings or split it into 2 doses. Another thing might be
that you have dawn phenomenon. Since Lantus doesn't have a noticable
peak (for most) and you're a T2, you're own insulin is probably causing
you to go low at night (since our bodies only need VERY little between
12am-2am) if you're injecting large amounts, then coupled with your
own insulin and the small peak from Lantus, yes, I can see you going
low in the mid-night. Then DP kicking in and causing a high fasting.
Some T2's have found eating a small protein snack before bed helps
to trick the liver into not releasing that morning glucose that causes DP.
Another thing you might try is to split your insulin into 2 doses and your
night dose be half or so of your morning dose.

For me, I was on Lantus when it was first released several years back
and after 16mons of being on it, I found that I only was getting 19hrs
out of my dose. Splitting it for me didn't help either since it takes 2hrs
to kick in. I ended up having to suppliment with NPH around 12am to
get me through the morning.

Basically, you really need to just start experimenting and testing like a
fool to see what YOU are actually doing.. I can only give you a few hints
where to get started. After you've tried a few things.. you can also post
again and talk with your endo and see what they thing with suggestions.

Hope you get it sorted out, I know it can be a hell of a trip, but it's
worth
it once you do get it figured out.. I used to think of it as a game.. and
I'd
be damned if I'd lose at it. <g>


--
Reisa, T1
dx-5/00 asd-7/00
Animas IR1250 pumper
Symlin 1u, 30gm meals
Daily CHO: 150-175gm
TDD: 36-38u
Last A1C: coming down.
The rest of my sugars
> are in good control, it is just the morning ones that are wacky. I do
> realize that I may just have to live with it too.
> "rk" <p_haha_medium@gmail.com> wrote in message
> news:ssydnWrKsNALMIDbnZ2dnUVZ_gOdnZ2d@wideopenwest .com...
>> Just Me" <pstevenoops@smta.cc> wrote in message
>> news:c5qdnZBbJLrk9oDbnZ2dnUVZ_qarnZ2d@bright.net.. .
>>> Let me start this by saying that I know I should ask my doctor, but he
>>> just keeps pushing more and more insulin. It peeked last summer when
>>> I went unconscious from a low from the Lantus. I have since reduced
>>> my Lantus intake from 70 units to 38 units. I also take Humalog with
>>> meals. My question is, how do I determine how much Lantus I need? I
>>> am at the point now that if I increase it (I take it at night) I go low
>>> overnight and then have a high fasting in the morning. By low I mean
>>> in the 30's or 40's and with highs in the 200's and 300's. I have
>>> tried splitting the dose and tried it in the mornings also, bedtime
>>> seems to work best. Some mornings my BS are in the 100's, so it
>>> isn't an every morning rise. Just looking for some guidelines as to
>>> how to tell what is the correct dosage.

>>
>> Hello.. Yes, you probably should discuss this with your doctor as
>> well... but heres
>> a starter for you. Remember *I* am *NOT* a doctor. <g>
>>
>> I'm a youth Olympic bowling coach and when the kids get frustrated, I
>> tell them to
>> go back to the very basics and start over and 9 times out of 10, they
>> get back in the
>> rythm quickly.. This is the same practice that I've done when I start to
>> have issues
>> with my bg control and my insulin dosages. Pretty much you need to
>> start with a
>> basic starter dose. To do this, calculate 0.5 units/kg/day body weight,
>> this is called
>> TDD/Total Daily Dose).
>>
>> Then I do what Alex said as well, except, I follow what John Walsh
>> (along with my
>> CDE/Endo/GP all recommended) that you only fast until 1pm the first day
>> when
>> testing your basal. Then if you can go from waking until 1pm with
>> steady BG's,
>> your Basal insulin is set correctly. The following day, you fast from
>> 1pm until bedtime
>> and if your BG's remain stable then your afternoon Basal is set
>> correctly. By doing
>> this, I found that I have quite a varied daily insulin need, which
>> prompted my going
>> to a pump instead of staying on MDI.
>>
>> There are some good websites that can walk you through this, one is....
>> http://www.diabetesnet.com/diabetes_tools/tools_tdd.php which has some
>> very
>> good insulin tools. The site is owned by John Walsh who's written a
>> couple of
>> very good books on how to properly use Insulin. Far better then
>> Bernsquack imho.
>> Walsh's information is up to date, which is most important along with he
>> gives
>> helps on living a normal life while taking insulin and getting the best
>> management.
>>
>> If you want to have a go of it yourself, I found this information at
>> www.aamc.org/patientcare -- Another site you might want to check out is
>> www.insulin-pumpers.org -- The site isn't just for Insulin pumpers, it
>> has some very
>> good information on how to correctly set and check your Basal and Bolus
>> insulins.
>>
>> Just remember to test frequently if you're going to take it into your
>> own hands if
>> you're new and not experienced. And as always, CHECK with your doctor
>> before
>> making any changes.
>>
>> One last thing, you might need to change from Lantus to Levemir. Lantus
>> and Levemir
>> doesn't have a peak per-say. But Type 2's seem to think they notice a
>> peak because of
>> their own Insulin kicking in instead. (what my CDE told me when I asked
>> why T2's see
>> a peak with Lantus/Levemir and T1's don't)
>>
>> HTH.
>>
>> --
>> Reisa, T1
>> dx-5/00 asd-7/00
>> Animas IR1250 pumper
>> Symlin 1u, 30gm meals
>> Daily CHO: 150-175gm
>> TDD: 36-38u
>> Last A1C: coming down.
>>

>
>



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  #16  
Old 04-14-2007, 12:56 PM
hemyd
Guest
 
Posts: n/a
Default Re: Lantus

<jen_vanderlee@hotmail.com> wrote in message
news:1176480169.767141.70900@y80g2000hsf.googlegro ups.com...
> Sorry just wanted to add, does anyone else find lantus painful??? I
> find that everytime i inject it im in so much pain! LIKE sharp
> stabbing.. and i get bad bruises from it??? keep forgetting to ask my
> doctor about it!
>

I find the injections painful at random. I think it's just the needle, not
Lantus. I do get the odd bruise, I reckon if I run the needle into the wrong
place (vein?)

Henry M.


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  #17  
Old 04-15-2007, 02:42 AM
Kurt
Guest
 
Posts: n/a
Default Re: Lantus

On Apr 14, 2:39?am, "hemyd" <myd!!!...@optusnet.com.au> wrote:
> <jen_vander...@hotmail.com> wrote in message
>
> news:1176480169.767141.70900@y80g2000hsf.googlegro ups.com...> Sorry just wanted to add, does anyone else find lantus painful??? I
> > find that everytime i inject it im in so much pain! LIKE sharp
> > stabbing.. and i get bad bruises from it??? keep forgetting to ask my
> > doctor about it!

>
> I find the injections painful at random. I think it's just the needle, not
> Lantus. I do get the odd bruise, I reckon if I run the needle into the wrong
> place (vein?)
>
> Henry M.


I have found the same thing, Henry. Also, sometimes there is what I
call a slight "burning sensation" as I inject Lantus. It doesn't
really hurt but I do notice a different feeling than when I'm
injecting Humalog.

Show me a person with little black & bruise marks on their belly and
I'll show you someone who is my kindred spirit.

Kurt

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  #18  
Old 04-15-2007, 02:42 AM
Jefferson
Guest
 
Posts: n/a
Default Re: Lantus

Kurt wrote:
> On Apr 14, 2:39?am, "hemyd" <myd!!!...@optusnet.com.au> wrote:
>
>><jen_vander...@hotmail.com> wrote in message
>>
>>news:1176480169.767141.70900@y80g2000hsf.googleg roups.com...> Sorry just wanted to add, does anyone else find lantus painful??? I
>>
>>>find that everytime i inject it im in so much pain! LIKE sharp
>>>stabbing.. and i get bad bruises from it??? keep forgetting to ask my
>>>doctor about it!

>>
>>I find the injections painful at random. I think it's just the needle, not
>>Lantus. I do get the odd bruise, I reckon if I run the needle into the wrong
>>place (vein?)
>>
>>Henry M.

>
>
> I have found the same thing, Henry. Also, sometimes there is what I
> call a slight "burning sensation" as I inject Lantus. It doesn't
> really hurt but I do notice a different feeling than when I'm
> injecting Humalog.


Lantus has a higher acid level than most insulins or analogs.
Consequently, it does give a burning sensation.

Frank
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  #19  
Old 04-15-2007, 06:05 PM
Kurt
Guest
 
Posts: n/a
Default Re: Lantus

On Apr 14, 5:14�pm, Jefferson <x...@adelphia.netng> wrote:
> Kurt wrote:
> > On Apr 14, 2:39?am, "hemyd" <myd!!!...@optusnet.com.au> wrote:

>
> >><jen_vander...@hotmail.com> wrote in message

>
> >>news:1176480169.767141.70900@y80g2000hsf.googleg roups.com...> Sorry just wanted to add, does anyone else find lantus painful??? I

>
> >>>find that everytime i inject it im in so much pain! LIKE sharp
> >>>stabbing.. and i get bad bruises from it??? keep forgetting to ask my
> >>>doctor about it!

>
> >>I find the injections painful at random. I think it's just the needle, not
> >>Lantus. I do get the odd bruise, I reckon if I run the needle into the wrong
> >>place (vein?)

>
> >>Henry M.

>
> > I have found the same thing, Henry. *Also, sometimes there is what I
> > call a slight "burning sensation" as I inject Lantus. *It doesn't
> > really hurt but I do notice a different feeling than when I'm
> > injecting Humalog.

>
> Lantus has a higher acid level than most insulins or analogs.
> Consequently, it does give a burning sensation.


That makes sense. Thanks, Jefferson.

Kurt

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  #20  
Old 04-15-2007, 06:06 PM
jen_vanderlee@hotmail.com
Guest
 
Posts: n/a
Default Re: Lantus

Is it possible to be slightly allergic to it? And it still do its job?
Because sometimes im in tears slightly after I give the injection. The
needles are fine with every other insulin I've taken! So I doubt it
would be because of that! Some nights (because i use it at night) I am
getting into bed and the pain in so intense! Especially if i inject
into my legs (so i've stopped) and even worse if its cold! Its like a
sharp stabbing pain which shoots to where ever the insulin is
injected... and around the area! and sometimes i get that sharp
stabbing pain for a good 15mins after it.

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  #21  
Old 04-15-2007, 06:06 PM
hemyd
Guest
 
Posts: n/a
Default Re: Lantus

"Kurt" <kurtwheeling1965@hotmail.com> wrote in message
news:1176576439.433689.238630@e65g2000hsc.googlegr oups.com...
> On Apr 14, 2:39?am, "hemyd" <myd!!!...@optusnet.com.au> wrote:
>> <jen_vander...@hotmail.com> wrote in message
>>
>> news:1176480169.767141.70900@y80g2000hsf.googlegro ups.com...> Sorry just
>> wanted to add, does anyone else find lantus painful??? I
>> > find that everytime i inject it im in so much pain! LIKE sharp
>> > stabbing.. and i get bad bruises from it??? keep forgetting to ask my
>> > doctor about it!

>>
>> I find the injections painful at random. I think it's just the needle,
>> not
>> Lantus. I do get the odd bruise, I reckon if I run the needle into the
>> wrong
>> place (vein?)
>>
>> Henry M.

>
> I have found the same thing, Henry. Also, sometimes there is what I
> call a slight "burning sensation" as I inject Lantus. It doesn't
> really hurt but I do notice a different feeling than when I'm
> injecting Humalog.
>
> Show me a person with little black & bruise marks on their belly and
> I'll show you someone who is my kindred spirit.
>
> Kurt
>

Yes, Kurt!!! That burning sensation really bugs me! About one third of the
time I don't feel a thing, another third I feel a needle prick, then there
is that burning... As an aside - have you or anyone else here suspected
Lantus as being a trigger for headaches? I have suffered from headaches
since I was a kid, with an ever increasing array of foods tripping them off.
I had a respite from these, but since starting on Lantus, they have
redeveloped to the point where I'm getting headaches almost daily. Although
I haven't mesaured yet, I do not suspect I'm going too low at night.

Henry M.


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  #22  
Old 04-15-2007, 09:54 PM
Kurt
Guest
 
Posts: n/a
Default Re: Lantus

On Apr 15, 3:09�am, "hemyd" <myd!!!...@optusnet.com.au> wrote:
> "Kurt" <kurtwheeling1...@hotmail.com> wrote in message
>
> news:1176576439.433689.238630@e65g2000hsc.googlegr oups.com...
>
>
>
> > On Apr 14, 2:39?am, "hemyd" <myd!!!...@optusnet.com.au> wrote:
> >> <jen_vander...@hotmail.com> wrote in message

>
> >>news:1176480169.767141.70900@y80g2000hsf.googleg roups.com...> Sorry just
> >> wanted to add, does anyone else find lantus painful??? I
> >> > find that everytime i inject it im in so much pain! LIKE sharp
> >> > stabbing.. and i get bad bruises from it??? keep forgetting to ask my
> >> > doctor about it!

>
> >> I find the injections painful at random. I think it's just the needle,
> >> not
> >> Lantus. I do get the odd bruise, I reckon if I run the needle into the
> >> wrong
> >> place (vein?)

>
> >> Henry M.

>
> > I have found the same thing, Henry. *Also, sometimes there is what I
> > call a slight "burning sensation" as I inject Lantus. *It doesn't
> > really hurt but I do notice a different feeling than when I'm
> > injecting Humalog.

>
> > Show me a person with little black & bruise marks on their belly and
> > I'll show you someone who is my kindred spirit.

>
> > Kurt

>
> Yes, Kurt!!! That burning sensation really bugs me! About one third of the
> time I don't feel a thing, another third I feel a needle prick, then there
> is that burning... *As an aside - have you or anyone else here suspected
> Lantus as being a trigger for headaches? I have suffered from headaches
> since I was a kid, with an ever increasing array of foods tripping them off.
> I had a respite from these, but since starting on Lantus, they have
> redeveloped to the point where I'm getting headaches almost daily. Although
> I haven't mesaured yet, I do not suspect I'm going too low at night.


I've never noticed an increase in headaches associated with Lantus.
Headaches are often a sign of a low blood sugar so maybe there are
times during the day where you might be dipping low and not aware of
it. Just a guess. The cause of headaches are difficult to pinpoint
other than low bg so it might be hard to detect if that is the direct
cause of yours.

Kurt

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