pLEASE ADVISE - INFO ON lANYUS INSULIN PLEASE

i am a t2 and have been for about 5 years. Have been able to keep the
A1C down with Metformin 500mg, 2 in am 2 at lunch and 1 at supper. As
well Diamicron MR30 2 in am and 2 in PM.
Last week my endo started me on Lantus because of high morning blood
sugars, they are anywhere from 9.5 - 12. I am not too freaked about
taking insulin but have a concern about taking it with all these meds
too. Just want some answers; and opinions are ok. I see my endo on
the 27th.

I take the Lantus at bedtime...what are the chances of having a low in
my sleep and will I even know?

How much wieght will I gain and will I gain it even if I work out
regular. I am currently 6'1" and about 260.

Should I talk to my endo about getting off the meds and just doing
insulin?

is there anything else I need to know?

Thanks in advance for the support

Walter
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THANKS


(NOSPAM)wallywogs@shaw.ca

my bad!
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THANKS


(NOSPAM)wallywogs@shaw.ca

Hi Wally,

Like you, t2 and could not keep my FBGs down and converted to Lantus and
Metformin. Present dosage 44u Lantus before evening meal, and 1x500mg
Metformin 3x at mealtimes. weight 190 (ish) height 5' 9". Got down to 173
once from 190 with 3 hrs hard (ish) gym 3x week over 1 year. But it was hard
work and I didn't keep at it. (

I am on a low(ish) GI carb diet. Bread, rice, pasta are whole meal, potato
rarely. Pack out the rest of my meals with multi coloured veggies and fruit.

BGs pretty well controlled, 99+% within 4.2 (ish) - 7.0 (ish) 2x random
checks/day FBG, BB, AB, BL, AL, BD, AD and BBed.

In summary, watch the carbs, exercise more <blah blah>, you know the rest;
and you shouldn't put on weight. As always YMMV

All the best, Delboy


"Wally" <wallywogs@shaw.ca> wrote in message
news:j79st39gl4pj9ssdr795bigshjn517oq17@4ax.com...
>i am a t2 and have been for about 5 years. Have been able to keep the
> A1C down with Metformin 500mg, 2 in am 2 at lunch and 1 at supper. As
> well Diamicron MR30 2 in am and 2 in PM.
> Last week my endo started me on Lantus because of high morning blood
> sugars, they are anywhere from 9.5 - 12. I am not too freaked about
> taking insulin but have a concern about taking it with all these meds
> too. Just want some answers; and opinions are ok. I see my endo on
> the 27th.
>
> I take the Lantus at bedtime...what are the chances of having a low in
> my sleep and will I even know?
>
> How much wieght will I gain and will I gain it even if I work out
> regular. I am currently 6'1" and about 260.
>
> Should I talk to my endo about getting off the meds and just doing
> insulin?
>
> is there anything else I need to know?
>
> Thanks in advance for the support
>
> Walter
> REMOVE NOSPAM AND () TO REPLY
> THANKS
>
>
> (NOSPAM)wallywogs@shaw.ca

--

Delboy

A common mistake that people make when trying to design something completely
foolproof is to underestimate the ingenuity of complete fools.

Douglas Adams

Wally wrote:

> I take the Lantus at bedtime...what are the chances of having a low in
> my sleep and will I even know?

Lantus, also known as insulin glargine, (Aventis Pharmaceuticals)is a
long acting insulin or basal insulin with a response that is fairly flat
over about 24 hours. It's action should not peak to cause a hypo while
you are sleeping if the dose injected is not too high. As Uncle Enrico
has mentioned in another thread, adding alpha lipoic acid (ALA) can
reduce the level of insulin injection for blood glucose control. This
has it's advantages for keeping the weight from increasing.

Insulin For Type 2 Diabetes: Who, When, And Why? -
http://www.diabeteshealth.com/read/2007/11/29/5564.html

Why Basal-Bolus Insulin Therapy May Be The Best Choice for Type 2
Diabetes - http://www.diabeteshealth.com/read/2007/11/27/5562.html

Frank

"Wally" <wallywogs@shaw.ca> wrote in message
news:j79st39gl4pj9ssdr795bigshjn517oq17@4ax.com...
>i am a t2 and have been for about 5 years. Have been able to keep the
> A1C down with Metformin 500mg, 2 in am 2 at lunch and 1 at supper. As
> well Diamicron MR30 2 in am and 2 in PM.
> Last week my endo started me on Lantus because of high morning blood
> sugars, they are anywhere from 9.5 - 12. I am not too freaked about
> taking insulin but have a concern about taking it with all these meds
> too. Just want some answers; and opinions are ok. I see my endo on
> the 27th.
>
> I take the Lantus at bedtime...what are the chances of having a low in
> my sleep and will I even know?
>
> How much wieght will I gain and will I gain it even if I work out
> regular. I am currently 6'1" and about 260.
>
> Should I talk to my endo about getting off the meds and just doing
> insulin?
>
> is there anything else I need to know?
>
> Thanks in advance for the support
>
> Walter
> REMOVE NOSPAM AND () TO REPLY
> THANKS
>
>
> (NOSPAM)wallywogs@shaw.ca

Ever since I was diagnosed Type 2 in 1995 I have had high fbg (fasting
sugar), usually 7 or above, sometimes as high as 9 and above. No matter what
I ate when, and what exercise I did when, I could not change that with any
permanency. Going on Lantus (21 units in the evening), stopped the high fbg,
and now it's down to anything from 4 to 5.5 I also do intensive exercise,
cycling to work almost daily. I also follow a fairly strict reduced carb
diet. This is probably why I haven't gained weight. I recommend you get to
know the insulin and what effect it has. The chances of you getting a hypo
at night depend, of course, on the level of exercise during the day, what
you ate, what other medication you took. Gardually build up your dose, and
measure very often, at least until you get to know the effect of the insulin
at all times, in a variety of doses. As a precaution, keep some reasonably
healthy things near you at night, such as fruit, which can boost your bg
should it go low. Should you get a hypo, resist the temptation to overdo it
on the carbs to stop it - don't keep on eating until your bg goes up. The
food takes about 40 minutes or more to affect your bg, and you'll go too
high. If your hypo is only moderate, that eat something and mesure after 15
minutes or so. Then, if necessary, eat some more.

There's lots to learn. You'll get many worthwhile posts here.

Henry Mydlarz.