Yay! Working out my glargine insulin!

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Claire-Bear
Regular Member


Date Joined Oct 2005
Total Posts : 242
   Posted 11/21/2006 3:18 AM (GMT -7)   
Hi Everyone,
 
I thought I'd share this as I feel like I've gotten over another hurdle.  I know it might seem small but I've finally figured how my lantus insulin works with me. After lots of shuffling around I've discovered my insulin peaks at around 10 hours with me (even though it's not really supposed to peak!).  I've changed the time I take my dose a few times and also the amount I take and found that I would have hypos in the early hours.  So, using detective work (lol), I figured that the best time for me to have my lantus glargine is 10 hours before I need to wake up (I get up at 6.30am so had my insulin last night at 8.30 pm and woke up with a great score of 4.4/UK or 80ish/US).  Hopefully, now I've gotten this sorted it will help more with my control throughout the rest of the day.  My daytime scores were steadily climbing and I was constantly trying to sort out my novorapid but since bringing up my glargine by just 2 units (to 18) I've really brought my numbers down.  They're not perfect yet, but I'm still working on finding that right balance!  I wanted to share because sometimes I just feel that my numbers will never be good, and today I'm feeling really optimistic that I'm on the right track yeah
 
Claire xx

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 11/21/2006 9:47 AM (GMT -7)   
Claire! :-)

I know exactly how you feel!!! I'm getting 80's (4.4 British?) in the mornings now and so happy to see it! I'm a bit surprised that your pharmacist didn't have you start taking your Lantus at night in the first place. That's how we do it here in the U.S.

Anyway, Happy, happy, joy, joy!!! for you!
~ Jeannie

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."

- Elizabeth Kubler-Ross


Claire-Bear
Regular Member


Date Joined Oct 2005
Total Posts : 242
   Posted 11/22/2006 3:18 AM (GMT -7)   

Thanks Jeannie. x

I've always taken it at night, but I was always taking it at 10.30/11 pm.  By just bringing my injection forward a few hours I've really seen the difference in my numbers!  Now I'm working on fine tuning the rest :-)

Claire x


Warren
Veteran Member


Date Joined Oct 2005
Total Posts : 534
   Posted 11/22/2006 9:07 AM (GMT -7)   

Hi Claire,

Im going to take an educated guess at whats happening with you as I used to be a Lantus user!  Lantus really has a flat line response and moving it back 2 hours really shouldn't affect your morning numbers.  BUT, being a novorapid user, Im going to guess that you eat dinner maybe about 6:30pm and take the novorapid.  As you know it peaks in 20 mins but it can last 3 to 5 hours at that peak then drops off rather perciptiously.  Well, lets just say it lasts 5 hours.  You take your lantus and 8:30pm and you have at least a 2-3 hour overlap with the NovoRapid still in your system.  This should push your blood sugar much lower than when you took the injection at 10:30pm and as a result, the natural climb from this new low to where you are in the morning puts your numbers lower than if your starting point for that same climb was higher at 10:30pm.

In any event, moving that Lantus injection to get better morning numbers was a really smart thing to figure out and points out something really important to anyone using injectibles; DONT BE AFRAID TO EXPERIMENT with timing!!!  Everyone is different and has different absorbtion/reaction times and what the doctor tells you about dosage/timing is a NORM and may be very different for you!  Claire just proved this.

scool  Warren

 

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