Splitting lantus

[Lucyr]

Haven’t tried this?

You should try it, it’s called a basal test, it will tell you whether the rise is related to your breakfast or needing more insulin eg some novorapid in the morning. You could also try taking the lantus in the evening so that there’s no chance of any gap in the morning

 

[everydayupsanddowns]

I never managed to get a split of Lantus to work for me (though it works for some).

I had low BGs overnight with Lantus, so taking it at breakfast was a good fit for me, so that the 24 hours (ish) duration was likely to be fading overnight. Have you experimented with taking it at different times of day?

If you are seeing a big rise after breakfast, do you leave any gap between your breakfast dose, and actually eating breakfast?

 

[vicky1974]

Do you have a Libre? If so, setting your Low alarm in the 5s should reassure you. I understand your concern but it’s a balance between taking it in the morning so you don’t have to worry about nighttime lows and having it run out just when you need it. You might even find you can take less if you take it in the evening. It’s all a case of tweaking this and tweaking that. Sadly, there’s no magic answer - just what works best, weighing everything up.

I’d try Levemir if you’re uncomfortable about taking the Lantus in the evening. Levemir is the recommended basal, I believe, and doesn’t run the risk of the so-called Lantus hypos as it has a different mode of release.

Yes I do have a Libre and will check on the alarms. I think I’ll ask for Levemir so I can have 2 doses and like you say I feel this will allow for more tweaks. Hopefully it will stop this high level in the mornings. Thank you ☺️

 

[vicky1974]

I never managed to get a split of Lantus to work for me (though it works for some).

I had low BGs overnight with Lantus, so taking it at breakfast was a good fit for me, so that the 24 hours (ish) duration was likely to be fading overnight. Have you experimented with taking it at different times of day?

If you are seeing a big rise after breakfast, do you leave any gap between your breakfast dose, and actually eating breakfast?

Hi it seems Levemir might be worth a try? I think the lantus has run out by the morning and then I’m already catching up. I don’t leave a big gap no as have to leave for work but I’ll try that. Thank you ☺️

 

[vicky1974]

You should try it, it’s called a basal test, it will tell you whether the rise is related to your breakfast or needing more insulin eg some novorapid in the morning. You could also try taking the lantus in the evening so that there’s no chance of any gap in the morning

I didn’t know about trying this? Thank you

 

[everydayupsanddowns]

I don’t leave a big gap no as have to leave for work but I’ll try that. Thank you ☺️

I thunk some consultants suggest rapid analogues (eg NovoRapid or Humalog) can take 15-20 minutes to be available.

Personally I think this varies person to person, and can be different at different times of day, so perhaps start with a 5 minute wait, then see if that helps for 2-3 days, then add another 5 minutes.

My ‘right’ wait time seems to vary through the year and from year to year… sometimes more, sometimes less. But ‘pre-bolusing’ has hugely helped my levels after breakfast and lunch.

 

[SimonP]

I split Abasaglar (which is similar to Lantus), ~50-50% and it generally works ok, though in the last month I had reduced my evening dose by 1U (it was 9 + 9, morning + evening) to prevent running low overnight. Now, not having done much exercise for the past couple of weeks due to weather and work I'm back to 9+9 and wondering about putting it up more! (or perhaps I have a lurgie lurking, always hard to know.)

When I used to take the full 18U in the evening I would run low overnight after exercise, even without exercise I'd be trending downward overnight; with the split there's no issue (so there's obviously a reasonable degree of lumpiness there as others have mentioned.)

I also find that for long days with exercise I can take my full evening dose the day before, significantly reduce the morning dose (e.g. take 3,4 or 5U depending on what I feel like) so I don't have to eat constantly during the day while riding my bike, then take usual evening dose (or sometimes slightly reduced to avoid going low overnight if it's been a mammoth day). It works, it could almost certainly be made to work using a different basal insulin too, but I just wanted to add that it is possible (for me at least, we're all different!)

I also have FotF, so have to take bolus irrespective and in addition to what I take to cover anything I eat as soon as I get up (would be better to take it 20min before I get up, but I can't really face getting up any earlier than I really need to for school runs!) FotF can be reduced/eliminated by lots of exercise or alcohol the previous day, though I don't think either of these is particularly sustainable as a solution! 🙂

 

[nonethewiser]

Was using lantus before moving to pump, didn't split dose just took it on a evening which held my bg steady through night & into next day.

 

[helli]

Was using lantus before moving to pump, didn't split dose just took it on an evening which held my bg steady through night & into next day.

Me too.
I think it started to wear off after about 21 hours but I covered that with extra bolus with my evening meal.
It was also before CGM so I was less aware of it.

 

[nonethewiser]

Me too.
I think it started to wear off after about 21 hours but I covered that with extra bolus with my evening meal.
It was also before CGM so I was less aware of it.

That is why I took basal early evening, easier to manage if bg rises in afternoon than through night if taking a early morning dose.