Longer Hypos

[newbs]

I have noticed that my hypos are different since changing to Lantus - it is harder to get my BG up and even when I do the hypo feelings stay with me for a good while whereas before I would treat and go and be fine. I am also getting a tingling bottom lip when hypo now, something I have never experienced before, although I know others do.

Yesterday my BG was 3.2 post lunch and pretty much stayed around that mark for 6 hours despite many attempts to get it up, it would go just above 4 then back down again. At least, being my birthday, it gave me a great excuse to eat more cake.

 

[everydayupsanddowns]

Might be worth keeping an eye on newbs. I have heard some people having experiences with Lantus where it 'ramps up' and seems to continue to exert an effect on BG for some time after each dose has *really* ended.

 

[Northerner]

It may be that it's still a bit on the high side (the lantus dose). I was looking back through some of my old BG diaries recently and noticed that for a few months I was on 20 units of lantus but only the same novorapid as I am now, and I was getting a lot of difficult-to-raise hypos. As you probably know, I lowered my lantus right down and things seemed to settle when I was on 9 units, so it seems that for me back then the lantus dose is what was making it difficult for me to get my levels up.

I've only ever been on lantus so can't compare hypo symptoms.

 

[newbs]

My pre-breakfast BG is settling around the 7 mark now so not sure I can go much lower with the dose, though am trying it out to see what happens. The hypos are a real pain though (now totalling 19 in May ...) so have to be cut dramatically.

The 'ramping' up theory is a good one, something I hadn't heard of but definitely worth watching. Life would be easier if I switched back to Levemir but my levels are much more stable now (apart from the lows obviously) so I want to persevere and get this sorted.

A colleague is off sick for a month and my boss is getting all worked up about sick time and pay etc so I am trying really hard not to let my work be affected by any of it so that he doesn't get a chance to have a pop at me.

 

[AJLang]

Hi Newbs I can't help because I'm not on Lantus but I hope you get the hypos sorted out

 

[Abi]

f you are taking lantus before bed than the intiial slight surge in activity should be over by the afternoon. SO assuming you are not hypoing overnight now- it sounds as if this problem is sorted-would suggest to me that either you need a far lower insulin to carb ratio at lunctime ( assuming the hypos are in the afternoon) or that you are naturally far more sensitive to insulin at this time-if I am right in assuming that afternoons are an especailly problematic time for you in regard to hypos. It's not unusual to need less insulin through late morning to early evening . I wonder if moving your lantus to late afternoon/ early pm might help as it action would probably be naturally fading by then assuming it doesn't quite run the full 24 hours for you
Tingling lips are a sign I sometimes get but often when BGs are really low so could reflect dimishing hypo awareness- be careful particularly if you drive

 

[newbs]

f you are taking lantus before bed than the intiial slight surge in activity should be over by the afternoon. SO assuming you are not hypoing overnight now- it sounds as if this problem is sorted-would suggest to me that either you need a far lower insulin to carb ratio at lunctime ( assuming the hypos are in the afternoon) or that you are naturally far more sensitive to insulin at this time-if I am right in assuming that afternoons are an especailly problematic time for you in regard to hypos. It's not unusual to need less insulin through late morning to early evening . I wonder if moving your lantus to late afternoon/ early pm might help as it action would probably be naturally fading by then assuming it doesn't quite run the full 24 hours for you
Tingling lips are a sign I sometimes get but often when BGs are really low so could reflect dimishing hypo awareness- be careful particularly if you drive

I reduced my lunchtime and dinner ratios back today and BG stable at 7 all afternoon so am hoping it will continue to be ok this evening. My hypo awareness has suffered, yes, I am testing A LOT at the moment to make sure I am safe to drive etc.