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Just had a review my DBN has put up my Lantus up to 40 and split it 20 on a morning and 20 on a evening which means i will be taking 2 injections that plus 16 units of Humalog, says my Lantus which i take 38 units on a morning has run out before i get up so thats why im high, i worried about night Hypo will i know? I hate diabetes.
Some people find that although it supposed to last 24 hours it does run out before that and there are quite a lot of folk that find they need to split it morning and night, I have no experience in splitting basal injections but if you are experiencing higher levels then I would assume you would easily spot a hypo, its more difficult to know if you spend extended periods with lower levels, we all hate having diabetes but there's nothing else to do than get on with it as the alternative is worse, chin up Simon, you know more than you think, just relax a little xx
This seems a little odd. Lantus is quite long acting, more than 24 hours, so your later dose will be adding to Lantus already present, and ditto the morning dose. Split dosing is best done with another insulin, Levemir, which doesn’t last a full 24 hours. Generally speaking, splitting Lantus makes no difference.
You should know if you have a hypo in the night. Do you recognise the symptoms? I used to have hypo symptoms when my levels were around 8 or 9, but only because my levels had been so high before.
I also find my night time levels are better if they are about 8 when i go to bed. This takes away my worry about going too low in the night. I am injecting Levemir in the evenings though, i dont know anything about how your insulin works.
Also i have days where i hate diabetes too. And as much as i would love to ignore it, i cant. The way i see it is we can either let it control us, or we can control it. I know which i'd rather 🙂
Never been on Lantus but I'm also on split doses of Levemir. For what it's worth, I hate Diabetes too and miss my former life, however, I agree with Nikki, we have to try to manage the beast!
Depends what your dosage is, as to whether Lantus is smoother, it's notoriously bad in small doses. I found it lumpy around the 5 hour mark, when I was on 7 units. Splitting it into two tiny doses would have made it even lumpier, with two lumps a day at that.
Hi I had the same problem with Lantus- taking about 30 units but if I took it in the morning I would run out of it before I woke meaning high a.m readings and if I took it at night I would go really low and hypo through the night. I got put onto Tresiba which is much longer lasting and although I had a patchy start with it I now love it and haven’t suffered night time hypos since taking it - always wake up to bloods of 5 or 6. Maybe worth asking if you can swap to Tresiba.
Can anyone tell me what time on a evening they take their lantus or what time is best i just started taking it about 18:00 with my Humalog 16 units or does it make a deference
It doesn’t make a great deal of difference with Lantus as long as you take it it the same time each day. Some folk take it in the morning to reduce the slight chance of low BGs in the night, but if that isn’t happening just carry on as you are.
I think it depends on how 'peaky' you find it Simon. Although it has a fairly flat profile, some people get more of a kick than others - often around 4-5 hours after injecting. As MikeyB says it depends really on whether you are prone to low BG overnight (which may be just around the time then Lantus may be peaking if you take it late evening.
I tried a split, but it never really worked for me, the best success I had was to take Lantus at breakfast time and just compensate for my rising morning BGs with my breakfast dose as Lantus can take a little while to get going.
Lantus always has a peak Mike about 4-5 hours after injecting it. The peak lasts a few hours. Injected at night if the peak happens to coincide with that body's lowest BG - normally around 3am for most people, then it's normally also hypo city. Levemir also peaks but a lot more gradually. Levemir also lasts up to 22 -ish hours but by that time the action is so minute it's no help at all - except of course if you are having another dose of it, it does add to the effectiveness of that second dose.
It's a matter of basal testing to get both the dosage and the timing right to suit your own body. I was totally fooled when coming off Levemir onto my pump. 14u Lev in a morning (7 to 8 am) and another 4u about 9.30 pm led me to believe I used a lot less overnight. Turns out I do need little from about 1am to whenever my foot hits the floor next morning - but between 10pm and 1am I have the highest hourly rates all day - 0.58u/h as opposed to between 0.25 and o,29 most of the day, with 0.21/0.22 in the early hours.
I (or any of us) could spend my whole waking life adjusting doses and testing but it's not necessary let alone likely! As long as it's about right (in terms of BG tests) and comfortable to live with - it has to be good enough.
