Group 7-day waking average?

8.6 this morning😡

Right my little experiment with the increase and decrease of Lantus is baffling me!

So from all my low waking levels, I have decreased my lantus gradually from 46 to 44 to 42 to 40. 46/44/42 were creating lows 40 is creating highs, why of why wont it do the right thing!

After my tea around 6/7pm I inject my Novo depending on carbs. By 10pm/11pm/12am my levels are raised thru the roof telling me that my Lantus has expired earlier that evening and that maybe I do need that higher dose to last the last few hours!!!!!

Back to 42 tonight!!!🙄
 
A disappointing 8.1 this morning.
 
hyper-Suze said:
8.6 this morning😡

Right my little experiment with the increase and decrease of Lantus is baffling me!

So from all my low waking levels, I have decreased my lantus gradually from 46 to 44 to 42 to 40. 46/44/42 were creating lows 40 is creating highs, why of why wont it do the right thing!

After my tea around 6/7pm I inject my Novo depending on carbs. By 10pm/11pm/12am my levels are raised thru the roof telling me that my Lantus has expired earlier that evening and that maybe I do need that higher dose to last the last few hours!!!!!

Back to 42 tonight!!!🙄
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Weren't you going to try 41 units? Or perhaps split the lantus for better coverage? Remember also that you should wait 3 days between changes to a lantus dose as it is supposed to take this long for the true effects to be shown. This is probably why, after missing my lantus totally the other night, then giving a half-dose yesterday and a full dose before bed my levels were still on the high side this morning.
 
I think the 3 day delay thing with Lantus may not apply in all cases.

It does have a fairly instantaneous effect with me when I either change dose or miss.

Rob
 
Northerner said:
Weren't you going to try 41 units? Or perhaps split the lantus for better coverage? Remember also that you should wait 3 days between changes to a lantus dose as it is supposed to take this long for the true effects to be shown. This is probably why, after missing my lantus totally the other night, then giving a half-dose yesterday and a full dose before bed my levels were still on the high side this morning.
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Sorry Alan, I didn't write that very clearly did I! I did the 41 last night and woke 8.6. I am thinking to increase it not because of my waking levels but the fact that my bedtime reading is getting higher and that is usually well after my Novo has peaked and tailed off thus leaving only Lantus holding the fort...or not as the case may be!

I really am in a quandry on what to do, plus we're having an indian in half hour which will put everything out of kilter tonight too!!!
 
hyper-Suze said:
Sorry Alan, I didn't write that very clearly did I! I did the 41 last night and woke 8.6. I am thinking to increase it not because of my waking levels but the fact that my bedtime reading is getting higher and that is usually well after my Novo has peaked and tailed off thus leaving only Lantus holding the fort...or not as the case may be!

I really am in a quandry on what to do, plus we're having an indian in half hour which will put everything out of kilter tonight too!!!
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It does sound like a split of the lantus might help give you better 24 hour coverage. Given that you drop low on 42 it sounds like your lantus is a bit too active for you overnight so a split would give you better control in that respect too. But I realise it's a big step to take so something to discuss with the DSN. Might be worth asking for a pump too, which would sort all your problems at different times of the day and night! 🙂
 
It can also be that, as you lower your lantus, you need to tweak your teatime novo up by a unit.

Bear in mind they both work together after a meal, so if you alter one, the other one needs to be adjusted up or down to cover the meal carbs, leaving the newly adjusted lantus to do it's work more or less enthusiastically overnight.

Hope I've explained that properly !:D

Rob
 
Thanks Alan and Rob, will email my DSN tomorrow ready for her to pick up on Mon! I understand what your saying Rob that they work in tandem together. While on DAFNE, the facilitators did think that I may have been more insulin resistant in the evenings...

The Alan would be lovely, now I have attempted MDI and gained better control I am now under the 8% that the NICE guidelines state!:( As our trust don't do pumps I have to wait for Wolves or L'Pool to take me on so my aspirations for a pump maybe far far away!!!!

Cheers again both, much appreciated all this extra knowledge and insight!!!!
 
Too early for a Saturday morning, but had to get up at 6 to take my daughter to work! 6 for me today. A very tired Katie!x:(
 
6.8 for me this morning, which was a little high given that I went to bed on 5.1 and am usually rock steady overnight.
 
6.9 ooo eeeerrrr Alan , theres quite a few days where we have very similar numbers maybe we have parrallel diabetes 😱
 
Oh dear - 12.0 this morning ! Struggling with this cold, safe to say over the hypos ? Think her body has decided to start fighting the infection at last 🙄
 
Jennywren said:
6.9 ooo eeeerrrr Alan , theres quite a few days where we have very similar numbers maybe we have parrallel diabetes 😱
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We must be connecting on the diabetic astral plane where all blood sugar levels coincide! Let's hope we stay in range! 🙂
 
5.4 for me this morning, having an unusually good week with waking numbers! 😱
 
3.8 for me. This is the lowest in ages as I struggle to achieve much below 7.0 without an overnight hypo. Probably the Guiness last night!
 
Good morning 5.0 for me
 
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