Hello to all. Please could I ask for some help?knowledge?

[everydayupsanddowns]

Surely by adding the lantus it must push it even further south throughout the day?

It can have that effect if the dose is too high. Lantus is your background (basal) insulin. As @Inka says, its job is to balance the glucose that is trickled out by the liver 24/7 to keep things ticking over between meals. If your dose is right, you should be able to skip a meal (or sleep through the night) and your glucose levels should stay steady only rising or falling by +/-1.7mmol/L.

The snag is that the ‘right’ dose can change through the year. And of course some days you are more active than others, or might have an illness, so your basal needs can change.

It should be the bedrock on which all your meal doses sit. But if you have too much, your levels might be generally trending downwards, and meal doses might over-reach. Or if it’s not enough your levels will generally be trending upwards, and some of your meal doses will be covering the ‘missing’ basal, meaning your rises after meals might be higher, and reluctant to come down.

That’s why forum members find it so important to get their basal dose as ‘right’ as possible, and to keep adjusting it month to month, and year to year.

 

[Tahero]

No, it should hold your blood sugar steady. Even if you don’t eat, your body will pump out glucose. The Lantus is to control that basically.

Oh ok thank you. Thanks again for your input.

 

[Tahero]

It can have that effect if the dose is too high. Lantus is your background (basal) insulin. As @Inka says, its job is to balance the glucose that is trickled out by the liver 24/7 to keep things ticking over between meals. If your dose is right, you should be able to skip a meal (or sleep through the night) and your glucose levels should stay steady only rising or falling by +/-1.7mmol/L.

The snag is that the ‘right’ dose can change through the year. And of course some days you are more active than others, or might have an illness, so your basal needs can change.

It should be the bedrock on which all your meal doses sit. But if you have too much, your levels might be generally trending downwards, and meal doses might over-reach. Or if it’s not enough your levels will generally be trending upwards, and some of your meal doses will be covering the ‘missing’ basal, meaning your rises after meals might be higher, and reluctant to come down.

That’s why forum members find it so important to get their basal dose as ‘right’ as possible, and to keep adjusting it month to month, and year to year.

Thank you so much.....it's a right pain in the butt/inconvenience isn't it? Does it not realise I don't have the time for this?

 

[everydayupsanddowns]

Thank you so much.....it's a right pain in the butt/inconvenience isn't it? Does it not realise I don't have the time for this?

Haha! My late wife used to liken my diabetes to an inconvenient house guest. Someone you couldn’t get rid of, was generally a bit of a nuisance, and messed up your plans, and just made everything a bit more difficult than it should be!

 

[Tahero]

Haha! My late wife used to liken my diabetes to an inconvenient house guest. Someone you couldn’t get rid of, was generally a bit of a nuisance, and messed up your plans, and just made everything a bit more difficult than it should be!

Yes I get that. Sorry to hear you lost your wife.....but she sounds like a smart lady. I fully agree with her. I'm quite a black and white person and it all seems a bit of a grey to be honest. Ha ha. I even asked the consultant why they hadn't come up with a better solution than insulin yet.....I wish I could attach a picture of his face here.

 

[Maz2]

I would like to welcome you to the Forum. I am sorry to hear about all your health problems.

Unfortunately, I know nothing about Type 1.5 Lada but there are many here who do and will give helpful advice.

 

[Tahero]

Thanks @Maz2 . Neither do I yet.....but I'm hoping to. I realise there are many on here who have lived with it for a long time and have made more sense of it, than I have so far. Ha ha. It's just great to be able to connect with people who have the practice as opposed to 'just reading the written word'.