LANTUS

[GrantCiccone]

Good morning,

I would be interested to know how much Lantus people are taking each day? At the moment I am on 16 units My GP is increasing mine every three days by an extra 2 to 4 units. My BM's are running between 19 -24mmols every day.

Many thanks in anticipation

 

[MrDaibetes]

Hello and welcome to the forum. We are all different so what you could be on is most likely different from what I would be on.

 

[atoll]

Good morning,

I would be interested to know how much Lantus people are taking each day? At the moment I am on 16 units My GP is increasing mine every three days by an extra 2 to 4 units. My BM's are running between 19 -24mmols every day.

Many thanks in anticipation

the dose will most probably increase untill you find a balance that suits your level of insulin resistance,carb intake and exersize levels

 

[helli]

Our insulin requirements depend on many things including how active you are, how much you weigh, how far through the honeymoon period you are, whether you have insulin resistance, what sign of the zodiac you were born under, what your mother's last meal was before you were conceived, the name of your first pet and more.

Ok, so maybe I made up a few of those but the point is, apart form satisfying a curiosity, there is little point in knowing other people's insulin doses because we are all different.
The correct amount of insulin for you is the amount needed to keep your blood sugars in the range you agree with your diabetes team.

 

[Inka]

Good morning,

I would be interested to know how much Lantus people are taking each day? At the moment I am on 16 units My GP is increasing mine every three days by an extra 2 to 4 units. My BM's are running between 19 -24mmols every day.

Many thanks in anticipation

Welcome @GrantCiccone 🙂 Are you taking another insulin at meal times as well as the Lantus eg Humalog or Novorapid?

 

[camerong]

Good morning,

I would be interested to know how much Lantus people are taking each day? At the moment I am on 16 units My GP is increasing mine every three days by an extra 2 to 4 units. My BM's are running between 19 -24mmols every day.

Many thanks in anticipation

Hi, As a type 3c diabetic I still produce some digestive enzymes and I'm on a daily dose of 10 units of Lantus. BM's running around 7-8. Exercise and food needs to be monitored and for me that keeps my levels steady.

 

[GrantCiccone]

Welcome @GrantCiccone 🙂 Are you taking another insulin at meal times as well as the Lantus eg Humalog or Novorapid?

Not yet, my GP has been taking about me having a fast acting insulin for the last three weeks but nothing has happened. My Lantus has just been increased to 18 units daily from tomorrow.

 

[Inka]

Not yet, my GP has been taking about me having a fast acting insulin for the last three weeks but nothing has happened. My Lantus has just been increased to 18 units daily from tomorrow.

Unless you’re not eating, it’s pointless upping the Lantus without having a fast-acting insulin IMO. I appreciate GPs are busy at the moment, but I’d be pushing hard for this.

 

[cameron]

Hi @GrantCiccone, welcome to the forum! 🙂

I agree with @Inka, it might be best to contact your GP to clarify whether you need fast-acting insulin or not. Certainly get in touch if you're concerned about your sugar levels.

Were you given a target to work towards for your sugar level results?

 

[everydayupsanddowns]

Not yet, my GP has been taking about me having a fast acting insulin for the last three weeks but nothing has happened. My Lantus has just been increased to 18 units daily from tomorrow.

Goodness! it’s no wonder it’s not working @GrantCiccone 😱

I am not medically qualified in the least, but as far as I can tell LADA should be treated in the same way as T1, with a basal:bolus regimen comprising both long-acting (background) and fast-acting (mealtime) insulins.

You have lost enough insulin production to get a diagnosis, and your flagging beta cells look like they are struggling to keep up with meals. I would guess that if you took enough Lantus to see you through the day, you’d quite possibly crash overnight. (Lantus lasts approx 24 hours)

We can’t advise you about doses etc on the forum, obviously, but it really seems like you need to have another conversation with your GP to ask about the mealtime insulin, or a referral to a hospital clinic who can support you.

Welcome to the forum, and let us know how things go. 🙂

 

[Amity Island]

Good morning,

I would be interested to know how much Lantus people are taking each day? At the moment I am on 16 units My GP is increasing mine every three days by an extra 2 to 4 units. My BM's are running between 19 -24mmols every day.

Many thanks in anticipation

Hi @GrantCiccone ,

It's been a long time since I was diagnosed, but I do believe that basal doses are based on something from the outset. Everyone does have their own unique doses, but Doctors must base their initial dosage on something? like for example a persons weight. Something like this:

• The general calculation for the body’s daily insulin requirement is: Total Daily Insulin (TDI) Requirement (in units of insulin) = Weight in Pounds ÷ 4
• Basal/background insulin dose = 50% of TDI.

I used to take Lantus and swapped to Tresiba Deguldec, I've always been on 19units since almost the very beginning, my bolus (mealtime) insulin is Humalog, ratios are 2units to 10g carbs upon waking, 1.5units to 10g at lunch and 1unit to 10g of carb evening meal. I think type 1 and type 1.5 usually have a basal and bolus insulin strategy, I don't think it would be workable to have only a basal insulin. When I was first diagnosed I was put on a mixed insulin twice a day, which covered me for both basal and meals, but it was too restrictive on timing etc so I changed to basal/bolus which allows me to choose when I eat and how much to eat.

This is worth a read too, it's for type 1 though:

Type 1 diabetes | Treatment summaries | BNF content published by NICE

This treatment summary topic describes Type 1 diabetes

bnf.nice.org.uk

 

[GrantCiccone]

Thank you all for the time you have taken to respond to my question. You are all very kind.

 

[Deleted member 25429]

Isn’t this unusual in that my GP by their own admission can’t really help me as they are not specialists shouldn’t you have the support of a DSN ?

 

[Amity Island]

Isn’t this unusual in that my GP by their own admission can’t really help me as they are not specialists shouldn’t you have the support of a DSN ?

My GP wont discuss diabetes, by their own admission they no nothing about it. It's either the dsn at gp's or hospital team.