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DavidG89

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Relationship to Diabetes
Type 1
Hello, new to the forum. 31 years old. Diabetic for 15 years. HBA1C at 43 or 6.1%. Lantus and Novorapid. Minimally raised ACR, on 10mg lisnopril for this and put on 20mg Atorvastatin 20mg (even though cholesterol is perfect but apparently it's a preventive thing?) Bit overweight, however partake in running several times a week and CrossFit. Fitness levels are good. Issues at present, with my background lantus, injecting too much in my split dosage causing frequent low blood sugar and therefore eating too much get the sugar levels up! However, trial and error and I will get this right. I would say the fear of having high sugar levels also feeds into this. Any help or tips would be great
 
Two tips - 1. is don't EVER expect to see the real outcome of a change in dose or timing of Lantus until the third day after you change it and 2. Basal testing! - https://www.diabetes-support.org.uk/info/?page_id=120

You will get there in the end but I have to say I got utterly fed up of trying so after about 2 years of failing to get it right with Lantus, I decided to change to 2 daily jabs of Levemir instead, what a relief. Usually see the changes take effect in 12-ish hours!
 
Two tips - 1. is don't EVER expect to see the real outcome of a change in dose or timing of Lantus until the third day after you change it and 2. Basal testing! - https://www.diabetes-support.org.uk/info/?page_id=120

You will get there in the end but I have to say I got utterly fed up of trying so after about 2 years of failing to get it right with Lantus, I decided to change to 2 daily jabs of Levemir instead, what a relief. Usually see the changes take effect in 12-ish hours!
That's great thank you very much for the tips.
 
I’m another who swapped from Lantus to Levemir a couple of years ago, and eliminated my permanent night time hypos, @DavidG89. I just couldn’t get my body to behave in the way Lantus is set up to work. (I have a huge drop the moment my head hits the pillow, until 4am when BG starts rising again, irrespective of when I've taken my basal, how I’ve split it, etc.) Levemir allows me an unevenly split dose with less at night than in the morning.
 
When on injections I also switched to Levemir in order to split my background dose.
This enabled me to make changes to my day time dose without altering the night time. My understanding is that the profile of Levemir makes it much more appropriate for a split dose.

Another thing that you could consider is asking to switch to a pump. This enables you to have different basal rates for each hour throughout the 24 hours, and so it can be matched much more closely to what you need when.
 
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