night time insulin

Jeanae
By Jeanae Latest Reply 2011-11-19 11:41:38 -0600
Started 2011-11-16 20:50:03 -0600

My doctor recently took me off insulin at night. I was taking insulin- 10 units Lantus solo star pen. ever since I wake up and my readings vary betwen 139-159. My readings used to be 90-115. I wak eup and feel… off in the mornings. I have tried to contact y doctor to see if I can continue the lantus but maybe not 10 units, only 5 or 6 but neither he or his nurse can be bothered to call me back. What should I do? Go ahead and start back on it or wait and see if it stays in that range. I just took a dieabetes class and the instructor said not to let it go above the 130 range. Any advice?


15 replies

cavie2
cavie2 2011-11-18 21:24:41 -0600 Report

I am on Lantus Solostar 8 units every morning. At first I was taking 10 units before bedtime but was taking low BS in the middle of the night and was frightened that I would go into a diabetic coma. Speaking to the diabetic nurse I was assured this would not happen and told if it made me feel better to just take it in the morning. If my BS was constantly high to increase the insulin by 2units check it for 3 days and adjust again in 2 unit increments either up or down depending on whether the BS was too low or too high. I live in Scotland UK and we are encouraged to make these decisions for ourselves, so as long as you are eating healthily and taking care of yourself testing often try adjusting but I would not recommend you drop from 10 units to 5 or 6 only drop or increase by 2 units keep your eye on BS for 3 days and if it needs re-adjusting again keep doing this until you get it reasonably stable

Type1Lou
Type1Lou 2011-11-19 11:41:38 -0600 Report

Cavie, this is what was happening to me when I was on Lantus. My endo changed me from a bedtime shot to a morning shot which helped avoid those scary nighttime lows. Even though Lantus delivery is pretty steady and consistent in it's delivery over 24 hours, she explained to me that it does deliver a bit more in the hours right after you inject. She was a wonderful, knowledgeable doctor who took the time to explain what she was doing and why. Too bad she has since left the practice.

realsis77
realsis77 2011-11-17 14:42:19 -0600 Report

i would contact the doctor again and tell the nurse what your planning to do. make sure to get a approval before you change anything but keep calling the doctor, hopefull he will ok the change back.

Type1Lou
Type1Lou 2011-11-17 09:03:09 -0600 Report

My endo changed my Lantus shot from bedtime to morning because I was having some bad nighttime lows. This helped a great deal. I had been on 14 units of Lantus and mealtime NovoLog before going on an insulin pump in August. If you are not getting a response from your doctor, it's time to consider changing doctors. Is this a PCP or an endocrinologist? I had to request a referral to an endo last year because I was not happy with how my PCP was handling my diabetes…seeing an endo was the smartest move I made!

Jeanae
Jeanae 2011-11-17 15:37:05 -0600 Report

My primary care provider. He is really young and talks down to me. I guess because I am over 50 he thinks I am an idiot. When I have questions his pat answer is to tell me to let him worry about it and maybe I should take a bubble bath. Jerk.

jayabee52
jayabee52 2011-11-19 02:46:31 -0600 Report

well at least this PCP needs an attitude adjustment. Perhaps if you sit PCP down and tell him that you are not an idiot concerning your diabetes, that what you want from him is straight answers not platitudes or placating. Whether you stay with him or find someone else is really up to him and his attitude toward you from now on. Sometimes Drs do need to be called on their bad habits. It might make a difference regarding how he treats you and perhaps his other older patients from now on. sometimes one has to be blunt and brutally honest.

Type1Lou
Type1Lou 2011-11-18 11:03:30 -0600 Report

I would run away from this PCP! Before I asked my PCP for the endo referral, he kept increasing my Lantus dose which I was taking at bedtime. He also had advised me to cut back or eliminate my mealtime NovoLog. His advice made me uneasy. After a severe nighttime low BG sent me to an ER and got me admitted to a hospital in Idaho while we were on vacation a year ago August, his advice was to continue following what he had told me to do! After seeing the endo, she actually reduced the amount of Lantus I was taking from 20u to 14u and changed it from bedtime to morning. There's more to the whole story but, bottom line, my PCP was mishandling my diabetes. I don't know if I would still be here had I continued to follow his advice.

MEGriff1950
MEGriff1950 2011-11-17 00:30:56 -0600 Report

Hello Jeanae, I advise you to find a new medical provider. Diabetes is a serious disease. I cannot tell you that you should try going back on lower doses of Lantus. I am curious why he took you off when you had very good numbers. Had you had hypoglycemic episodes?
If it was me and my numbers were raising to above average and I was not feeling as well I would definately make some changes in my medications until I could get approval from a medical professional.
If you choose to restart with a lower dose of Lantus please make sure you are prepared for some sugar lows. I also suggest that you keep a journal with times and numbers to back up your decission.
Good luck and God bless,
Mary

Jeanae
Jeanae 2011-11-17 15:35:34 -0600 Report

Thank you all. I keep calling and caling my dr. Have spoken to one of his nurses three different times and each time they tell me he will call me and then … nothing. I went to a diabetes education class and the nurse told me to go ahead and start back until he answers because my numbers are too high. So I started back last night and had a great number this morning. So I am happy. I just have to hang on until January when my new insurance kicks in and I can go and see a new doctor.

MEGriff1950
MEGriff1950 2011-11-17 20:25:31 -0600 Report

Good, I was hoping that you would say you took your nightly insulin and your numbers were great. Sometimes we have to let common sense take over.

Jeanae
Jeanae 2011-11-18 10:57:39 -0600 Report

I agree. My number this morning was also very good so I am going to continue. Thanks for all the advice and support. P.S. do you live close enough to come wit me to my dr.'s with your cane? :) I live in San Antonio, TX! Maybe I need to invest in a nice solid cane myself!

MEGriff1950
MEGriff1950 2011-11-18 11:05:12 -0600 Report

LOL Jeanae, I live south of Spokane, WA. I wish I could visit many health professionals with my cane. In here it is hard sometimes for us non professionals. I sometimes want to shout out "your dr is an idiot" you should do what you feel is correct. I was able to get off of insulin myself but my numbers are very good.
Walmart sells canes very cheap but they will do the job.

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