Bama Boy
By Bama Boy Latest Reply 2017-05-29 09:04:14 -0500
Started 2017-05-12 10:00:12 -0500

My doc has me taking 20 units of lantus at night and I don't see any progress im urinating constantly threw out the day and at night what should I do somebody help me and my sugar is still always high

8 replies

cmr55 2017-05-23 19:53:54 -0500 Report

It is really hard to say what is really going on. What is your diet like are you eating too many carbs, are you exercising are you drinking enough water. Have you seen a diabetic educator. What other meds are you on. Its hard to say whats going you might need to check with your doctor. I was on lantus 40 units years ago and Novolog and Metformin I have been off now 40 months. I am on LCHF an fasting diet along with exercise. I have been a diabetic for the last 7 years. You can control diabetes but it is really up to you. Big Hug Carol

MoeGig 2017-05-21 06:45:52 -0500 Report

You need a new doctor; and quick. I take 20 units of Lantus/day as a base. It needs to be supplemented by Humalog. Check your Blood Glucose before each meal. If it's high, (over 200), take 5 units of Humalog. Next meal, do the some thing. Keep doing that until you see a reading in the low 100's. Also, of course, it goes without saying, watch what you eat…avoid hi carb foods like deserts, cokes, etc. Your small arteries (like in your eyes, your kidneys, and your feet) are getting clogged by the day. Like I said, Get a new doctor. Type 2 diabetics can get by on Lantus only, but Type 1: no way.

Type1Lou 2017-05-26 15:57:42 -0500 Report

Hi Moe, when I was on MDI, I was on 14 units of Lantus that I took each morning. Because I have high insulin sensitivity, if I bolused with 5 units of Novolog, I would rapidly have gone hypoglycemic. I agree with you that Bama Boy needs a new doctor but I'd suggest being very careful about suggesting dosages of fast-acting insulin. We have no idea what he is eating nor what his individual insulin sensitivity might be.

MoeGig 2017-05-28 20:50:31 -0500 Report

Yes, I know you have to be careful; but, if his BG is over 200, 5 units of humilog is not going to drop him into a hypo. Anyway, I don't understand why he's not on a fast acting insulin to supplement the Lantus. That's really the definition of malpractice.

Type1Lou 2017-05-29 09:04:14 -0500 Report

If Bama Boy's insulin sensitivity factor is anything like mine, taking 5 units of a fast-acting insulin could have dire consequences. I have an insulin sensitivity factor of 100 which means that one unit of my NovoLog is expected to reduce my BG by 100 mg/dl. My BG would have to be over 600 for me to safely take 5 units of NovoLog as a correction. Sensitivity factors will vary tremendously by individual. I agree with you that his doctor appears to be failing at his job.

GabbyPA 2017-05-14 11:15:56 -0500 Report

That is time for a serious sit down with the doctor and addressing all things diabetes. If it is not working at this point, I would start by some serious carb restriction until you can meet with your doctor. That usually can help me. Are you not taking any meal time insulin? I thought that most type 1 diabetics took both basal and fast acting insulin to deal with the meal.

onafixedincome 2017-05-13 01:29:10 -0500 Report

First, call your doctor and don't quit til you get them talking to you. Type1Lou is awesome, pay attention. :)

Until you get things lined out, it's not unusual to have to adjust dosages and timing until you have a good grip on the slimy little bugger we call blood sugar. Remember, stress also elevates sugars, so deep breaths may be necessary along with plenty of plain water to keep things calm.

Don't forget the dietary part of all this, either—it's frustrating and feels like punishment, but it counts. (I'm type 2, so don't have Lou's experience with 1 here…) Drink plenty of good water and I add the occasional Pedialyte or Gatorade (diluted 1:1 with water) to keep electrolytes in the mix.

Keep working on it, and keep us posted!

Type1Lou 2017-05-12 12:46:17 -0500 Report

The frequent urination is an indication that your diabetes is still out of control. Medications are only part of the solution. If you are a Type 1, you need to be taking insulin both for your "basal"-background 24 hour- needs and for any of the food you eat- this is called bolus insulin. Basal insulin needs are usually supplied via long-acting insulins like Lantus taken one or two times daily. Meal-time insulin acts faster and is taken before each meal or snack based upon the number of carbohydrates you are eating. Are you taking meal-time insulin? Has your doctor provided you with a carbohydrate to insulin ratio for you to be able to determine your dosage? Diet and exercise are also essential components in good diabetes management. Do you know how many carb grams you are currently eating per day? If not, this is a good place to start. Carbs are the primary factor in elevated blood sugars; reduce your dietary carbs and you should gain better BG control. Exercise may help you to better metabolize the food you are eating as well as improve your individual insulin sensitivity. If you are type 2, you may or may not need insulin or other meds but the diet and exercise advice applies there as well. Welcome to DC! If you want to share more specifics, I'll be happy to share what I've learned in my 41 years as a Type 1. With knowledge, the support of a good medical team and the determination to make lifestyle changes, you can live well with diabetes.

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