I am currently taking 18 units of Lantus before bed nightly and for the past month my fasting blood sugar readings have been 60-101. I am thinking my health care provider should have my dosage adjusted. What is your opinion? Being a truck driver I cannot afford to have my blood glucose get too low while going do some road where I can't pull over. Currently awaiting a stress test so I can get back to work...
According to the American Diabetes Association (ADA) Standards of Care, and Joslin’s Clinical Guideline, pre-meal blood glucose should be maintained in a range of 70 – 130 mg/dL. Having readings in the range of 60 – 101 mg/dL is not bad, but comes with a greater risk of hypoglycemia – defined as a blood glucose level below 70 mg/dL. If your fasting blood glucose levels are stable in a narrow range as you describe, it is likely that a small decrease in your dose of Lantus would allow the levels to come up a little bit and be in a range consistent with the ADA and Joslin recommendations.