Are You having lows around 6 hours after your Lantus injection? Lantus is not as flat as touted. It ramps up over time and has a peak at 6 hours.
When I was doing MDI I found splitting the dose into 2/3 at 9P and 1/3 at 9A. This stopped waking up with a hypo, shaking, hot and sweaty- totally hangry. Hangry is a combination of angry and extreme hunger.
You might try Tresiba which is injected once a day but can last up to 42 hours. This causes a reinforcement after 3 days use giving a more flat basal rate.
As to pumps, those with well constructed algorithm constantly adjust basal according to BG from a paired CGM.
This can lead to fewer highs/lows with less variation.
The brain especially the hypothalamus play a role in glucose management. There’s possibility that the stroke cause some damage in the regulation of glucagon secretion. That could account for the unexpected highs.
It appears that this area lacks adequate research.
I didn’t take any Lantus at 9am… Currently I’m taking 20 units at 9pm only. Many people have suggested I could mix my Lantus to half at 9pm and then half at 9am. I will definitely ask my Dr. Some have mentioned I am probably taking too much Lantus (20 units) for someone my height and weight/exercise etc. but if I lowered this I would be worried for the times I have a high like Sunday where I am 12-15 most of the night.
You don’t need to apologize for asking questions here. Please describe what you had for dinner the last two nights if you can. If not start writing down what you eat. I’m wondering if different vegetables for dinner are part of the different overnight blood sugars you are seeing.
Ask away, and add any details you think of. One thing you aren’t using a steroid like prednisone of had a cortisone injection in a joint? Those including topical steroid cream can cause BG instability. I have personal experience.
Question. If your blood sugar is high before bed time, do you make a correction bolus? It seems like if you start high, the lantus isn’t enough to bring you in range. You’ll need to figure out your “correction factor” so that you know how much insulin to take. There are lots of websites that can help you do this and explain it much better than I can. Hope this helps.
Do you go low overnight on the (four days a week) you run? And then go high on the nights you don’t run (three days a week)? Cuz in my experience exercise has even more of an effect than carbs, even over a 24 hour period. When you described your discrepancies, which to me aren’t that unusual (I’ve had many days of eating the same thing with drastically different numbers, so to me it’s not that crazy), my first thought was, “exercise/activity level”. Just a thought
Hi all. Just a moderator note that some of this is getting into the territory of specific medical advice and some concern has been expressed. This is always tricky because people do come here asking for input from other patients, who can often offer insights that aren’t available to people who aren’t living with this disorder 24/7. So I’m just going to make sure the OP (and everyone else) knows that any substantive changes in regimen should be taken in consultation with your medical team.
And a hearty welcome to @Paul_Curwen – hope you stick around!
I have had T1D for 67 years. I would recommend you get an alarm clock (I use the Sonic Alert, and no, I don’t work for them.) You can set two different times and it will wake you by different modes. It has flashing red lights, sounds, and (for those of us who are deaf at night) a bed shaker.
If you have a CGM (Dexcom or FreeStyle) you can set your phone to wake you at any time, and the app will send an emergency alert in case of low/high glucose. If your glucose drops below 55 it will continue to severely annoy you until you assure it you are OK.
Hi I have been a type1 for 56 years and my finger sticks and cgm readings are, examples 75, 100, 125, 150 and so on. How does 3.8 and 8-12 relate to the numbers I have given as examples. Just wondering
I agree but we should always type the units of measure to avoid confusion. The following countries use eAG in mmol/L instead of percentages for HbA1c. They are following International Federation of Clinical Chemistry and Laboratory Medicine(IFCC) standards.
I have to split Lantus into an evening shot and a morning shot. If I were taking 20 units initially, then I would split it into ten before bed and ten in the morning.
A lot of people just don’t manage well on a single shot. That’s normal. We can look at the data if you collect some.
This is not the best graph of Lantus but there is a steady rise from injection with a peak around 6 hours. I would inject before bedtime, 6 hours later would go low. Using 2 injections eliminates the night time low and gave flatter BG over 24 hours.
I can’t believe I survived nph-regular sliding scale. If I didn’t eat lunch exactly on time I would crash hard.
I stayed on that for7 years. Until I was put on ultra lente and humalog. Which was so much better.
Soon after I started my first pump.
It’s a little misted over with nostalgia, but I remember during my NPH era trying to hit that magic 15g of carbs — mi-del graham crackers with peanut butter, raisin toast with ricotta cinnamon and Splenda, a fig newton or two on the go. Kinda making me hungry, but overall it was a bit of a disaster.
This is a bit different than the thread, but you mentioned having cognitive issues, and when I ran across the article below, I thought of you and your situation. It describes how games helped them resolve problems with their thinking.
A memorable quote:
But there is one thing I do know: When I was hurt, puzzles healed me.
For myself, every morning I use the NYT Games app - I have a subscription - and play/solve Spelling Bee, Wordle, Connections, Strands, and The Mini [crossword). Also, I solve, or at least try to solve, the Sunday Crossword. There are other games that are enjoyable, but I play those always.
