I don't need Lantus anymore? What?

Type 2
1

Ok, now THIS is weird…

A little background on what has been happening with me…
I had a bad sinus thingy - I had three courses of different antibiotics trying to get rid of it…

Last course from my ENT was 2 weeks and 3 days of steroids(ugh)

Anyhow… two weeks in and most was finally gone but I got super nausea from swallowing all that drip for so long I started vomiting the food I ate and my pills. I go to ER for 2 fluid bags I was so dehydrated… So they put me on that BRAT diet …I still had nausea and trying to keep things down for a few days after… I go follow up with my ENT and I still have lots of spit, feeling tight in throat etc - he thinks I have GERD so I get prevacid to take for one month.

A few days before I start the prevacid and after I was in the ER, I have three morning of lows - not fun when you are already weak from ER visit.

So i lessened my 7 unit of Lantus to 6 and than 5… I don’t normally test before I go to bed and take my insulin so I started doing that - lower numbers like low 100s which isn’t normal. So next day I able to eat more day by day (because of the prevacid) and I have a 147 so I think well, I am going to skip the insulin tonight and see… No low… Same thing with next day and day … I have had some 101s and I ate something carby (english muffin) purposely right before I went to bed… I still wake up with a lower number 78 but not a low…

So I am confused why did everything change?? And I am eating a lot more than I normally do because those lows are horrible especially if I have to work!!!

The only other thing I am doing different besides the 2 month sinus torture I went through… is that I started a BC pill prescribed by my OB for cramps??

Could the BC pill have anything to do with this??

I need to message my endo and see what she thinks but I going by the rule now that I am only taking the insulin as needed… I am not sure if that is good to do but I don’t want those lows either…

Any thoughts? I am relatively new Lantus user too - just started in Feb of this year.

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2

It may just be that you still make some insulin and being sick like that, not eating and not needing insulin as much. So your body may have stored some up. I would just manage things day by day until you get back to normal health and then see how things go.

3

It could have been the infection & inflammation that was causing the insulin resistance & need for Lantus. I’m a T1D and last year my A1c went from 6.7 to 7.6 with in a few months (Aug-Dec). It was all from a latent dental infection I had no idea was even there. Had the ‘toxic tooth’ pulled Feb this year & by June my A1c was back down to 6.7.

I really hope your doctor will let you keep your current plan, because you are right about lows being nasty!

4

If the antibiotics succesfully cleared your sinus infection, you will indeed see a much lessened insulin need. Systemic infections are a huge factor in raising insulin needs.

When I had Lyme disease (at that point undiagnosed) my insulin needs went up at first 50% then 100% over normal. The I got it diagnosed, and then just 3 days after starting antibiotics - wowza! Everything got better and my insulin needs reset back to their old usual values.

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