Hi, y’all. I meant to post this as a discussion item but I sent everyone an e-mail instead. Typical newbie mistake – how embarrassing. ;0) Anyway, here is my item for discussion:
I am struggling to understand what’s going on with my Lantus injections. I’m a type II with insulin resistance. I inject 35 IU of Lantus every night after dinner. I forgot to inject two nights ago, so yesterday I checked my fasting BG the next morning and was surprised to find that it was 225 md/dl, right about where it was the previous five days when I did inject the Lantus the nights before.
I thought it would be much higher without the Lantus. Perplexed, I did a little experiement: I injected the Lantus that morning and then tested at one hour, two hours and three hours without eating (postponing breakfast until after my test.) My readings were 239 at one hour (it went up?), 220 at two hours and 208 at three hours…???
My doctor told me that the Lantus injections should “peak” at two hours. I saw almost no effect at all.
Is the Lantus doing anything? Am I essentially injecting water? Is my insulin resistance or something else interfering with the Lantus?
My numbers are still way too high, despite the fact that I’m following the Dr. Bernstein diet faithfully now and I haven’t had more than 30 to 40 grams CHO TOTAL for any day for the past two weeks. I inject Novolog to cover every meal. If I have three meals per day and each meal is 10 to 15 grams of CHO max and I’m injecting Novolog for each meal, then shouldn’t the Lantus be doing SOMETHING to bring me down closer to a normal baseline?!?
I had hoped to be getting down into the low 100’s when fasting and below 140 post-prandial on dear Dr. Bernstein’s “carb starvation” diet, but if the Lantus is acting like water in my system, how will I get down into the complication-sparing range?
I’m so frustrated and disappointed that my body is treating the Lantus like I didn’t even inject anything at all. Any ideas, suggestions, links etc. would be very much appreciated. My current doctor is worse than no help – she seems to know less about diabetes than I do.
Thanks for reading this far! ;0)