I’ve been on Lantus for 6 days now, and I’m definitely seeing results, but I have a few questions. I’m gonna call the doc and ask about this, but also wanted to get input from all of you.
1 - Doc said something about Lantus taking 6-8 weeks to get to full effectiveness. I thought that insulin was immediately effective, and I’m certainly getting immediate results. Can someone comment on what I might see after 6-8 weeks?
2 - Does Lantus do anything for spikes after eating? I know it’s a slow acting basal insulin, but not sure if that means it doesn’t do anything to control spikes or if it does a little bit or…? I’m asking because even though I’m seeing much lower fasting blood sugar numbers on the Lantus, I still see spikes if I eat carbs. This morning I tried some steel-cut oats (18 net carbs) for the first time since being diagnosed, and was 177 an hour after. Yeah, I know that’s a lot of carbs for first thing in the morning… but I’m just curious as to whether or not I should expect the Lantus to do anything about that.
3 - How much Lantus are you other Type 2s on Lantus taking? Doc told me the average amount a Type 2 takes is 50 units a day to get to a fasting blood sugar of 110, but that it obviously varies and I’ll have to figure out what it takes for me. I started at 10 a week ago, and moved it from 17 two days ago to 20 yesterday, and woke up with a blood sugar of 85 today! Previous to that my lowest fasting was at 146. I’m wondering if the results after a relatively low level of Lantus is indicating that I may not be all that insulin resistant, but actually just not producing enough insulin naturally.
Another piece of evidence that may be in favor of that is that I don’t seem to respond much to Metformin (2000 mg/day). I do see some results - the minute I started taking it, I stopped losing weight (was losing 1/2 pound a week previously). I also seemed to start digesting food better (I won’t go into details on just how I know this… let’s just say it’s a bit TMI, so just trust me!) I also saw a little bit of change in my blood sugar but still got fasting numbers around 200 until I started on the Lantus. My understanding of Metformin is that it prevents your liver from producing too much glucose. Fine and good, but if I don’t have Insulin to use the glucose that it does produce, I can see how I don’t see much results from Metformin.