The Last Few Weeks

Hi Linda,

Actually, if you are running low most of the day, it seems to me that you need to reduce your basal insulin (Lantus), not necessarily the amount you give with meals. But it sounds like your rapid-acting insulin is where you’ve made the reduction (by skipping your mealtime dosage), but made little reduction in your dosage of Lantus. 22 units seems a bit on the high side for a newly diagnosed type 1 (I use less than 10 units, and I’ve had type 1 for 31 years), but it is highly individual, as some people’s total daily insulin dosage is more than 50% basal. However, if you’re dropping all day, thats a clear suggestion that you have too much insulin circulating in the bloodstream throughout the day. I would suggest cutting your dose of Lantus but continuing with your mealtime dosages. Pattern recognition is a key to insulin replacement therapy, and it takes time to develop that skill, but over time you will begin to more easily identify the sources behind your numbers and be better able to make the constant adjustments that come with it.