Hey Timmy -
I know I'm late to the party but how many units of rapid are you taking a day? If you're using a lot less than 24, you might be able to improve stability by bumping up your rapid with meals and decreasing the basal.
Maurie
I am another late partygoer (that is a first...usually I get "warmed up" beforehand...heh heh heh) but I'd add that I think that sometimes nighttime crashing may also result from a lingering tail on a big nighttime shot? I always eat about 1.5-2 times as many carbs @ night so my night shots tend to be bigger and, with a larger "margin of error", I sort of "surf" the tail with junk food to amuse myself. Without careful management, this got me to 275 lbs a few years ago so it's not totally reliable however these days it seems to work out ok. If you have big dinners (i.e., like many young men...), this may contribute to data errors later on.
Have you tried staying up all night to measure where the peaks are? That's hard to do, perhaps more so in a potentially challenging environment you may not be the boss of, but perhaps if the Lantus peaks are predictable, you could show the evidence to the "management" and explain "look it peaks 5 hours after I take it so taking it at 10:00 PM is ***exactly* the wrong time to have the big dose. If I take it at 7:00 AM, the peak hits during lunch, when it's easier to find a stray hotdog...". I never tried Lantus (which is why I missed this thread!) but went straight from R/N to a pump. My doc explained that N had only a 53% chance of "peaking" when it was supposed to which, in retrospect, explained a lot of the anomalies I'd been running into for like 25 years. I recall them mentioning that Lantus was "more predictable" but I don't recall how much? If you can surf predictable insulin waves with timing, it might help a lot?
I'm not sure what to say about managing the parents. Mine were always very supportive about doctors although I don't think either of them would have been able to guess what my insulin strategy was more than a couple of years into it. I don't think stuff was as expensive back in the mid-1980s though...
I also agree with a couple of posters who recommended waiting a couple of days before making further changes? I change stuff all the time and usually let it ride before I decide if any change "works". Then, I get all excited that the change "worked" and make another change...and so on and so on and so on...
I kind of agree with this, as long as the situation is being reported pretty accurately, I can't imagine saying "I'm not going to take you to the doctor" or "I'm not going to change your dose" if the numbers are whacked. Although it's hard for me to remove myself from my own rather high-strung OCDiabetes style of looking at my BG all the time....
I would say it varies between 20 to 26 or so. It really depends on how many carbs I eat
Hi, Not sure if there is a free clinic around you but maybe if money is a issue that could help you get more of what you need and the doctors care. your mom might be a bit frightened by the actual unknown. Not understanding Diabetes and whats going on is scary. Some parents dont onestly know how to deal with a desease and actually think if they ignore it maybe it would go away. Obviously not good. hope you can get some more help soon.
YES!!! I think it worked guys!
last night I was at 76 before I went to bed, I ate 10g of carbs, and I woke up at 100!
perfect :D
...now I just need to figure out my I:C ratios again
Nice job!! Breakfast always tastes better with tasty BG! One caveat that I've run into is that sometimes a 100 in the AM may actually be running up because of DP and breakfast will blow up in my face despite a "good" number if I don't do stuff to beat it up. It's easier with a pump/ CGM as I can sort of tell when it's been in the 80s all night on the CGM and "meters" at 100, then I figure "it's going up" and have .5U of insulin to get a head start on it. Way to go on the 100 though!! *fist bump*
fantastic!
So glad you are getting there. Have a great Day!
You are the man!
I would give it a couple days and see how it evens out before making additional changes.
I'm happy with and for you.
As other said, wait another 2 days to see how things go and only after make adjustments to lantus doses.
Lantus has a small but not zero effect that lasts 48-72 hours, so you have to wait that time to see if things are right for you.
Great!!
:)
After being diagnosed on June 1st, it was stressful to figure out the right doses of lantus. I would wake up in the middle of the night or early morning at 60 or even 50 something. After talking to a CDE, I switched to one morning (9am) injection of lantus (20u.) This left me with great control. No more lows! And my fasting is still between 82-100.
You can do it, and try to let your mom know that YOU know more about how your body operates than she ever will. She is just protective out of love and concern but ultimately your health is in your own hands.
Wonderful to hear! Check a lot and log if you want to show your mom how well it works.
You may really benefit from a pump. I know you said that your parents have refused (I think on financial grounds), but you are an adult and can start exploring this on your own. I know Medtronic has an assistance program. In some cases, they will cover whatever your insurance doesn't. PLEASE look into it. You can reach Minimed at 1-800-646-4633 and talk with a rep. Explain your situation and they may even be able to find you an endo in your area that you can see free of charge or at reduced cost. YOU REALLY NEED TO BE SEEING AN ENDOCRINOLOGIST.
That said, you're doing a great job. You really seem to know what you're doing, despite the lack of parental involvement, and that is really impressive.
Well done mate,
See how it pans out of three days and then make a few tweaks if necessary.
Won't be long until you can be financially independent and get on without parental interference :)
I am not sure Lantus is right for me eaither as I seem to do better on the Levimere both of them had to split the dose, but I also take Humilog R at meal time and there are no lows in sight. I have been put thru oral meds and different insulins both type and brands still looking for the correct combonation that will work for any lenth of time so I personally know how frustrating it can be for you. Hope you find the answer maybe ask about Byetta
One more thing (Phil Dill's response made me think of this): Different insulins affect people differently and this is ESPECIALLY true with long-acting insulins. Depending on where we are in our lives, our activity levels, etc, we may require different kinds of insulins. Because of your age, it's likely that you've just really finished puberty and all those hormones that had made you possibly more insulin resistant are now descreasing a bit. Also, your schedule has probably changed a bit over the last year or so now that you're out of high school.
I've found that I really have to experiment and keep an open mind. Prior to going back on the pump, I had been using lantus, but I was having too many lows. FOR ME, I found that NPH in several doses just worked better. But then I went back on the pump and things are even easier (no lows that have been too severe, just minor ones, and my control is WAY better).
Anyway, PLEASE share all these responses with your mom. We are all just folks living with T1 like yourself and we all want the same thing - to stay healthy! She needs to understand that what works for you at one point in time may not work for you at another point in time. Also, she needs to realize that you're reaching out for help and if she cannot provide it to you, she needs to assist you in getting to someone who can (like an endo).
Well said as there is no one set way to treat D no matter what type the one main thing is to stay positive and upbeat because that effects alot more than you think. It can be a hard thing to do belive me I know but will help you at the end of the day.