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insulin

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Last posted: 13 months ago by Joy at Unity
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Joy at Unity

Posts: 122
Joined: 10/10/2011
Post to the Thread      Posted on 03/27/2013 10:03:33 From: 199.248.225.250
Hi lunchlady,
Thanks for your post and thanks for participating in the online chat last night! I believe you asked this same question of Dr. Bingham during the chat. To summarize, he responded that the fluctuation in blood sugars from evening to morning time may be due to several different factors. He recommended you review the specifics of your BG readings and medications with your doctor. Please see the transcript from the online chat in the archive section for his more detailed response. It should be up and available for viewing in the next few days.
lunchlady

Posts: 1
Joined: 11/19/2012
Post to the Thread      Posted on 03/26/2013 20:20:22 From: 67.244.144.88
I only take fast acting insulin at supper, it seems to be affecting my long acting insulins because now my morning sugars are high....is it a reaction to the low after supper??
Jbauch

Posts: 1
Joined: 10/12/2011
Post to the Thread      Posted on 12/08/2011 13:53:10 From: 199.248.225.250
Although it's said that Lantus covers 24 hours, its actual duration of action (how long it works) is between 18 and 26 hours. That seems like a big variation, but the duration is fairly consistent in each individual. In other words, Lantus may last 20 hours in you, but 23 hours in another person. Because you're only testing blood sugars when you eat (before dinner), you're not getting a good picture of what you're numbers are doing the rest of the day and whether Lantus is carrying you through the full 24 hours.

Why not spot-check yourself with a fingerstick first thing in the morning, then around noon, then mid-afternoon? You don't have to do this every day, but could discover a lot by testing several times a day for just a few days in a row. That will point out trends where you might be running high or low without realizing it.

By the way, be careful how you respond to a high blood sugar reading. You may be tempted to take more Lantus to cover, but talk to your healthcare provider first. Since you go long periods without eating, it's possible that you may be experiencing a "rebound" high blood sugar following a hypoglycemia event (low blood sugar). Adding more Lantus in this case would only make the problem worse. A complete picture of your blood sugars for the day will help your physician make this determination.
jhb

Posts: 12
Joined: 12/03/2011
Post to the Thread      Posted on 12/06/2011 17:16:54 From: 66.66.99.158
I take Novolog with my meals and Lantus every morning. I usually only eat one meal a day in the evening, so I usually only test my blood sugar and take my Novolog before that meal. I have always thought that the Lantus would cover me for the day, but someone recently told me that this isn't true. What do you think? I would like to avoid all unnecessary needle and tester pricks if I can. Thanks.
 
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