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Type 1 : Question for lantus users
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Recommend  Message 1 of 15 in Discussion 
From: MSN NicknameTurtle·  (Original Message)Sent: 6/30/2005 2:42 AM
How often and on what basis do you make adjustments to your lantus dose?  Just curious about what others base their dosage changes on.


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The number of members that recommended this message. 0 recommendations  Message 2 of 15 in Discussion 
Sent: 7/1/2005 4:41 AM
This message has been deleted due to termination of membership.

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Recommend  Message 3 of 15 in Discussion 
From: MSN Nicknamegoshawkgk24Sent: 7/1/2005 1:34 PM
I've tried varying my dose - putting it up if I've had a heavy evening meal of low GI foods which I know will keep producing sugar for many hours, but in the end I've found the guesstimates too inaccurate, so now adjust it about nor more than once a month after looking back at my readings. I'm now taking 4 units more a day than 2 years ago, so I don't vary it that much.
 
I find that varying my Novorapid (like Humalog) is, as expected, a much more responsive way of controlling sugars, but nothings perfect as I often get high morning readings and low afternoons.

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Recommend  Message 4 of 15 in Discussion 
From: MSN NicknamepottervbSent: 7/1/2005 5:29 PM
I have used Lantus since shortly after it came on the market, and i have adjusted it very VERY slowly - it is easier to adjust the short-acting stuff to bring the highs down and the lows up.  When I have adjusted it, I go by 2-unit increments....

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Recommend  Message 5 of 15 in Discussion 
From: MSN NicknameBdunbarRunner1Sent: 7/2/2005 10:29 PM
I feel it is very easy to adjust lantus dosages, because lantus is not intense at all.  I personally gauge mine off exercise.  If I am going to run really far the next morning, I take 20 units.  If I am going to be doing a faster workout, where I really need glucose for fuel, I'll up to 25 or 30.  I can adjust mine day to day, based on that, because like I said, lantus is not intense at all.  If I will be inactive for a few days, I'll bump it up 5 units as well. 
 
Dunbar

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Recommend  Message 6 of 15 in Discussion 
From: Julie__Sent: 7/3/2005 1:55 AM
Well, I always found that I was very sensitive to the lantus, maybe because I took a low dose.  My normal bedtime dose was 10.5 - I actually had to try to eyeball a half unit in my syringe because 10 would make me high in the morning and 11 would make me low!  That is the same as the basal I use for my pump - set currently at 10.4 units a day.
 
However, if I had a day of higher than normal exercise, I would cut my dose it 9.5 so as not to go low overnight and the next day.  Even these small adjustments could mean the difference in being high or low the next day.
 
So I guess we are all different!
 
Julie

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Recommend  Message 7 of 15 in Discussion 
From: MSN NicknameBdunbarRunner1Sent: 7/3/2005 2:40 AM
Wow that is sensitive.  2 or 3 units for me does basically the same thing.  25 vs. 28 isn't really different for me.  If you are that senstitive, can you still get those 30 cc syringes?  I used to have them, but mine now are 50 cc.
 
Dunbar

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Recommend  Message 8 of 15 in Discussion 
From: Julie__Sent: 7/3/2005 4:52 AM
I did use the lo-dose syringes until I got the pump.  I refilled my syringe prescription before I started pumping in 2002, so I have lots of them left over in case I decide to take symlin.  From what I read on a web board, it is also important to have the 30 CC syringes for symlin, or to use a pen for even more accurate dosing.
 
Julie

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Recommend  Message 9 of 15 in Discussion 
From: MSN NicknameTurtle·Sent: 7/4/2005 2:22 AM
I'm rather sensitive to insulin as well.  A 1 unit difference can really affect my morning readings.  I was taking 14 units and waking up at 200 every day and I went up to 15 units and started waking up at 60.  I'd rather be on the low side, so I haven't tried the eyeballing a half unit thing.

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Recommend  Message 10 of 15 in Discussion 
From: MSN NicknameKathe10075Sent: 7/11/2005 3:08 AM
Hi,
 
I am also sensitive to Lantus changes, so I take humalog whenever I eat, depending on the carbs.               Kathe

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Recommend  Message 11 of 15 in Discussion 
From: MSN NicknameRicanbeautyBrcCt77Sent: 9/7/2005 6:41 AM
 ok, my lantus dosages changes depends on my a1c results and my b/s log book and my b/s meter memory down from the clinic's computer, which they do every time i bring my meter wit me.         luv irene

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Recommend  Message 12 of 15 in Discussion 
From: mimi2Sent: 2/23/2006 12:37 AM
hi, I am new to this web site.  My husband is diabetic since he was 8 years old.  What is lantus?  He is on the insulin pump - is this used together with insulin?
Thanks
mimi2

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Recommend  Message 13 of 15 in Discussion 
From: MSN NicknameWCZ_MoonBrightSent: 2/23/2006 1:01 AM
Lantus is a slow acting insulin that last for 24 hours. It is what you call the basal insulin  and the bolus insulin is the fast acacting insulin that wears off after 4 hours and it usually taken befor a meal or after a meal. I hope this answers your question.   

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Recommend  Message 14 of 15 in Discussion 
From: MSN Nicknamesmiley442Sent: 3/10/2006 2:40 AM
Hello
I am new to this site. I went to the doctor to day any she said she wanted me to monitor my bg for six days with out med so she can determine how much insullin I need to take, I am nervous about taking insullin , is lantus good for low  blood sugar and fluctuating blood sugar ?
thank you for your time
Smiley

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Recommend  Message 15 of 15 in Discussion 
From: MSN NicknameshopnladySent: 7/23/2007 6:04 PM
hi    iam  on  lantus  and  nova  rapid   i  really   dont   adjust  the base  amount  of lantus.....i  do   most  of my  adjustment   with  nova   rapid.........i  do  the  carb  counting  and   on most   day   iam   fine...i  like  to  start  the  day  with   a  5  but  not always  possible......somedays  it  is   3  or  4.....all depends  on  my snack  at  night......if  i  eat popcorn   or  peanuts  will shoot  it  throught  the  roof...  everyone   has  little   quirks......
some  days there  is  no  rhyme  or  reasons  to   the    highs  or  the  lows...
 
 

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