Basal Insulin Testing

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mum2westiesGill 502 posts

I take my BI / Basal Lantus at bedtime. Can i do a Daytime test or does it have to be Nightime?

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

You can carry out a basal test at any time, you are always best to get an overnight test done first, allowing you to get your morning levels right, then you can do a daytime test, either between breakfast and lunch, lunch and dinner, etc........you could even try a carb free breakfast and dinner if you feel up for it............

the problem with Lantus, or a single dose background, is you could find you need more or less Lantus in the daytime than you do overnight, so you could risk waking high, or going low overnight........and you cant really accommodate for it unless you split the dose..... Wink

mum2westiesGill 502 posts

novorapidboi26 said:
You can carry out a basal test at any time, you are always best to get an overnight test done first, allowing you to get your morning levels right, then you can do a daytime test, either between breakfast and lunch, lunch and dinner, etc........you could even try a carb free breakfast and dinner if you feel up for it............

the problem with Lantus, or a single dose background, is you could find you need more or less Lantus in the daytime than you do overnight, so you could risk waking high, or going low overnight........and you cant really accommodate for it unless you split the dose..... Wink




Thanks so much for your reply, it's really helpful.

I did an overnight test last night & have my alarm clock set for the next couple of nights. Mad

BEDTIME (2314PM) = 4.2
0255AM = 6.7
0806AM = 7.3

Re the 0300am test, does this have to be spot on 0300am?

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

No, its just 3am is meant to be the time where the least amount of hormones are swimming about and so the best time to take a test of your basal, however if someone was to get up at 4:00am every morning for work, then 3am would not be hormone free, in fact an hour or two before you get up [your body clock expects you to get up] is when the hormonal responses begin...........

For you though, getting up at a normal time of 8am, 3am testing is fine............

From you results, you would assume you would need an extra unit or two overnight, lets see what the next few nights show............!