Lantus - decreasing

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mum2westiesGill 502 posts [Shared diary only visible when logged in]

I'm having hypos all over the place ie waking up to them plus having them during the day.
One week ago on Monday evening 12/11/2012 I reduced my lantus (BI) by 6u so from 42u to 36u (on a say so from my DSN). I decreased it again last night by 2u so from 36u to 34u. I can't help thinking I should've maybe reduced it by 4u. I know lantus should be left for 3 / 4 days / 1 week before making any more changes. Is it too late after just 1 night be reducing it once more then stick with this change for the next few days?

Thanks in advance for any replies Smile

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

If you are confident enough then yeah, add on the additional units and then proceed with the 3 days testing (3 am etc...)........

Have you been ill........?

Any alcohol......?

mum2westiesGill 502 posts

novorapidboi26 said:
If you are confident enough then yeah, add on the additional units and then proceed with the 3 days testing (3 am etc...)........

Have you been ill........?

Any alcohol......?



Hi novorapidboi26
Thank you for your reply but I was asking about decreasing units.

SA2010 DAFNE Graduate
University College London Hospitals (UCLH)
69 posts

Hi

Surely you need to be more aggressive with your Lantus reductions with so low and persistent BG readings and below 3.0. The stepwise chart in the DAFNE Handbook says BI reduction of 1-2 units but also says 10%-20% so in your case I would say that would be a reduction of 4 to 7 units from 36 rather than 1 to 2.

Over time I have come down from a peak of 20 units Lantus day now to just 8 split as 4 and 4 Probably still not my optimum level - I probably need to bring it up to 9 - But each person is different so in your case you need a much higher level

PS: Should get in the habit of putting the Fast Acting CPs in the BG Diary CP fields as it would make it easier to see the action taken on hypos and what effect it had on the BG subsequently.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

Lol,

I realise that must of sound wrong, but I was referring to adding on a few more units to your reduction total....

mum2westiesGill 502 posts

novorapidboi26 said:
Lol,

I realise that must of sound wrong, but I was referring to adding on a few more units to your reduction total....



Ahh I see lol Laughing .

Anyway It's no too late to reduce it again tonight (after already reducing last night) by another 2u so from 34u to 32u (in total from 36u to 32u). I'm also going to start taking it much earlier in the evening. I usually take it about 11:00pm or within an hour either side. Then I'm going to wait 4/5 days / 1 week to see what changes it brings.

I did actually phone my DSN & she confirmed together with me all of the above. DSN also said I could maybe even reduce it to 30u.