Increasing Lantus (BI)

Increasing Lantus (BI)

31/05/2013
6.2 - bedtime
11.1 - this morning for me

30/05/2013
7.7 - bedtime
18.2 - this morning for me

29/05/2013
no test - bedtime
14.5 - this morning for me

28/05/2013
9.7 - bedtime
10.5 - this morning for me

So looking back at the last 3 days I'm thinking my BI needs increasing. I'm currently taking 20u split - 10u am & 10u pm & am undecided whether to increase by 2u (11u am & 11u pm) or 4u (12u am & 12u pm).

What does anyone think please?

The beauty of a split dose is you can adjust the AM and PM doses independently, so you would be looking to increase your evening dose.....in order to see a reduction of your waking numbers......

remember to wait 2-3 days to see an accurate effect......

It really depends how sensitive you are to insulin. DAFNE recommends a 10-15% change in BI, and given it is your overnight that you want to change, I'd just go with a 2 unit change. We want to avoid any night time hypos, so slow and gradual is probably the best way to go.

As novorapidboy26 says, you probably just want to increase the evening dose at this stage.

hi, again agree with both to split bi & that the bi needs increasing - also do your morning readings still rise on a carb free day ?

Would you consider using the online Diary. I thought everyone had access to use the online diary. It would make your posts so much faster as no extra typing involved!
Agree. My DAFNE consultant used to say make BI changes of 20%...so you are sure of the outcome. But agree that steady progress should be the way forward.
Regards
Garry

Garry said:
Would you consider using the online Diary. I thought everyone had access to use the online diary. It would make your posts so much faster as no extra typing involved!
Agree. My DAFNE consultant used to say make BI changes of 20%...so you are sure of the outcome. But agree that steady progress should be the way forward.
Regards
Garry

whiskysmum said:
Increasing Lantus (BI)

31/05/2013
6.2 - bedtime
11.1 - this morning for me

30/05/2013
7.7 - bedtime
18.2 - this morning for me

29/05/2013
no test - bedtime
14.5 - this morning for me

28/05/2013
9.7 - bedtime
10.5 - this morning for me

So looking back at the last 3 days I'm thinking my BI needs increasing. I'm currently taking 20u split - 10u am & 10u pm & am undecided whether to increase by 2u (11u am & 11u pm) or 4u (12u am & 12u pm).

What does anyone think please?

Hi
I always take it steady when adjusting the BI especially when its the evening one you started off very good with less than 1.5 variation in the BG on the 28th, then had two wayward BG then where getting back on track on the 31st what was the next two days?
DP is always blamed for high variations in the BG in the morning, and I,m not going to disagree, since I'he experienced this.
But before we adjust things let's consider some over looked items
Time is important what time did you test on the 28th was it different to the following days?
Was your meals at different times when you took your evening meals
Basically what I'm saying is people don't always look at what happened leading up to a high or low reading and only concentrate on the 1 reading.
The rule is what ever your reading its what you did before that caused it and that could go back 2 or 3 meals.
This is more than likely not what you experience,d but to a new type 1 they can make this mistake.
Like you I'm in the process of changing over to a pump which I've been reading up on, so I hope its goodbye to the DP's
But back to your question I would increase slowly and give it at lest a week with a constant life style ie taking all injections at the same time and trying to eat and take the same amounts of CP and QA at each meal, I know differcult but this speeds up any pattern that might appear.
Hope this helps from 1 who is getting on bit

I have been sick this weekend could not eat for two day. I kept testing and my reads were around 10 or 13 each time. I took two units after each test but reads stayed about the same. As I could not eat I was frightened to take to much. Last night I tested for ketones it showed a trace. It is the first time I have had ketones. Now eating and injecting do you think this will sort out soon? Wood like to hear from someone. Regards Lynda

Hi
Not to go off topic, reading the previous posts regarding the split of the BI into two, I would note background insulin BI has a lag before it takes affect.this is the reason like me many people are higher BG after breakfast. My ratio for breakfast is 2:1 then it changes to 1:1 for the rest of the day,I'm only on 1 inject of BI,
I,m only mentioning this since being on this site I've noticed a lot of unexplained high BG in the late evenings with people on the split then lows in the morning or hypos.
Its only my opinion but with the lag of the BI people are on the wrong ratio which makes them high there then correct thinking it will level out, but then the BI kicks in giving a confusing morning BG, which then makes people adjust BI.
Could be wrong since i'm only on 1 injection with the single lag to contend with.

On being I'll, don't knock yourself out, 10 or 13 when your I'll is acceptable, the highs are giving ketone which is normal since you aren't taking enough insulin both QA and BI.
The Dafne sick day guide points you to the correct path to take with the correct amount of insulin, which depends on TDD, you'll notice on your Dose adjustment diary at the bottom of each page, what I do is every two weeks add up the TDD and note it.
So when I was I'll last month the information is at hand to use the Dafne sick day guide, it took two weeks before I was back to my targets but it fell from 13 then to 10 then slowly to 7,I was very I'll the first week to conclude the highs are expected its just your body saying come on your not doing much activities so let's increase your insulin, when you start getting back to normal you need less
Hope this helps
Type 1 40 yrs