Levemir versus Lantus

novorapidboi26 said:

Everyone may feel different, but you would get used to the pump being there, and injections would be a thing of the past, no need to dial up, pull the cap off etc ,you just push a button and hey presto..............you can also get Bluetooth handsets that can tell the pump to deliver wirelessly, in case it was in an awkward position and you were eating out...........

A just a case of weighing out the benefits to the hassle.......and workload..........

I was put on Lantus but unfortunately it was guestimated that it wasn't even lasting a full 18 hours for me - this said I was going high early evenings. I have actually went back to using insulatard twice daily and get a much much better control from that. The one thing you need to remember is that it is very very much all individual and no matter what is said here - it will very much depend on your reaction and sensitivity. to your insulin.

Wullie (RNA)

Hi Claire,

Just another idea for you... I've been having the same problem recently (OK at 3am tests and then high in the morning) and I assumed that it was dawn phenomenon and that I needed to up my BI to compensate.

I currently have a very good diabetes nurse who said that, looking at other hypos I'd been having over the course of the day, she thought that it might be too much BI and nightime hypos between the 3am reading and waking at 7am that were causing the highs on waking. I've been doing some experiments and she was absolutely right so I've dropped the nightime Lantus right back down again.

This may well not be the case with you but it's something to think about if things still don't seem to be working. Not sure how you'd know - maybe test a bit later than 3am and see if it's dropping or rising then? Maybe if you're splitting your Lantus then there's a bit of an overlap somewhere between doses that's making you low?

Good luck.

Melissa xx

MelissaF said:
Hi Claire,

Just another idea for you... I've been having the same problem recently (OK at 3am tests and then high in the morning) and I assumed that it was dawn phenomenon and that I needed to up my BI to compensate.

I currently have a very good diabetes nurse who said that, looking at other hypos I'd been having over the course of the day, she thought that it might be too much BI and nightime hypos between the 3am reading and waking at 7am that were causing the highs on waking. I've been doing some experiments and she was absolutely right so I've dropped the nightime Lantus right back down again.

This may well not be the case with you but it's something to think about if things still don't seem to be working. Not sure how you'd know - maybe test a bit later than 3am and see if it's dropping or rising then? Maybe if you're splitting your Lantus then there's a bit of an overlap somewhere between doses that's making you low?

Good luck.

Melissa xx

Ahhh, good research. In that case it is dawn phenomenon then.

Novorapidboi has been having some success treating his I think. He can probably give you some good advice. Good luck!

M

MelissaF said:
Ahhh, good research. In that case it is dawn phenomenon then.

Novorapidboi has been having some success treating his I think. He can probably give you some good advice. Good luck!

M

I have had some success, I have found that getting single figures at 6:45 when I wake does depend on what food I have eaten as a before bed snack, delayed digestion seems to push numbers up, or it may even be too quick a digestion, pushing me down through the night then up in a response to the low.......for the most part it has been successful.......

Consultant agrees it dawn phenomenon and has suggested a trial of levemir but really a pump would be far better ........ Im on the fence at the moment

A pump would be far better, but the majority of consultants will only put you forward after all other strategy's have been tested, however it has been known for some patients to get a pump with reasonable ease.......

IM trying an isophane for 2 months first