Change of Plans

Last Friday I forgot to take my Lantus. This new condo thing is really dividing my attention in ways I didn’t think were mathematically possible. By the time I had realized my omission it was already Saturday morning and I had to make an executive decision. Actually there wasn’t much of a decision to make, I knew I had to take my Lantus injection for the day, but I wasn’t sure how much. During my deliberations I figured now would be a good time to see if switching my Lantus schedule to day-time injections might make my day more manageable. It couldn’t be that much of a change, right?

Overnight lows still worry me, even after joining the Dexcom Revolution. I still have problems correcting in moderation but this isn’t the kind of thing you want to practice. I know tighter blood glucose control means more lows are likely, but lows when you are wide awake are much different than the ones that wake you up. Trying to find the right dose and starting blood glucose so I will not go low overnight, I will have a fasting blood glucose in an acceptable range and will be covered for the rest of the day has been a very difficult task. Note: I used very PG language in that last sentence…you can guess where.

Speaking of coverage – this stuff does NOT work for 24 hours. Maybe I’m the one person taking Lantus on this planet that is seeing this happen, and if that’s the case then I really need to figure something else out. But I’ve seen a steady Dexcom line slowly rise without any food, stress, or other contributing factor before dinner. Unless rest raises blood glucose, there are definitely strange things afoot at the Circle-C.

So I’ve given day-time Lantus a whirl for the past two days (as of this post’s publishing) and I think I made Lantus angry with me. I’m talking Incredible Hulk angry. Both days, shortly after breakfast I have experienced sweeping and sustaining lows. Now I know that part of this is too much Humalog. Taking Lantus at night for so long has me at a specific comfort level when it comes to carb/insulin Reaganomics. Those same carb/insulin ratios mean nothing now that Lantus gets started in the morning instead of 7-8 hours before. Thankfully Hal Jordan is on top of things or I would be especially not cool with this but I feel like this is a good opportunity to try to figure out if this is a legitimate possibility, if I should go back to nights, or if splitting my dose is the best scenario.

Obviously the key is patience. Learn from my miscalculations and move on. I know from experience that Lantus, in my body, peaks and doesn’t have a shelf-life as long as advertised. I know that trying to negotiate a Humalog correction before going to bed gets more complicated when it doesn’t have Lantus to ride shotgun with it. I know that somewhere, out there, there is a solution to this conundrum. I just have to keep looking.