I couple of months ago I made a(nother) adjustment to my Lantus dosage. I used to take 15u in the morning and 15u at night. Once I started to pay serious attention to my nighttime trends I decided to scale back the evening dose a bit in an attempt to curb overnight lows.
I know Lantus is supposed to be the long-term basal equivalent, but with me it seems like Lantus waits a few hours, then kicks into high gear. Overnight this is particularly problematic as peppermint patties became a 2 a.m. ritual. Maybe Lantus is a hybrid insulin in my body. It’s certainly not a Humalog-like fast-acting, but overnight it doesn’t behave like the long-tail stuff that all the documentation suggests.
But, because there’s always a but, recently I’ve noticed a relapse of my dawn phenomenon. Actually, I think it’s just that I’m not taking enough nighttime Lantus and there isn’t enough insulin in my system to cover 6 – 9 a.m. This picture perfectly illustrates my point. No food was consumed, and my commute was not stressful enough to cause this.
I guess it’s back to 15u overnight again. I love that diabetes care is an ever-changing target and no two days are alike.
No wait, love isn’t the verb I was looking for…loathe? Yea, that’s better.