The Beginning of the End of Lantus

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Depending on how tomorrow goes, this could be the last time I completely finish a Lantus pen. Depending on how long it takes to process an order for a new t:slim insulin pump and complete my training, I could be using Humalog as both a basal and bolus insulin. Depending on how long everything takes, I can start saying goodbye to persistent overnight lows followed by extreme cases of dawn phenomenon (which, at this point should just be called dawn certainty).

Tomorrow I meet my new endocrinologist. Tomorrow could be the beginning of a new phase in my diabetes care. I have high hopes.

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Camping Is Its Own Basal

I’m not a doctor.

During our camping adventure in Sequoia this weekend, I knew there would be an abnormally high amount of physical activity. Between walking everywhere, and walking everywhere, I knew insulin adjustments would be necessary to avoid as many lows as possible.

Precautions were certainly taken: I bought gatorade mix to stock my water bottle every morning, we bought some tasty granola bars, and picked up some trail mix to top things off. And Dayle and I ensured all of our diabetes devices were sufficiently charged before going off the grid. But even with all of that preparation, lows can still happen.

I suppose there are worse places to stop and take a snack break though. I mean…  Continue reading

Two Steps Back

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.

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Subtle Changes

Let’s hope I threw away the right pen after these pictures were taken…

I broke out a new Lantus pen last night and immediately noticed the modified presentation. It’s amazing how something as simple and subtle as adding a black outline makes things look cartoony. Not that an insulin pen would even be mistaken for a toy, but still, it looks…off.

Dayle pointed out the updated Sanofi/Sanofi Aventis bit, too. So there’s that.

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Intentional Avoidance

I still feel the residual effects of those recurring overnight lows as a result of taking too much Lantus before going to bed. The unwanted repetition eventually reached a tipping point and I started splitting my dose. With a newly established balance between morning and overnight, Lantus was no longer something worth writing home about. Or, I guess, blogging about. But I’ve noticed something over the past few weeks that’s worth noting. Granted, it’s a brief note, but let’s not argue over semantics.

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Reduction

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Between the low-carb food we (staff) are provided and the extreme amount of walking around both San Diego and the Convention Center – 15 units of Lantus is a likely a bit much. Also, Humalog requirements are almost non existant during the day.

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Seven Units

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I’ve been managing my blood glucose fairly well since I started to split my Lantus into a morning and night time fiesta. No more severe overnight lows. No more unwelcome rises during my commute home. Yes, it’s one more injection to negotiate, but it is working for me. However, I can’t figure one thing out.

15 units in the morning. 15 units at night. That’s 30 units. If my math is correct, that means I would use a full pen, no remainder, in 10 days (300 units of insulin in a pen). If that basic math is accurate, how is it that I have these 7 units left over? Am I doing something wrong?

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