Lantus / Novalog uncontrolled SPIKES

Help, 59 year old male, t2 diabetic since 1996, lantus 75 units at bed time, novalog as needed @ 1:4 ratio...This is not working I have spiked at over 500 and the control is gone I take my shots and have been told to take them about 1 hour before meals?  EG; BG before lunch 174 two hours after is now 265 with my shots. Actos was removed because of the heart condition trying to loose weight (246) as we speak
Jst need import on gaining control thanks
Rich

[Debbie22]

Hello, I've learned a lot in the past 8 months (since I've found that I am a type 1 Diabetic) and I suggest to you to look for a Diabetes Educator. When I first left my Doctor's office after my first visit I was completely lost, I was not sure how to use insulin, how to calculate ratios, I've read a ton and still lost. One thing I found... my ratios for the short acting insulin (novolog) were different for every time of the day and meals... and my diabetes educator ad I had to try a lot of ratios before we found a set of ratios that worked for me...  Also I am not sure why you were told to take your thos 1 hour before meals... in general if your BG is not low you should take your shot 15 minutes before meals but I am not a doctor, but someone that has Diabetes... please if you can, ask your doctor to refer you to a Diabetes Educator... you will be more confident about your BG control . I wish you all the best.

[Rich0314]

Thanks for the reply, everything has been working for years and then all of a sudden it went hay wire. My DE advised me to change the time of the shot to 1 hour apparatly my system does not use the Novalog that fast so we are trying to adjust the time before meals. Since I wrote the question IF I take the shot 45 mins. before a meal it works great in fact I am back to normal ranges again. I called my Endo and will see him nnext week for evaluation will let you guys know the outcome.
Thank you for your concern, Rich