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Diabetes - Adult Type II (Expert Forum)
Follow up to BS & Stress-Insulin timing
Answered by
Anita Ramsetty, MD - GeneralEndocrinology, Diabetes Type 1, Diabetes Type 2, Thyroid Disorders, AdrenalInsufficiency, CF-Related Diabetes
Endocrine Care Group
Questions in the Adult Type II Diabetes forum are answered by Dr. Anita Ramsetty. Topics covered include Type 2 Diabetes, blood glucose monitoring, diabetes and heart disease, diabetes and pneumonia, diabetes and pregnancy,
diabetes and vision problems, diabetes and wound healing, diabetic complications, hyperglycemia, hypoglycemia, and insulin.
Follow up to BS & Stress-Insulin timing
by Fuzzy50, Apr 05, 2008 02:30PM
Thanks for your response. Actually, I do take oral meds--ActoPlus Met twice daily. Regarding Lantus, as I mentioned, I take 6 units @ bedtime. If I increase somewhat, will it help the glucose levels at all for the rest of the day? I know 6 units is not much. My doctor did mention increasing but only if my lowest number was above 200 which it hasn't been yet. I know insulin is supposed to be taken at the same time every day. I take mine @ bedtime, but my bedtime varies greatly, by as much as 2-3 hours daily. If I take it at 2:20 am one night (morning), and then @ 4:15 am the next night, does that affect the numbers? I would prefer to take it every evening around 10:00 or 11:00 pm. That way I am assured of same timing. I assume my doctor advised me to take it at bedtime because my blood sugar was always high in the morning and possibly to minimize any low readings as I would be asleep. I NEVER have low readings--I thing 97 was as low as I have been in 10 years.
Doctor's Answer
by Anita Ramsetty, MD, Apr 07, 2008 09:53AM
, Apr 07, 2008 09:53AM
Hi,
It is best to try to take it at the same time everyday so you can stabilize four insulin patterns, so discuss with yoru doctor if taking the Lantus at 10 or 11 PM will work in regard to when you take other medicatons. It should be fine, but check with him/her to be sure.
Lantus can certainly help lower all glucoses if you keep increasing it, even those after meals, but then you run the risk of it being too high for when you are not eating(and you end up having alot of hypoglycemia). So it is best titrated to where it has your fasting at goal, the use another medication or insulin to take care of those high glucoses after eating.
Take care, hope this helps. This is my last day on Medhelp but please do return and keep up with the posts. Another physician should be joining sometime after my departure
It is best to try to take it at the same time everyday so you can stabilize four insulin patterns, so discuss with yoru doctor if taking the Lantus at 10 or 11 PM will work in regard to when you take other medicatons. It should be fine, but check with him/her to be sure.
Lantus can certainly help lower all glucoses if you keep increasing it, even those after meals, but then you run the risk of it being too high for when you are not eating(and you end up having alot of hypoglycemia). So it is best titrated to where it has your fasting at goal, the use another medication or insulin to take care of those high glucoses after eating.
Take care, hope this helps. This is my last day on Medhelp but please do return and keep up with the posts. Another physician should be joining sometime after my departure
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