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Will Lantus basal insulin help me

I am on Lantus since Jan 2014 and find it very hard to addapt. I was told to use 8 units at bedtime no matter what my reading is at night now i have notice at night when my reading is 9.7 and give myself 8 units of lantus my reading is very high in the morning 13.8 or more  now when is lantus then suppose to kick in . my mealtime insulien is 2 to 3 units at mealtime, Surely I have to give myself more lantus at night maybe 12 units. Why is it that my body take so long to addapt I have been a diabetic for 38 years and for the past year I am not coping with this insuline
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231441 tn?1333892766
COMMUNITY LEADER
Hello,

Your night time dose of lantus does need to be increased (typically increase is by 1 - 2 units every 3 days) until your target fasting blood sugar the next day is reached.  However, this should be done under supervision of a doctor or diabetes educator.

You need to find a new doctor who will help you adjust your insulin appropriately.  You also need to read up on diabetes and it's management.  Recommend the book "think like a pancreas' or "using insulin".

What is your a1c?  target is < 7.0 or even better < 6.5.  (people with excellent control may be able to achieve a1c in the 5s, without lows if they follow basal-bolus dosing approach combined with low carb eating).
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144586 tn?1284666164
A detailed answer is not possible on an internet chat board. Lantus is a terrific drug, and I am disappointed your primary care physician has not seen fit to provide you with more detailed guidance.

I urge you to find a diabetic clinic with a nurse-practicioner and a dietician who will work with you on a daily basis for a while, then a weekly basis to insure you know how and when to administer Lantus.
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231441 tn?1333892766
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