lantus

[blackie901]

sugars between 250-280 daily on metformin glipizide junvia seen doc she put me on lantus 10u did nothing went up to 15u still noting been a few days does it take a while to take effect how much can you take ,also asked to see specialst she said she could do it should i insist to see one?

[blackie901]

i only take the lantus once in the morning never before meals my concern is how much to raise it every two days because the blood sugar leval is coming down finally at 20 units !

[Zoelula]

No, doses should be raised gradually to avoid risking hypoglycemia. The Lantus is meant to provide background insulin. It does not cover the carbs you eat if you are having spikes 2 hours after meals. You need short-acting insulin for that.

[blackie901]

thank you,i donot think she can,also will the lantus do more as it is increased and how far should  the increase should it be done in 2u or can it go up 5u with no problems if i watch the blood sugars?

[Zoelula]

Are you blood sugars high specifically 2 hours after meals or all the time? If they largely spike after meals it sounds like you may need to be on a basal/bolus regimen which includes short acting insulin before meals for the carbs you eat. I absolutely would insist on a referral to an endo if you don't feel your regular doctor has the knowledge to get you stable (they often don't)