Take anywhere from 30 to 40 units of Lantus at night before bed, daily 3 shots of Novolog 5 units sometimes more. Count carbs don't drink, smoke cigars. Just got A1C back 9.8 and protein in urine. Saw where you split Lantus and took half at night and other in morning. Would like to know the effect of this would like to try. Have always had hard time controlling diabetes. Either extememely high or really low. Doctors have tried everything. Would like your imput.
Take Lantus and Novalog
1/ 4/08 11:47am
As David mentions, splitting Lantus into two doses is a common recommendation in some circumstances.
However, I'm concerned that you mention 30-40 units of Lantus and only 15 units (or sometimes more) of Novolog. This is not a standard program -- most folks are on a stable unvarying dose of Lantus, and on about the same amount of Lantus and Novolog, rather than a much larger amount of Lantus.
If you are not doing so already, I think you need to see a diabetes team including a diabetes doc, diabetes nurse educator, and a diabetes dietitian. And if you are, discuss my advice with them.
Hope this helps!
1/ 4/08 1:31pm
I do go to a diabetic doc and have seen many nutrionist and this is what he has me on the go up and down on the Lantus but that is pretty much what he has me on now. I have been a diabetic for 18 years and am type 1 test showed pancreas shut down, They have never mentioned about splitting up Lantus but am going to try this. In fact after receiving such bad A1C he wants me to go up on Lantus. They have been trying for years to get me under control. Told me I was a brittle diabetic. We have a nutrionist that is trying to help. My weight is perfect, blood pressure great, cholesterol is 190. What are the good points about splitting Lantus. I have a good many lows so we just keep trying to find the answers. I eat right and my wife and I go to many programs at my doctors about nutrition. Thanks for info.
1/ 4/08 12:25pm
Splitting Lantus is a way of evening out BGs a little. But if you're going way high and then way low, you're probably eating too many carbs. Just counting the carbs isn't enough. You need to limit them unless you're titrating you Novolog carefully to the carbs you eat, and it sounds as if you're taking the same amount with every meal.
I think you need more help than we can give you. Please see a doctor or CDE soon and find out how you can improve your diet as well as your insulin regimen.
1/ 7/08 1:16am
I'm now off insulin but when I was doing the low-carb (i.e., high meat protein) diet I needed 60 units of Lantus daily. It worked best split 30 in the morning and 30 at night.
Hope this helps.
1/ 7/08 8:33am
4/28/08 12:01am
2/ 7/11 6:54pm
if your having trouble with your sugar you must eat salads and greens, vegatables, fish, meat, nuts, almonds, fruit in normal servings. what fits in the palm of your hand is what you should be eating for meals. walking is great 3 miles a day or 1 mile butt do it every day not when you feel like it k. remember Diabetis is a Disease not a cure.
1/15/08 12:30am
You probably need to be a little more agresive with your carb counting. Measure you Blood Sugar 2 hour after every meal, it should be on target. That is the peak time for Novolog. I find that Lantus only last about 20 hour instead of 24. I finally break up my dose in to 2. I do about 18 in the morning and 12 at night, because I go the bed late. You may try the break up the dose depending on the time you sleep.
2/ 3/08 3:41pm
Maybe you could check out The Bournemouth Diabetes E-Learning Program at www.bdec-e-learning.com It has helped us to work out insulin to carbohydrate ratios, and how to decide your rapid acting insulin dose. Hope this helps
You can check out my post n the program
Good luck
verdungal
2/24/08 3:55pm
Lantus, I'm taking 70 units twice a day and Novalog, at each meal, one unit to two carbs, up to 90 units if needed. Yes, that is out of control. My A1C this month was 7 and that's great for me. I fax blood level sheets to the doctor every two weeks and he'll adjust my insulin if needed. In the past week or so my levels are running great 65 to 110 and I can't say it's anything, I've done. It's a good thing, but I don't understand how something can change like that has done. Now, I'd like to lose some weight. 
2/ 7/11 7:06pm
people say weight is the number one problem for Diabetis. not true. sorry. i was a runner for 27 years ate HEALTHY all the time i weighted 178 at 6ft2. when i came down with Diabetis type 2 at the time 13 years later im a type 1 taking 80 units of landis and 140 of Humolog a day. I eat salads, fish, meat, nuts, fruit etc its all in the Geans period. good luck and god bless.
8/ 3/08 4:40pm
3/30/09 10:22pm
What works for me ( ave 110's in the AM and a 5.8% A1c, which isn;t the greatest but alot better for me)?
1. Goes all the way back to Dinnertime..I have to eat 3 hrs before Bedtime and taking a Bolus of Novalog to be accurate per the # of Carbs, etc.. using carb counting, etc.
2. Novalog last about 3 hrs , it peaks in about 90 min.. and thus My goal after 3 hrs is my Fasting range of 90's
3. At Bedtime? If I am within-in 80-110? I just take my Normal Amt. of Long Lasting ( Used to take Lantus, now take Levemire )
4. IF I Am Above 110? I take a Correction Bolus of Novalog.. Not more Lantus/Levemire..
5. If I am Above 150 at bedtime?
A. I take a Correction Bolus
B. Add 2 more Units of Lantus/Levemire
C. And I set my Alarm for 3 hrs and Test again..
After yrs of Putting Up with Lantus, Getting Alot of overnite Hypo's, after Split dosing it ,etc..? I finally was able to Go to Levemire.. and No More hypo's using it..
Go by your Weight.. ave is a .12 per lb for men.. You weight 200 = 24 units for starters
have you ck'd out trying the 500 Rule?
And Done a Basal Test?
If your eating 30 Tot Carbs and taking 5 units? You have a 1:6 I;CR Ratio..
And that is if?
A. Your starting with a range of 80-100
B. Your 3 hr after meal is the same..
If it Isn't?
Then :
A. If your above 100 B4 eating, have to take a CB ( Correction Bolus)
B. If your Above 140 after 2 hrs? Have to take a CB bolus
C. If your High after 3 hrs? Have to Lower your I;CR to 1:5 next time and keep lowing it until you get in range after 3 hrs..
D. For Figuring a CB? starting with using the 1500/1800 rule has helped me
This and many other subjects are covered in the Book>
Think Like a Pancreas: A Practical Guide to Managing Diabetes with
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Many doctors recommend that their patients do split their Lantus dose into two parts. That's because with some people its effectiveness may not last a full 24 hours.
David Mendosa