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Medical Forum / Diseases and Disorders / Diabetes / March 2006A weird Morning - could NOT get my BG's down !!!
I am a Type 2 who has never had much success with oral meds - but I have reacted very well to insulin (Lantis). 35 units will normally bring me down from about 200 to 135 to 150. Last night I had terrible neuropathy pain in my feet - worse than usual. 1) I got up at 3 am and read my sugar level at 335. I immediately took an injection of 35 units. I ate one tiny apple. 2) I tested an hour later and it was 284 !! So I took another injection - again 35 units. Ate nothing. 3) tested 2 hours later - it was 250 !! Finally, in desperation I took a 3rd injection of 50 units. 4) measured it an hour later - and it was 235 !! Has anyone ever had such an odd occurence? I wonder if my meter is haywire. I was worried about my BG's going too low - but I felt OK the entire time (other than m y feet). > I am a Type 2 who has never had much success with oral meds - but I > have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] > haywire. I was worried about my BG's going too low - but I felt OK > the entire time (other than m y feet). Are we to understand that you expected fairly immediate BG reduction from Lantus? Lantus is one of the slowest insulins available. You took 120U of Lantus over a 3 hr period? You are going to be feeding that insulin over the next 24 hours or more as it is gradually released into your system. Otherwise, you are in for one major hypo. You need to learn how the various insulins work before you kill yourself or someone else. You may want to call your doc and confess this lunacy, or at least make sure you have a friend or family member keeping an eye on you for the weekend. Jim keith wrote in message ... >I am a Type 2 who has never had much success with oral meds - but I >have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] >haywire. I was worried about my BG's going too low - but I felt OK >the entire time (other than m y feet). Hey! Lantus is a basal insulin. . .a slow insulin. In fact, it is the slowest insulin commonly available. It usually doesn't do anything for the first 2 hours, then it starts really slowly. You have a big problem. You overdosed with slow insulin. Sooner or later this is going to hit you. I have no idea how hard it will hit (can't tell with a T) but it could be really serious.. Don't plan on driving or working with power tools. Be ready to test your sugar a lot; be ready to eat glucose if it starts dropping. Avoid fat. That slows absorption of glucose from whatever you use to fight any hypos that may show up. If you want to knock down a high sugar, use a fast insulin like Humalog or Novolog. Regards Old Al Other people have spoken about your choice of Lantus. I'm curious: Why the apple? Jennifer > I am a Type 2 who has never had much success with oral meds - but I > have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] > haywire. I was worried about my BG's going too low - but I felt OK > the entire time (other than m y feet). Keith, I hope you're doing OK after your major overdose of Lantus. Keep testing all day and the next and eating as necessary to keep you safe. Make sure someone is with you as advised by earlier posters. But please explain to all of us how it came to pass that you are taking a prescribed insulin and apparently know so little about its proper use? Tell us what your doctor told you about Lantus, if anything. Describe any other info you learned before using it. Have you received any formal instruction? Are you in a diabetes support group? I suppose it's possible that you are actually a knowledgeable user having some fun with us and alarming everyone for the sake of instruction, but it's also possible that you are on the level. I hope you are playing a joke on us. Otherwise you're in a worrisome situation. My experience has been that doctors don't instruct on insulin use or much of anything else. We need to learn all we can. >I am a Type 2 who has never had much success with oral meds - but I > have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] > haywire. I was worried about my BG's going too low - but I felt OK > the entire time (other than m y feet). I have had diaetes for 15 years, and taking Lantus for 2 years. This is the only time period where I have acieved normal readings - it has done a very good job for me. Unfortunately the first 13 years on oral meds coupled with poor lifestyle, really hurt me. Also, I can definitely tell when my glucose is low because I get a very spacey feeling. I never felt that and I have been monitoring this closely all day. Every finger has a pinprick on it now !! I know what it is, and I know I am "supposed" to take it once per day. It is a 24-hour insulin although it does taper off in effectiveness after about 12 hours. However it has always acted at least within an hour to reduce my glocose. Today, a full 8 hurs after my 3rd injection and NO sugar or starch other than 1 small apple, my BG reading was 220. It did not just suddenly completely stop working because I "don't know what I'm doing". I am far from an expert but I have certainly read a lot and have been to more than my share of docs. Its just not normal for this stuff to fail to reduce my BG at all, like this morning. I tried a 2nd meter to make sure, and it verified the readings I was getting. They were the same roughly. So I got another new bottle that was a refill - and took a 4th injection. It dropped it right down - one hour later I was at 120. This is the way Lantus has always affected me in the past. Apparently, although this has never happened before - that first bottle is bad - it acts like "water" or a placebo. It is not old, either. I am going to send it back to see if they can test it in the lab (if they will even agree to do that). >Keith, > [quoted text clipped - 39 lines] >> haywire. I was worried about my BG's going too low - but I felt OK >> the entire time (other than m y feet). > I have had diaetes for 15 years, and taking Lantus for 2 years. This > is the only time period where I have acieved normal readings - it has [quoted text clipped - 24 lines] > It is not old, either. I am going to send it back to see if they can > test it in the lab (if they will even agree to do that). Keith, This makes absolutely no sense. Did you read the other posts in this thread? Lantus is a basal insulin that works, in the least technical terms, as a "background" insulin. It is not an insulin that "drops your numbers" shortly after taking it. You need to find a new doctor immediately if he approves of you using Lantus this way. In the meantime, you might want to go and read everything on this site: http://www.lantus.com Best, Kurt If the Lantus is older than 30 days, it's not reliable. Lantus won't act quickly to drop a spike. Are you reusing needles? If so, you may have contaminated the vial. Otherwise ask your doc for a fast acting insulin to deal with meal spikes. >I have had diaetes for 15 years, and taking Lantus for 2 years. This > is the only time period where I have acieved normal readings - it has [quoted text clipped - 72 lines] >>> haywire. I was worried about my BG's going too low - but I felt OK >>> the entire time (other than m y feet). : I have had diaetes for 15 years, and taking Lantus for 2 years. This : is the only time period where I have acieved normal readings - it has [quoted text clipped - 3 lines] : feeling. I never felt that and I have been monitoring this closely : all day. Every finger has a pinprick on it now !! : I know what it is, and I know I am "supposed" to take it once per day. : It is a 24-hour insulin although it does taper off in effectiveness : after about 12 hours. However it has always acted at least within an : hour to reduce my glocose. Today, a full 8 hurs after my 3rd : injection and NO sugar or starch other than 1 small apple, my BG : reading was 220. : It did not just suddenly completely stop working because I "don't know : what I'm doing". I am far from an expert but I have certainly read a : lot and have been to more than my share of docs. Its just not normal : for this stuff to fail to reduce my BG at all, like this morning. : I tried a 2nd meter to make sure, and it verified the readings I was : getting. They were the same roughly. So I got another new bottle [quoted text clipped - 4 lines] : It is not old, either. I am going to send it back to see if they can : test it in the lab (if they will even agree to do that). Did all the Lantus come form the same vial or pen? Could it have been very old, or in some way not a good batch? Wendy A point . Where is Keith the original poster. Loretta -- In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism. :: A point . Where is Keith the original poster. :: :: Loretta He posted again yesterday at 5pm. He had taken a shot from a new batch, which brought his numbers down. So perhaps he doesn't see a need to post again? > :: A point . Where is Keith the original poster. > :: [quoted text clipped - 3 lines] > which brought his numbers down. So perhaps he doesn't see a need to post > again? Well, hopefully he took the suggestions to heart regarding how Lantus works because he didn't seem to have a clue. Which made me suspect about his posts to begin with. His numbers would not come down so quickly even if he switched to a "new batch" of Lantus. Kurt > I am a Type 2 who has never had much success with oral meds - but I > have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] > haywire. I was worried about my BG's going too low - but I felt OK > the entire time (other than m y feet). Call 911 or get to the hospital. You just overdosed on slow insulin!! Dave > > I am a Type 2 who has never had much success with oral meds - but I > > have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 19 lines] > > Dave Copy that, Dave. This is a good example of how people should never make radical changes with their medication unless they first contact their doctor. People forget that insulin, although it is a lifesaver, can also be a killer if used wrong. This isn't a case of "don't operate heavy machinery" warning...insulin can be dangerous and should only be used by someone who first understands exactly what it does. Kurt You may want to ask your doctor about Byetta instead of insulin. Some folks complain of nausea but if you take it the way you're supposed to and you can handle it, it works! My BG never gets over 140 and that's only when I eat something I shouldn't. Usually it's around 112. >I am a Type 2 who has never had much success with oral meds - but I > have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] > haywire. I was worried about my BG's going too low - but I felt OK > the entire time (other than m y feet). >I am a Type 2 who has never had much success with oral meds - but I >have reacted very well to insulin (Lantis). 35 units will normally [quoted text clipped - 16 lines] >haywire. I was worried about my BG's going too low - but I felt OK >the entire time (other than m y feet). You seriously need to have a talk with an endocrinologist about the proper use of your insulin. You could have seriously hurt or killed yourself. Lantus is not designed to lower your BG readings in a matter of hours after an injection. However the dose you took could send you into a major hypo 10 to 12 hours out or even later.  SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . |
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