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Medical Forum / Diseases and Disorders / Diabetes / May 2008

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Lantus

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Larry - 16 May 2008 05:04 GMT
Hello Good People:

After many years (too many) trying all the drugs like Metformin +
Amaryl + Actos+ Precose.... The best is a simple dose of Lantus in the
evening. So far so good...... I'm sure my liver is happy too....I'll
keep you posted over several months trial. I bet most of you are just
at the early prevention stages so may not relate to frank
diabetes..right??

Larry
Julie Bove - 16 May 2008 06:31 GMT
> Hello Good People:
>
[quoted text clipped - 4 lines]
> at the early prevention stages so may not relate to frank
> diabetes..right??

I started on Lantus over a month ago.  So far, no good.  My numbers have
only gone higher.  :(  How long did it take for you to get the right dose?
And what dose are you using?  I just now increased to 50 units.
hemyd - 17 May 2008 09:53 GMT
>> Hello Good People:
>>
[quoted text clipped - 8 lines]
> only gone higher.  :(  How long did it take for you to get the right dose?
> And what dose are you using?  I just now increased to 50 units.

I have a Type 1 diabetic friend who found Lantus had no effect in his case.
he switched to Levemir, which is a similar insulin. That worked.

Henry Mydlarz.
Julie Bove - 17 May 2008 16:45 GMT
>>> Hello Good People:
>>>
[quoted text clipped - 11 lines]
> I have a Type 1 diabetic friend who found Lantus had no effect in his
> case. he switched to Levemir, which is a similar insulin. That worked.

Thanks!
Joseph Ferraro - 16 May 2008 16:04 GMT
Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
morning, which is a hell of lot better than the 200+ it used to be. Oh I
have been on Lantus for over a year, and the results are consistent.

Joe

> Hello Good People:
>
[quoted text clipped - 6 lines]
>
> Larry
Julie Bove - 16 May 2008 16:24 GMT
> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
> morning, which is a hell of lot better than the 200+ it used to be. Oh I
> have been on Lantus for over a year, and the results are consistent.

Gee, I wish it worked that well for me!  I'm at 50 units now and my FBG was
160.  I've learned not to get excited by this number.  My numbers are always
lower when I first increase and then will bounce back up.
Anon aka - 16 May 2008 18:09 GMT
>> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
>> morning, which is a hell of lot better than the 200+ it used to be. Oh I
[quoted text clipped - 3 lines]
> was 160.  I've learned not to get excited by this number.  My numbers are
> always lower when I first increase and then will bounce back up.

What is your bedtive BG? I take 42 units of Levemir (almost same as Lantus)
at bedtime. If my bedtive BG is high, it will also be high in the morning. I
use Novolog to get down before bedtime and it is fine in the morning.
Julie Bove - 16 May 2008 20:12 GMT
>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
>>> morning, which is a hell of lot better than the 200+ it used to be. Oh I
[quoted text clipped - 8 lines]
> morning. I use Novolog to get down before bedtime and it is fine in the
> morning.

Do you mean bedtime?  It is been in the 200's and 300's most of the time.
Perhaps if I had taken more insulin on top of that last night it would have
been too much since I woke to 160.
Anon aka - 16 May 2008 20:18 GMT
>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
>>>> morning, which is a hell of lot better than the 200+ it used to be. Oh
[quoted text clipped - 12 lines]
> Perhaps if I had taken more insulin on top of that last night it would
> have been too much since I woke to 160.
With me if BG is high at bedtime, it will be about the same in the morning.
My body don't seem to be able to lower BG by itself anymore. The slow gentle
action of Lantus or Levemire isn't enough to lower mine. I have to use fast
acting Novolog go get it down at bedtime and it will be good in the morning.
Julie Bove - 16 May 2008 20:26 GMT
>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
>>>>> morning, which is a hell of lot better than the 200+ it used to be. Oh
[quoted text clipped - 17 lines]
> have to use fast acting Novolog go get it down at bedtime and it will be
> good in the morning.

What I don't understand is...  If I increase the lantus, my BG comes down.
But generally just that one time.  Then it zings back up.  And the other
thing is...  My BG has about doubled what it was when I was NOT using the
lantus.  Which makes me think the lantus is a bad thing.  Somebody here
offered an explanation for that, but my medical people have no clue.
Anon aka - 16 May 2008 20:50 GMT
>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
>>>>>> morning, which is a hell of lot better than the 200+ it used to be.
[quoted text clipped - 25 lines]
> lantus.  Which makes me think the lantus is a bad thing.  Somebody here
> offered an explanation for that, but my medical people have no clue.

I don't know about that. Using both Levemire at night and Novolog before
meals and for corrections, I can usually keep my fasting BG between 90-100.
I can also keep my A1c below 6.0. Maybe you should talk to your doctor about
going on a basal/bolus program. It requires a lot of testing, I test 7 times
a day, more if I get highs that need correction.
Julie Bove - 16 May 2008 23:12 GMT
>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
>>>>>>> morning, which is a hell of lot better than the 200+ it used to be.
[quoted text clipped - 32 lines]
> doctor about going on a basal/bolus program. It requires a lot of testing,
> I test 7 times a day, more if I get highs that need correction.

He is not open to that at this point.  I have to get up to 60 units and then
call the nurse back.
Nicky - 16 May 2008 23:39 GMT
>> I don't know about that. Using both Levemire at night and Novolog before
>> meals and for corrections, I can usually keep my fasting BG between
[quoted text clipped - 4 lines]
>He is not open to that at this point.  I have to get up to 60 units and then
>call the nurse back.

Is that where you'll be next week? - here's hoping for the non-dippy
nurse...

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Julie Bove - 16 May 2008 23:45 GMT
>>> I don't know about that. Using both Levemire at night and Novolog before
>>> meals and for corrections, I can usually keep my fasting BG between
[quoted text clipped - 9 lines]
> Is that where you'll be next week? - here's hoping for the non-dippy
> nurse...

58 will be my next step.  And not likely I will get the non-dippy nurse.
I've been assigned to the dippy one and it seems I'll get her, unless she is
not there.  Today is more frustration because after breakfast I shot up to
322.  I only saw numbers this high like 2 or 3 times prior to insulin.  Now
it's a common thing.  It's as though the extra insulin is making me more
resistant to it or something.
Nicky - 17 May 2008 10:59 GMT
>58 will be my next step.  And not likely I will get the non-dippy nurse.
>I've been assigned to the dippy one and it seems I'll get her, unless she is
>not there.  

Yuk :( I would be very interested in her schedule, then... if you're
really lucky, maybe the dippy one only works 4 days a week or
something...

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Ozgirl - 18 May 2008 05:17 GMT
>>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about
>>>>>>>> 95 come morning, which is a hell of lot better than the 200+
[quoted text clipped - 36 lines]
> He is not open to that at this point.  I have to get up to 60 units
> and then call the nurse back.

You don't HAVE to do anything, except reassess the fact that your medical
team are not doing you any favours. Going along with all this when your
numbers are still way too high is like a lamb going to the slaughter. You
are going to get very sick sooner rather than later if you keep going like
this. With your numbers as they are now, your kidneys alone are getting a
damn good thrashing, not to mention the rest of your body. There is one good
thing in your life Julie and that's Angela. You owe it to her to not only
have a mother around for a very long time but also a healthy mother.

You are way too accepting and it it is hurting you badly.
Julie Bove - 18 May 2008 05:32 GMT
>>>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about
>>>>>>>>> 95 come morning, which is a hell of lot better than the 200+
[quoted text clipped - 47 lines]
>
> You are way too accepting and it it is hurting you badly.

Well, no.  I don't know what else to do.  I am on max doses of meds.  And
the no carb low carb route doesn't work for me.  I have tried it,
repeatedly.  It does not lower my numbers one  whit.
guys@consolidated.net - 18 May 2008 05:58 GMT
>>>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about
>>>>>>>>> 95 come morning, which is a hell of lot better than the 200+
[quoted text clipped - 47 lines]
>
>You are way too accepting and it it is hurting you badly.

We have a right to expect reasonable and fair medical
care.  Medicine is not a candy factory or carnival ballon
business.   Learn to fire doctors and to raise  more hell.

But first, take steps to find that you are right.  
I am seeing too many young snotty docs around
today.  But some are good beyond  belief.

The good docs should take control.  

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Julie Bove - 18 May 2008 06:05 GMT
>>>>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about
>>>>>>>>>> 95 come morning, which is a hell of lot better than the 200+
[quoted text clipped - 59 lines]
>
> The good docs should take control.

Can't fire a Dr. when there is no other Endo. around.  Well, I hear tell
there is one in Edmonds but he's no good.  The one I go to is highly
recommended and is said to be the best in the area.  I know he got my
thyroid in order in no time at all.
Nicky - 18 May 2008 08:56 GMT
>Can't fire a Dr. when there is no other Endo. around.  Well, I hear tell
>there is one in Edmonds but he's no good.  The one I go to is highly
>recommended and is said to be the best in the area.  I know he got my
>thyroid in order in no time at all.

Would be good if you were actually able to see the endo, instead of
the nurse. Or even the good nurse, regularly!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Julie Bove - 18 May 2008 08:59 GMT
>>Can't fire a Dr. when there is no other Endo. around.  Well, I hear tell
>>there is one in Edmonds but he's no good.  The one I go to is highly
[quoted text clipped - 3 lines]
> Would be good if you were actually able to see the endo, instead of
> the nurse. Or even the good nurse, regularly!

I see him every three months.  But it annoys me that I can't see the good
nurse.  Even he wants me to see the good nurse.  Grrr...
Ozgirl - 18 May 2008 05:13 GMT
>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95
>>>> come morning, which is a hell of lot better than the 200+ it used
[quoted text clipped - 14 lines]
> time. Perhaps if I had taken more insulin on top of that last night
> it would have been too much since I woke to 160.

If you are 200-300 at bedtime then you ARE having post meals high.
Julie Bove - 18 May 2008 05:31 GMT
>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95
>>>>> come morning, which is a hell of lot better than the 200+ it used
[quoted text clipped - 16 lines]
>
> If you are 200-300 at bedtime then you ARE having post meals high.

Then why is it coming down after I eat?  Don't forget I've been running from
300 to 400.
guys@consolidated.net - 18 May 2008 05:46 GMT
>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95
>>>>> come morning, which is a hell of lot better than the 200+ it used
[quoted text clipped - 16 lines]
>
>If you are 200-300 at bedtime then you ARE having post meals high.

The problem that thre are so many factors involved in diabetes.
Thst ome simpe step may ot work.

I developed diabetes in 1976.   I finally acheive satsfactory control
in the mid 90's.  cost me a lot.

GP's did not do the job.

I have seen marginal treatment in the past year

Get a Endo since it is your life.

You can do a hell of a lot for your self but
it takes time and effort.

I believed that the under use of the available
tests will continue as cost controls increase.

The ass-u-me and the probability of the
guesses being wrong is not my favorite
idea of good care.

If a new care system does not satisfy
to medics, we will see rough time for
a while.

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Julie Bove - 18 May 2008 05:58 GMT
>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95
>>>>>> come morning, which is a hell of lot better than the 200+ it used
[quoted text clipped - 42 lines]
> to medics, we will see rough time for
> a while.

I see an Endo.  I have never seen a GP who would address diabetes.  They all
sent me to an Endo.
Ozgirl - 18 May 2008 13:46 GMT
>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95
>>>>>>> come morning, which is a hell of lot better than the 200+ it
[quoted text clipped - 45 lines]
> I see an Endo.  I have never seen a GP who would address diabetes. They
> all sent me to an Endo.

What kind of endo lets someone stay at numbers like that? I see you also
said you were 300 after breakfast yesterday? Fact you are maxed out on drugs
is now a sure sign you need a proper insulin regimen and that includes a
basal and a bolus. Sometimes people don't actually lower their number until
their insulin is reduced, I am not sure of the mechanism behind this but it
has been mentioned here a number of times of the years.
Julie Bove - 18 May 2008 16:32 GMT
> What kind of endo lets someone stay at numbers like that? I see you also
> said you were 300 after breakfast yesterday? Fact you are maxed out on
> drugs is now a sure sign you need a proper insulin regimen and that
> includes a basal and a bolus. Sometimes people don't actually lower their
> number until their insulin is reduced, I am not sure of the mechanism
> behind this but it has been mentioned here a number of times of the years.

I guess MINE does!  I know people here are demanding that I demand that he
do something ASAP, but frankly from what I've seen in searching he is doing
what is standard treatment.  Use the long acting insulin first and then add
the short acting if needed.

Now I am no expert on insulin but I can't see how throwing MORE insulin at
the situation is going to help if we haven't yet sorted out the problem.
I've also been told it takes an average of three months to get the insulin
thing sorted out.
Albert Andrascik - 20 May 2008 15:56 GMT
I have a GP and an Endo
They work hand in hand.  both my doctors talk to each other, they discuss my
medical care with me.
I am in the office with the GP and he called the Endo to discuss what he is
doing for me.

Maybe it is not the Lantus, If your BG are that high you need to control the
Carbs ( saying that does not work for you is BS).  Lantus does not lower BG
it is insulin that is just there incase you need it (flat line activity).
You need to be on a strict diet, exercise and either Novalog or Apidra with
a sliding scale.   BG will not come down without your own hard work.

I have been diagnosed with type 2 in 1996.  Until September it was
controlled by diet and exercise.  In September I got my 1st high hA1C
reading of 11.48.  Last 3 quarters my hA1C was 5.5.  Added Lantus at 20
units, and added Novalog at 2 units prior to breakfast and 6 units prior to
dinner.  Lantus at bedtime 20 units.  Gave the doctor on a weekly basis by
numbers and he would adjust the insulin.  At one point I was at 36 units on
Lantus.

Well went to another doctor.  Lantus down to 17 units and on Metformin and
Glybride 2.5/500.  My latest numbers are below 6 again.

lost another 20 lbs and watch the Carbs.  my bedtime numbers are between 120
and 140 and my pre breakfast numbers are between 80 to 100.  My endo wants
to to ease up because he states my numbers are too tight.  It just shows
that diet is a big part of diabetes bg control.

by the way I test 6 to 8 times per day and get up at 2:00 am to test as
well.

>>>>>>> Lantus is a blessing, 25 units at bedtime and my BG is about 95
>>>>>>> come morning, which is a hell of lot better than the 200+ it used
[quoted text clipped - 45 lines]
> I see an Endo.  I have never seen a GP who would address diabetes.  They
> all sent me to an Endo.
Andrew B. Chung, MD/PhD - 16 May 2008 18:30 GMT
http://groups.google.com/group/sci.med.cardiology/msg/76422208318c5817?

> > Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
> > morning, which is a hell of lot better than the 200+ it used to be. Oh I
[quoted text clipped - 3 lines]
> 160.  I've learned not to get excited by this number.  My numbers are always
> lower when I first increase and then will bounce back up.

One can always overeat to the point of overwhelming all diabetic
medications including Lantus.

Be hungry... be healthy... be hungrier... be euglycemic...

Prayerfully in the awesome name of LORD Jesus Christ,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/cd9918679e6b3d6f?
Albert Andrascik - 20 May 2008 15:57 GMT
This is the first sane thing that you have ever said that is truthful

> http://groups.google.com/group/sci.med.cardiology/msg/76422208318c5817?
>
[quoted text clipped - 19 lines]
> --
> http://groups.google.com/group/sci.med.cardiology/msg/cd9918679e6b3d6f?
Nick Cramer - 17 May 2008 07:34 GMT
> "Joseph Ferraro" <jsjf@optonline.net> wrote in message

> > Lantus is a blessing, 25 units at bedtime and my BG is about 95 come
> > morning, which is a hell of lot better than the 200+ it used to be. Oh
> > I have been on Lantus for over a year, and the results are consistent.

> Gee, I wish it worked that well for me!  I'm at 50 units now and my FBG
> was 160.  I've learned not to get excited by this number.  My numbers are
> always lower when I first increase and then will bounce back up.

My kid brother's been on Lantus for a while. He sometimes shoots a little
fast acting before he eats. His numbers still suck. His last A1c was
7.something. Previous was 8.something, so that's an improvement. He's been
an engineer for over 45 years. I don't know why he can't titrate his meds,
except that he doesn't test often (hates those little black spots on his
fingertips) and doesn't keep notes.

250 million diabetics separated by a common disease!

Take care.

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hemyd - 17 May 2008 09:50 GMT
> Hello Good People:
>
[quoted text clipped - 6 lines]
>
> Larry
I take Lantus in the evening. It dropped my typically high fasting blood
glucose. It dropped my HbA1c from the high 6s to the mid 5s.

Henry Mydlarz
Ozgirl - 18 May 2008 05:10 GMT
> Hello Good People:
>
[quoted text clipped - 4 lines]
> at the early prevention stages so may not relate to frank
> diabetes..right??

Lol, no. Most here have had frank diabetes for many years. What will you be
doing for your insulin resistance? Many times I have related the story of my
ex father in law. He was diagnosed when about to have emergency micro
surgery back in 1987. His surgery was delayed while the bg's were brought
back into line with insulin. He learned how to eat in a way (3 meals, 3
snacks - same carb amounts every day) where he got by on just insulin
(albeit high amounts) until a few years ago. A doc decided he needed to be
on Metformin because of the insulin resistance rather than the insulin.
Sadly that was too late, in very recent years he has had at least 5 heart
attacks which the specialists are now putting down to the fact that he was
not on an insulin resistance med for all those years, despite good control
on insulin.

Please do not ignore the IR aspect of your diabetes.
 
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