[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]
Re: [IPk] To Jos (glargine and Hypos)
On 5 May 2003 at 21:39, Jackie Jacombs wrote:
> This is really where a pump would work very well. But as you
> know our Consultant wont hear of if for Sasha, even for a
> I will have to investigate how people manage a twice a day
> Lantus regimen. I suppose if Sasha had her
> Lantus in the AM it would be wearing off toward the middle
> of the night to early morning and that is the
> danger time for us.
> I have forgotten when you said Emily has her Lantus
I thought we were having a problem with the Lantus lasting
longer than 24 hours, overlapping and causing hypos at
night so we moved it to 6pm from last thing at night for a
while. There were no problems with hypos during the evening
though so I think I was wrong about the overlap and I just
needed to reduce the dose. I've moved her Lantus injection
back to about 10pm now. Lantus has a 6 hour build up period
so it should reach peak level by around 4am.
Would you be able to give Sasha an injection just before
you go to bed? If you could leave it until around 11pm it
wouldn't reach peak effect until 5am. You would only have a
problem if it lasted longer than 24 hours.
It hasn't solved the problem of night time hypos
completely. We are tending to run Em's BG's higher than we
would like overnight to avoid them. I'm trying to get her
BG's level over night before I try to bring them down. If
her HbA1c is higher this time though she may be more likely
to get a pump, it was 6.9% last time. It depends if they
count low blood sugars at night as hypos needing third
party help. The ability to lower the basal rate after
energetic days would really help.
Mum to Emily aged 10, dx Oct '99
Novorapid x 3 or 4, Glargine x 1,
Robert aged 12 dx Mar '03
Novomix 30 x 2 (+ Novorapid when hungry!),
and Matthew aged 7.
for HELP or to subscribe/unsubscribe, contact: