question about lantus dose

hope you got my intro. anyone think i should lower my lantus dose before the
day before i start the byetta? i take the lantus at 5 pm and tend to wake
with fairly stable bg’s. it’s the 5 pm ones that are high! and honestly
that’s cause i eat all day long. hubby works nights so i am alone 5 nights
and mornings a week. if i get a low during the day i can handle it but don’t
know about during the night.

i think i’d be better off running a bit higher till i know how the byetta
will affect my levels.

jodi

14 Responses to “question about lantus dose”

  1. Irwin Mayme Says:

    Jodi, I was on a combined total of 60 units of Lantus and Humalog before
    the lizard. I’m now off the Lantus completely, and only use the Humalog
    when needed, which is looking at once a week, and at very low doses, 2-3
    units.

    Test, test, test. That’s the only way you can know what you’re bg is doing.

  2. Neva Marjory Says:

    that is so awesome! so if i am understanding you correctly, you took the
    shot during the day and then dropped to where you never took an evening
    lantus dose? i assume most everyone takes the lantus in the evening.

    i would love to be able to just take the byetta! i know that lantus keeps me
    from losing weight. i used to take the glucophage along with avandia but the
    avandia made me retain water.

    jodi

    For what it is worth. The day I began Byetta I was on 140 units of Lantus.
    The Dr said to cut in half. I took the 5mcg shot in the office. When I
    arrived
    home I was 94. Called Dr. said "Don’t take any more insulin." I haven’t
    taken a

    shot since that day 11 months ago. Be prepared. John

    [Non-text portions of this message have been removed]

  3. Melvin Anh Says:

    I have only taken insulin once, had a severe allergic reaction to it and never
    took it again. I take 1500 mg of metformin spaced through the day (sometimes
    and additional 500 if necessary at night) and 10 mcg of byetta.

    I have had a BG of 88 one day (I was delighted) but am running more in the 115
    range most all the time now. I am usually a bit higher in the morning due to
    dawn effect. :(
    March 22nd I was still fighting BG’s of 200+.

    Byetta got me started down, then metformin helped a bit more and now I’m on the
    10 mcg byetta and things are really looking up.

    Inexplicably, I gained four pounds. I wonder what THAT is about?! Well, it
    will drop off as I am still eating very little. Odd.

    Cheers!
    Marsha

  4. Neva Marjory Says:

    i seldom have to use humalog for meals since i stick to lower carb foods. i
    really should use it at night to get those numbers down but they correct
    themselves by morning so that’s why i don’t and also why i am concerned
    about the second daily shot of spit.

    jodi

    I used to use lantus, before being on the pump. Now I use novolog as my
    only insulin as the pump infuses it. My background or basal insulin
    amount
    hasn’t changed since being on byetta - that’s what lantus would be - the
    background or basal insulin. What has changed, for me, is the meal
    insulin. If I’m
    reasonably careful with my meal carb counts, I use no meal insulin for
    the

    meals I use the byetta. That means that my total insulin use is down by
    about
    a third, but there has been no change in my background or basal (like
    lantus)
    insulin use as of 6.5 weeks on byetta, 3 on the 5 mcg and 3.5 on the 10
    mcg.

    My morning number, however, has improved dramatically - going from 130 or
    above to generally around 110 or below, which for me is a great
    improvement. I
    even had a fasting of 95 this week.

    Stacey

    [Non-text portions of this message have been removed]

  5. Lenny Roberson Says:

    hi jodi and welcome,
    i can honestly say that i have probably had the worst
    time of anyone here with the byetta. constant nausea
    and vomiting for 5 months. BUT, and it is a big but,
    my overall condition has improved so much that i am
    not willing to stop taking the byetta. and i have
    decided that it may be lows in the am that are
    causeing some of my problems. when i started, i
    weighed 230 lbs, my glucose ran in the 600’s despite
    glucovance 1500 mg and lantus 60 u. i have been on
    huge amounts of insulin (as muc as 300u at a time) and
    every kind of insulin as well as massive amounts of
    most of the pills for diabetes and i couldn’t get my
    numbers to budge. my HgA1c was 15.6. now after 4
    months on the byetta, i have dropped my HgA1c to 8.4,

    my weight to 188, i have one more week of glucovance
    500mg and then i am coming off of that, and i am on
    levemir 10u (a new insulin). Most people don’t have
    the kind of nausea and vomiting i have had adn not
    nearly so long. i do feel full most of the time and am
    not hungry.
    i almost forgot the most important part. my blood
    sugars. after literally walking around for 15 years
    with a blood sugar of 600+ right now on glucophage 500
    and levemir 10u my fasting sugars are below 130 and my
    post meal sugars are 103ish. i do not test regularly
    because i don’t have a meter at present(financial
    probs) but i had it tested at a diabetic thing on
    monday AFTER eating a forbidden piece of birthday cake
    and a couple of bites of easter candy and my blood
    sugar was 127!!!
    so hang in there, the nausea if you have it ususally
    doesn’t last long for most people unless you overeat
    or eat something lizards don’t like. be careful though
    because you do begin to crave mealworms and crickets
    after a while
    welcome and good luck
    annie

  6. Lenny Roberson Says:

    jody as for the needles, my levemir is a pen and i use
    the same box of needles for both

  7. Neva Marjory Says:

    this stuff sounds amazing. 4 months and you are like a new person!

    jodi
    when i started, i
    weighed 230 lbs, my glucose ran in the 600’s despite
    glucovance 1500 mg and lantus 60 u. i have been on
    huge amounts of insulin (as muc as 300u at a time) and
    every kind of insulin as well as massive amounts of
    most of the pills for diabetes and i couldn’t get my
    numbers to budge. my HgA1c was 15.6. now after 4
    months on the byetta, i have dropped my HgA1c to 8.4,
    my weight to 188, i have one more week of glucovance
    500mg and then i am coming off of that, and i am on
    levemir 10u (a new insulin). Most people don’t have
    the kind of nausea and vomiting i have had adn not

    nearly so long. i do feel full most of the time and am
    not hungry.

    [Non-text portions of this message have been removed]

  8. Neva Marjory Says:

    honestly, i couldn’t remember what the needles i had looked like so i got a
    new box. insurance pays 100% for all supplies and "durable medical
    equipment".

    jodi

    jody as for the needles, my levemir is a pen and i use
    the same box of needles for both

    [Non-text portions of this message have been removed]

  9. Lenny Roberson Says:

    i am convinced that as my sugars stabilze the nause
    will go away. i am really beginning to think that the
    nausea occurs when my sugars are really low.(i don’t
    have the stuff to test proberly so i am only
    guessing.) but when i start having the really bad
    nausea, and then lower my meds some, for a while the
    nausea subsides. then i think my sugar dips some more
    adn the nausea starts in again. i have 1 week left til
    i completly discontinue my glucovance adn then i will
    start weaning off the levemir and see what happens.

  10. bruce_6 Says:

    i am really beginning to think that the
    nausea occurs when my sugars are really low.

    I haven’t had the problem with nausea with Byetta but I have had a stomach
    ache for the last 24 hours. (That’s why I’m up at 5 a.m. writing this,
    because I couldn’t sleep with a stomach ache!) Its not the kind of stomach
    discomfort that comes from eating too much but is more of a feeling of bloating
    and
    heaviness in my stomach. The thought of eating doesn’t even appeal to me,
    which is something rare indeed for me! Has anyone else had a problem with
    stomach aches? I do have a problem of excess stomach acid which I treat with
    Prilosec and that usually controls the problem, or it did before anyway. But
    this doesn’t really feel like heartburn but more like I have a ball of lead in
    my belly. I hope the feeling is something that goes away as my body adjusts
    to the Byetta. Yesterday 5 hours after my biggest meal of the day (which I

    ate out in another city and didn’t take my Byetta before), my blood sugar was
    up to 134. For my last meal of the day, I took my Byetta and a half hour
    later ate a nutrition bar and a cup of low sugar cranberry juice. I tested my
    blood sugar an hour after that and it was down to 74. I didn’t take metformin
    at that meal so the Byetta must have brought it down that much. Janet

  11. Lenny Roberson Says:

    some foods cause me to really have that lead ball in
    the stomach feeling. salad is probably the worst. it
    will sit on my stomach all blessed day if i have it
    for lunch. i go to bed fighting with me. it is kind of
    a trial and error thing to discover which foods do
    that to you. i also have a problem with the acid
    building up in my stomach at times. when i Know for
    instance i only ate half a cup of yogurt for lunch
    but i feel totally gorged. and i KNOW i have only had
    enough water to swallow my pills. i usually end up
    vomiting when i am like that and the volume thereof
    far excedes the amount i have taken in. so my stomach
    really is over full on those occasions, but with
    stomach acid, not food

  12. Neva Marjory Says:

    from your mouth to God’s ears!

    jodi

    Yes, I took the Byetta in the afternoon and then went home and have not
    taken
    another shot of Lantus. I have dropped another 5 lb as of today. I think
    taking Byetta has the overall affect of improving all metabolic functions.
    It is
    kind of a domino effect. Lose weight BG improves, BG improves and vitality
    comes back, start walking because it is easier now and BP begins to come
    down. It
    just keeps getting better and better. Lizard Lovers of the world, guess
    what,
    It is your day. John

    [Non-text portions of this message have been removed]

  13. Lenny Roberson Says:

    hanging head (with fingers crossed behind back) I’m
    sorry Andrew, i won’t do it again, i promise….anyone
    have any good recipes for mealworm and cricket
    lasagna???

  14. Lenny Roberson Says:

    should i change to silkworms to knit that up??? i
    wouldn’t doubt it. i have a hystory thereof. and i
    know you know my situaton. before i was taking
    protonix, reglan and carafate. i don’t have any other
    symptoms though. no blood in the vomitus and no signs
    of blood in my stool. i will talk to my doc about it
    on my next visit

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