The problem that I have with Lantus is that one dose just doesn't cut it for me. It claims a 24 hour lifespan, but honestly...it's probably more like 20 hours on a good day. Which means that my blood sugars start spiking towards the end of that injection.
That's exactly why I split my doses however many years ago. It worked, dropping my A1c like a lead balloon. And now that my schedule nearly forced me into either the insane asylum or a once-per-day dose, I'm struggling to find an appropriate time for my Lantus injection.
An evening shot wasn't working because I was having to take such a bulk of insulin that I was dropping way below my safety point by morning. And now I've switched to an early afternoon injection, but I'm afraid that looks like it's bombing as well.
Not because of lows (although I am only on my second day of it), but because of the cutoff. I took my injection yesterday at 1:30pm. And by 1pm today (I way overslept), my blood sugar had jumped from 175 to 262 with a Humalog injection late last night.
I'm annoyed by insulin's lack of dependability. How can a life line be so...annoying? deadly? useless?
Because this is only the second day switching the times, I'm giving my body a little bit more time to adjust. Five days is my maximum, so until Sunday I'll see how 1:30pm works for me. If I keep seeing spikes (which isn't a good time to spike since I already have such issues with post-breakfast numbers), then I'll be forced to find an alternate route.
But what will that route be?
I could try splitting the Lantus doses without using a 12 hour separation. So take one dose at 1:30pm and another at maybe 11:30pm. Generally, those times should work for me. And maybe that would avoid any unnecessary rises in my blood sugars and also avoid drastic morning lows.
I can also try raising the Lantus dose again. I'm at 36 units at the moment, but my averages aren't within range quite yet (especially with jumps to 262). So adding more insulin might work, but it also might cause me to plunge around dinner time or start my bedtime numbers too low (I aim for above 150).
Or there is the ever present pump situation. My feelings of hate towards that machine overpower any consideration I might give it for keeping me steady. The thought of having it attached to me again makes me literally want to throw it against the wall. How can one machine cause such animosity? Four words: high A1c, hypo unawareness.
So there we are. A waiting game. A trial and error. A frustrating few days of frequent checks and pattern searching. At least I don't have school to take my focus away from diabetes right now. I do have job hunting, Christmas, and work to distract me still though.





