Tuesday night, I switched my Lantus over to a once-per-day shot instead of the split doses I'd been using previously. I started with 22 units of Lantus at 8pm. I knew I'd see some highs, but I didn't want to risk an unexpected night low after making the first switch.

And I did see some elevation. I ran mostly in the 180-290 range all through Wednesday, which wasn't as high as I was expecting really. I made sure to consider food in the highs, along with the usual post-breakfast spike. And I was confident that a few more units of Lantus might do the trick (or at least get me closer).

So Wednesday night, I increased the dose to 25 units. I took it at about 10pm instead (not really by choice, just life getting in the way). A 4am check showed me at 173, despite a nagging feeling of being low (think it's the hormones though on that one). By 9am, I was 192. Not the kind of spike I like to see before I've eaten anything for the day.

I'm going to watch it carefully today, making sure to check more often and bolus appropriately. But I can't help feeling that something is amiss.

Maybe the Lantus needs a few days to kick into this new routine...which leaves me hesitant to raise it again tonight. Or maybe the birth control is affecting my sugars by now (you know, the whole "risk of elevated blood glucose" thing). Or maybe it's none of the above and I still haven't hit the right Lantus dose.

The biggest fear is that it won't work. That Lantus can't give me the control I want on a once-per-day schedule. I know it's not an exact 24 hour lifetime, it ranges from 16 to 30 hours depending on the person. And unfortunately, I can't remember my previous days where Lantus wasn't split (to consider what my Lantus lifetime might be).

If it doesn't work, I've inevitably told myself that I have to go back on the pump for the rest of the school year (well, until May 2010). Because I can't keep bouncing around like this. I can't forget my insulin. I can't watch these pattern-less trends and expect an A1c to be within range.

It doesn't even make sense to forget insulin, not focus on patterns, and still even care what my A1c is. What's the point of an endo check up if I'm not doing my part?

So I sincerely hope my body adjusts to this new insulin thing. I think I'll raise it again tonight to 27 units (back at the 8pm time hopefully). Those two extra units might show me a slight drop, keeping me within a 150-170 range. I know my full Lantus dose should be 29 units. And maybe I'm just being stubborn by not trying that right off the bat here. But I've seen how low I can drop after a 15 unit Lantus injection...so why risk it with 29 units?

Stubborn must be my middlename.