NPH to Lantus advice needed

[MrsBadshoe]

I have a neighbor with a fairly newly dx 3yr old that has been on NPH since dx almost zero humlog....they just switched to Lantus. He gets I think she said 1.5 units Lantus after breakfast he was 449. They don't have him on log because he super super sensitive and was dropping like a rock with the littlest amount. The nurse felt like she should be able to switch without much issue...well 449 seems like an issue.

Did anybody that switched with toddlers that were on very low insulin doses find they ended up needing more lantus then first suspected???

[Skyefire]

We had this problem when we switched...Phoenix is very very sensitive.
They started him on 2u of lantus in the morning and then we added more slowly for the first couple days until we ended up at 3u, Phoenix is 26 pounds.
We had some very high numbers for the first week until we got the lantus dose correct.
I would suggest her looking into Diluted insulin, so if he needs to be treated he can be.

Feel free to PM me if you have any other questions...we just went through this

[Seans Mom]

Yes the Lantus went up, then it went down, then it went up, up then it went down. Kinda like his blood sugar does. :rolleyes: I agree that if he's super sensitive to the Log they need to try diluted so he can be covered some w/o dropping like a rock. :eek:
BTW: He's newly dxd so they should have been made aware of the honeymoon period (known in my book as the rollercoaster ride from H##L.) Just so they know that if they can't get him a steady range and have to continually tweak the doses, it's not their fault, they are not doing a bad job, and it's normal.

[MrsBadshoe]

Only 2 people have switched from NPH to Lantus???? with a toddler

[MamaC]

Not a toddler...but when Tom switched from NPH to Lantus, endo suggested keeping the dosage the same. Didn't work. He had been on 5u of NPH, and we found 11-12u of Lantus were needed to do the same job.

~~Becky~~

[wilf]

I have a neighbor with a fairly newly dx 3yr old that has been on NPH since dx almost zero humlog....they just switched to Lantus. He gets I think she said 1.5 units Lantus after breakfast he was 449. They don't have him on log because he super super sensitive and was dropping like a rock with the littlest amount. The nurse felt like she should be able to switch without much issue...well 449 seems like an issue.

Did anybody that switched with toddlers that were on very low insulin doses find they ended up needing more lantus then first suspected???

NPH has both a bolus and a basal component. The Lantus can pick up the basal side of the equation, but they will need to start covering meals with insulin. Diluted insulin may be the way to do it, if full-strength Humalog/Novolog is an issue. They could also try using Regular (the kinder, gentler bolus insulin)..

And don't tell me some bleeding laxative commercial uses those words.. We don't have a tv, so I'm not up on the latest commercial jingles and jargon.

[twodoor2]

They could also try using Regular (the kinder, gentler bolus insulin)..

Hi Wilf,
I always have a good chuckle when you call Regular, the "kinder, gentler insulin" - it reminds me of a laxative. :p

[wilf]

Hi Wilf,
I always have a good chuckle when you call Regular, the "kinder, gentler insulin" - it reminds me of a laxative. :p

It's too bad you never had a chance to try it. I think if we ever go to using a pump we'll run it using Regular. It is a much smoother bolus insulin than Humalog or Novolog.

[mjtjmcouch]

my son has 3 u nph after breakfast around 8am and 1u Lantus at dinner with 1/2 u novolog per every 2 carbs (He usually gets 1u lantus and 1/2 u novolog at 7pm).