Question about when to give Lantus

[twodoor2]

We give it in the morning in the upper buttock to avoid hypoglycemia at night.

Here is my regime in the following order

1) She wakes up
2) Take BG measurement
3) Give Lantus (we always give 3 units)
4) Feed Breakfast
5) Give Novolog Bolus based on BG measurement in step 1 and grams of carbs fed in step 5.

From the time she wakes up till the time she gets her Novolog is about 40 minutes. Do you think I should take her BG before giving her Lantus or after? I just want to take a morning baseline BG without the Lantus affecting it so that I'm more accuarate on dosing her bolus after she eats.

Is this a good morning regimine. Am I being too anal? How do you do it?

Thanks!

[Abby-Dabby-Doo]

I just tried to make sure she got the Lantus at the same time everyday more than I was worried about taking the blood sugar before or after the Lantus. It takes a while before Lantus starts working, so I wasn't too concerned about it affecting the b/s.

[Amy C.]

That seems like a good routine. Anything you can do so you remember all the parts, the order does not matter so much.

Even though you cannot possibly imagine forgetting a step, it is really problematic to forget the Lantus. It is also problematic to give the quick acting insulin instead of the Lantus. Having a routine that works for you is the best mechanism to remember things.

The Lantus takes so long to become effective that it won't affect the blood sugar reading.

I would also insert a step the an out of range sugar be treated -- 10 grams for a low and to prebolus for the breakfast when high.

[twodoor2]

That seems like a good routine. Anything you can do so you remember all the parts, the order does not matter so much.

Even though you cannot possibly imagine forgetting a step, it is really problematic to forget the Lantus. It is also problematic to give the quick acting insulin instead of the Lantus. Having a routine that works for you is the best mechanism to remember things.

The Lantus takes so long to become effective that it won't affect the blood sugar reading.

I would also insert a step the an out of range sugar be treated -- 10 grams for a low and to prebolus for the breakfast when high.

OMG:eek::eek:, that's my worst nightmare. . . accidentally giving the lantus instead of the novolog, but I'm sure that has happened to someone. To insure I don't do that, I have different color insulin "cozy's" (soft containers that hold the jars) and I have big labeling on them, one is LANTUS and one is NOVOLOG in big letters. I always put the Lantus back behind the Novlog in my drug cubbard, because I reach for the Novolog all day long.

[Seans Mom]

I give Sean his Lantus in the morning also. I give it to him at the same time and he is usually still asleep. I don't check his b.s. till he gets up. I do check his b.s. at 3 a.m. every morning so I pretty much know where he'll be when he gets up.

[coni]

We have the same routine. It's important to give the Lantus at the same time every day, as mentioned by a previous poster. Also, if DD's a bit low, I give her food right away and adjust the Novolog or leave some carbs uncovered. If she's high, I might pre-bolus a portion of her b'fast Novolog (depending on how high she is).

[Charmed7]

I have my son check in the A.M., then I get the shots ready (Lantus and Humalog) then I poke him in the butt and feed. :) I don't have time to do two seperate shot times. I've even given him lantus between 6AM - 8AM and it's never caused any problems (I don't think). And I stopped giving it to him at night because I would always send him up to bed and remember in the middle of the night he had no shot. (grr)

Your regimen sounds fine. Even if your kids sugar was high/low you wouldn't change the Lantus dose so it doesn't seem to be an issue.

Good luck,

Charmed

[Schpoodle's Dad]

This looks like a good routine and pretty close to the one we use.

We were told to give the rapid acting insulin 15 minutes before eating to cut down on the spike. That didn't work for us because sometimes breakfast is a little bit of food and sometimes it's a lot. If you are always consistent in what you feed her, I suppose you could do it. We couldn't.

[twodoor2]

I cannot give her the Novolog before she eats because she is so picky that I have to make sure she eats, and then I count the carbs afterwards. That's the precise reason I got off NPH (:mad:you MUST eat x amount of carbs:mad:).

I always make sure she finishes her meal within a half hour tops, and I give the Novolog right afterwards. This works for us, and I don't have to shovel food down her throat. She eats what she wants, and we're both happier.

[LantusFiend]

Lantus will not have kicked in AT ALL in forty minutes unless it has started to go bad. So it shouldn't matter whether you check right before the Lantus or before the 'log. I change my Lantus doses, so I check before taking Lantus.

[twodoor2]

Lantus will not have kicked in AT ALL in forty minutes unless it has started to go bad. So it shouldn't matter whether you check right before the Lantus or before the 'log. I change my Lantus doses, so I check before taking Lantus.

Well anyone with a user name like "LantusFiend" should be an expert on Lantus. ;) Thanks:D

[Ella's mom]

When Ella was on Lantus. I would check BG, give her breakfast, figure out carbs, and then give Lantus and short-acting after she was done eating. I am not sure how Elizabeth is doing with her shots. If she is having a bit of a time getting them......maybe giving the two shots one right after the other instead of at two differant times in the morning might help in not drawing out the whole process of getting two "pokes"? Ok not sure if that all makes sense:rolleyes: