advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Ceres, California, USA:

After several months of my son's NPH peaking mid-day resulting in low blood sugars, so three weeks ago, we agreed to change to Lantus in the evening with Humalog at each meal, and this new regimen seems to keep his numbers more in range. We have continued the regimen of three snacks (15 grams of carb) per a day between meals. Being new to Lantus and knowing that Humalog is gone after three hours, are the snacks considered as crucial as they were when using NPH? What other items should we consider now that my son is taking Lantus? What is the average time frame to seeing the advantages of using Lantus?

Answer:

You will have to experiment on the new regimen to see if the snacks are necessary and whether or not Humalog coverage is needed. Getting some blood glucose readings before and after meals and also before and after snacks will answer this question as you play detective for a week or so.

Usually, it takes about three to four weeks for most patients and families to figure out the differences with Lantus compared to other insulin programs. Many children need a small dose of Lantus in the morning with a larger dose of Lantus at late evening since the Lantus does not always last a full 24 hours. Some do better with a single morning injection of Lantus rather than a single bedtime injection. Again, all dogma should be avoided and decisions made individually based upon lots of blood glucose readings and identification of patterns. Stay in close contact with your son's diabetes team to help figure all this out.

SB

DTQ-20030810133832
Original posting 21 Aug 2003
Posted to Daily Care and Insulin Analogs

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:48
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.