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Question: From Billings, Montana, USA: In your experience, would there be a benefit to giving Lantus in the morning, rather than bedtime if a six year old with type 1 diabetes is having low early morning blood sugars? If so how would the change be made so there is not an abrupt switch? Answer: In general, any significant insulin adjustment (starting a new insulin, changing the time of dosing such as you describe) should be made with the input of your child's diabetes healthcare team and endocrinologist. Please talk with them. Generally, I think making a change in Lantus dosing from bedtime to morning time is as easy as an abrupt switch, recognizing that, depending on when the last Lantus dose was given, you may have a day of relatively higher or lower readings. While Lantus is now approved for use in the morning, I am not sold on that -- especially for young children who may be "fast metabolizers" of Lantus. A morning dose may not last the full 24 hours, potentially leaving you some hours in the middle of the night when there is not enough insulin on board. I prefer Lantus at bedtime, most of the time. DS DTQ-20031107124250 Original posting 11 Nov 2003 Posted to Insulin Analogs

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:51
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