NPH change to Lantus

silp's profile photo   03/13/2015 7:43 p.m.

Hello!I hope they help me since I am quite disoriented!2 and a half months ago my 6 -year -old son debuted ... He started with NPH but due to night hypos they passed him to Lantus two weeks ago ... Well, use 6 of Lantus and the following ratios: Breakfast 1/15 ...Nights that lies with 160/150 and dawns with 190/180 ... at 3 am it is usually in 120/150 ... and from there it goes up ... Lantus lacks, right?Today, for example, he got up with 160, had breakfast 1/15 about 45 grams of hydrates and at 12:15 that lunches to go to school was in 280 !!!Yesterday, Breakfast Lo.Mismo came to lunch with 112 ... well, yesterday with that value I gave him 1/20 60 grs and at the hour and a half makes a hypo of 77 ... obvious, it is not the same to find 240 thanWith 112 ... I'm lost ... I don't know what to move?

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silp
03/13/2015 7:43 p.m.
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I want to start knowing what to move and that no ... at night it also usually comes high for me for me the snack would also have to be 1/15 ... As for the count of hydrates I do it to a rajatabla, even weighing everything, it's not there the problem .. The problem is that it is missing insulin

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silp
03/13/2015 7:53 p.m.
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Moreover, when I measure the posts in the pre is to usually still higher ... I really desperate not being able to control the values ​​with this new treatment.I spend anguished waiting for food time to see what value it has.I do everything humanly as possible and I educate, I read, look and it seems that in these two weeks nothing worked

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silp
03/13/2015 7:59 p.m.
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Slip, if fasting glucose and the pre are high I do say that it seems that Lantus is missing.What time do you put the lantus?

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Inday
03/13/2015 8:38 p.m.
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Hello!At 9 am

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silp
03/13/2015 10:14 p.m.
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If you get high to meals I think Lantus is missing.I would go up the guideline little by little (unit in unity) until it has acceptable values ​​before food and dinner.If once they reached that point, the fasting value is still high, it can be due to the Alba effect or because the lantus does not cover 24 hours.

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Inday
03/14/2015 12:17 a.m.
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I think the same as Inday, you surely lack Lantus. You will know for the values ​​with those who go to go and raise. They are similar.
And it will need to put quickly before meals, even if it is a small amount, because the Lantus does not metabolize the hydrates.

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Regina
03/14/2015 2:05 a.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

     

The Lantus units are fine if you lie with a value and dawns with it?Or is it missing?

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silp
03/14/2015 2:07 a.m.
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Yes, the lantus is fine.

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Regina
03/14/2015 2:13 a.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

     

He will lack fast at meals with hydrates ... Latin is always combined with rapids in meals.

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Regina
03/14/2015 2:14 a.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

     

In Gral, he gets up with 30 or 40 points more than he lies or what he has at 3/am that I measure ...

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silp
03/14/2015 2:40 a.m.
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Perhaps the issue is to get a good value at night, because they indicated correction in 250 but towards hypoglycemia

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silp
03/14/2015 2:41 a.m.
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But if it reaches the post and the highest to the pre is missing Lantus?Yes or if you have to measure at 2 hours or better at 3?Because the values ​​vary greatly at that time

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silp
03/14/2015 2:44 a.m.
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I have a mess !!!

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silp
03/14/2015 2:44 a.m.
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Silp, if you have the post well and arrives high to the pre surely lasted.
What you say to measure at 2 or 3 hours, because in principle it is measured at 2 hours because it is when the fast action insulin begins to lose effect.Therefore, if at 2 hours it is fine but at 3 you go up is that the fast insulin dose is fine but Lantus is missing.

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Inday
03/14/2015 7:02 a.m.
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What does it mean that they indicated correction with more than 250?
Don't you put it fast if you are less?

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Regina
03/14/2015 12:50 p.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

     

Yes, quick use depending on it but I do not apply correction unit ... for example: Pre -allegation 260 ... eat 60 of hydrates and have 1/20 bolus apply 3 novorapid ....

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silp
03/14/2015 1:28 p.m.
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Thanks for being!

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silp
03/14/2015 1:29 p.m.
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Well, you are seeing what you need fast, but it is not the same thing that you start to eat with 100 Q with 250 ..
The fast, you can put it on average in half unity ..

And the lantus, you can also increase it on average on average, with syringes for children., They are more exact than the bolis, that sometimes they get stuck, and when there is so much insulin sensitivity the doses have to adjust a lot.

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Regina
03/14/2015 3:50 p.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

     

As is!Yesterday he had breakfast with 170 ... He arrived at lunch with 130. Today he had breakfast with 120 and ignored he reached 60 !!!!Therefore I should have done breakfast 1/20 instead of 1/15

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silp
03/14/2015 5:35 p.m.
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