Re: Weird Lantus problem?

Gary Klauber wrote:
One week ago my endo switched me from Byetta to Lantus. They Byetta was
controlling after-meal spikes, but did little or nothing on my dawn effect
(appx 140-150), which he thinks is causing my creep up in A1c (Before Byetta
7.1; then 6.5 with Byetta; creeping up to 6.8).

I started at only 18 units of Lantus and am increasing 1 unit per day until
my dawn number drops to around 100. That was 5 days ago and I'm not there
yet. However, I've noticed the following:

1. I'm almost constantly ravenously hungry. Even right after a meal when my
belly is full, I still crave more. It's weird, and if there's anything I
don't need it's more food.

2. Before the meal my BG is pretty normal, about 93.

3. Since I stopped Byetta and started Lantus, I've been passing more gas
than normal.

Anybody have a clue what's up? I'm going to try to find the time to call my
endo on Monday. I'm thinking I need to have Byetta along with the Lantus,
to curb the hunger, if nothing more.

As for #1: Weight gain on insulin therapy is very common and very
commonly known about. Doesn't mean that it's easy to deal with!

#3 might simply be a result of more eating. What goes in must come out!

And as to your A1C numbers: they still are gross summaries of average
bg's and have little to do with moment-by-moment control.

A more general comment: if your only bg numbers of concern are those in
the morning, maybe a dose of NPH or good old-fashioned regular
(something that would actually peak in the early morning) might be more
appropriate than Lantus (which will be spread out over the whole day).
Talk to your doctor about this. Certainly the analog insulins have
their uses but some feel they are being too heavily pushed when NOT
automatically the best tool.

It is possible that your doc was more concerned about lowering your
overall bg numbers by a few points, in which case Lantus may well one
of many tools to be chosen, and combining it with something else (your
suggestion) is certainly one possibility.

Tim.

.

Relevant Pages

  • Weird Lantus problem?
    ... One week ago my endo switched me from Byetta to Lantus. ... controlling after-meal spikes, but did little or nothing on my dawn effect ...
    (alt.support.diabetes)
  • Re: Weird Lantus problem?
    ... but did little or nothing on my dawn effect ... I started at only 18 units of Lantus and am increasing 1 unit per day until ... Since I stopped Byetta and started Lantus, ... I never experienced any gas problems as a result of Lantus. ...
    (alt.support.diabetes)
  • Re: Weird Lantus problem?
    ... but did little or nothing on my dawn effect ... I started at only 18 units of Lantus and am increasing 1 unit per day until ... Since I stopped Byetta and started Lantus, ... Exactly what are you eating and when are you eating it? ...
    (alt.support.diabetes)
  • Re: Weird Lantus problem?
    ... I'm on 5mcg of Byetta 2X daily and 100 unit of Lantus at bedtime. ... Gary Klauber wrote: ... but did little or nothing on my dawn effect ...
    (alt.support.diabetes)
  • Re: Weird Lantus problem?
    ... One week ago my endo switched me from Byetta to Lantus. ... Since I stopped Byetta and started Lantus, ... Insulin, whereas Byetta is known as an appetite supressant, as well as ...
    (alt.support.diabetes)