December 10, 2006
Remember that the information presented here is not intended to replace the care of your own doctor. Before making any changes in the management of your own illness, you should consult your physician or other qualified medical professionals.
Question
I need help because my doctor won't see me for about a month. I take 30 units of Lantus with a pen, and my evening sugars are high (245-350 mg/dL [13.6-19.4 mmol/L]). Do I need more Lantus? My doctor did give me a pen with rapid acting insulin to use as needed a while back. Should I use the rapid acting insulin regularly at night?Answer
I would not use the rapid acting insulin at night, because you might crash into severe hypoglycemia if you guess wrong on the dose. I strongly advise you to call your physician and ask for assistance.If you tell her you're running this high, and she won't give you any advice, then you need a new physician. You might ask her for a referral or you can contact nearby diabetes program yourself (see finding a new doctor for some hints).
