Tonight, I'm splitting the Lantus.
The evening snack works sometime, but other times it just isn't filling that gap. I'm sick of constantly changing up his evening ratios to cover the expected high, all while protecting him from that earlier low. It's madness.
This morning I was having my quiet time and I thought about what's going on with Matthew. It occurred to me that we're trying to fix the symptom, not the problem.
The nurse practitioner and the CDE both agree that they think the Lantus is wearing off. The reason they don't encourage splitting the Lantus is because:
- You then have 2 shots to remember (I don't mind this. I'm already having to remember to give the extra shot a 8 with the snack.)
- You can't sleep in. (Matthew rarely sleeps in and if he does, I'll just give him the shot while he's sleeping. I've certainly done that before.)
I've also read several books that say the Lantus "gap" is an issue for some people and splitting the Lantus usually works.
So, we're trying it tonight. I know this means he'll run high tonight and we'll probably have a long night of correcting and checking, but hopefully in a day or 2, we'll get that consistent coverage that he needs and his numbers will be beautiful.
Until something else changes and messes it all up......LOL!