Started taking slow acting Lantus (twice daily) about 2 weeks ago. Dr. suggested I continue Metformin and Glipizide. Overnight numbers have improved to 160 to low 200s. Mealtime numbers have shown no improvement with readings of mid200s to high 300s. Pat G.
Yes, you should be talking about Short Acting (mealtime or Bolus) Insulin plus upping your units of twice a day, your numbers are still quite high
It seems like your mealtime blood sugar levels are still quite high despite the current treatment plan. Since Lantus is a long-acting insulin, it primarily helps with baseline glucose levels, not mealtime spikes. Fast-acting insulin, like Lyumjev or NovoLog, is typically used to manage blood sugar around meals. You should Show Full Answer