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Real members of DiabetesTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

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.

January 5, 2025
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A DiabetesTeam Member

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

January 5, 2025
DiabetesTeam

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

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 discuss your concerns with your doctor soon, as consistently high mealtime readings may require adjustments to your treatment plan.

January 5, 2025

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