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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.
4 days ago
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A DiabetesTeam Member

Tell your doctors and let them help sort it out.

Lantus is long acting insulin and is usually injected at night.

Lispro is fast acting insulin and is usually given at meal times.

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My doctors told me I could adjust the long acting insulin 2 units a night.

My doctors told me I could adjust the fast acting insulin 1-2 units at a time based on carb count.
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Do what your doctors tell you to do.

When does your numbers hit 50.

Be more specific.
Tell me what you are eating. Your before eating numbers and 2 hour numbers. When you are injecting. Your before bedtime numbers.

4 days ago (edited)
DiabetesTeam

A blood sugar of 50 mg/dL is significantly below the safe range (70 mg/dL or above) and needs to be treated right away. Using both Lispro (a rapid-acting insulin) and Lantus (a long-acting insulin) together can increase the risk of hypoglycemia, especially if meals are missed, portions are smaller than usual, or activity Show Full Answer

A blood sugar of 50 mg/dL is significantly below the safe range (70 mg/dL or above) and needs to be treated right away. Using both Lispro (a rapid-acting insulin) and Lantus (a long-acting insulin) together can increase the risk of hypoglycemia, especially if meals are missed, portions are smaller than usual, or activity levels change.

When blood sugar drops that low, acting fast is important. Here's what to do immediately:

- Eat or drink something with fast-acting sugar — glucose tablets, fruit juice, or regular soda
- Wait 15 minutes and recheck blood sugar
- If still below 70 mg/dL, repeat the fast-acting sugar
- Once stable, have a small snack to keep levels steady Symptoms to watch for at this level include:

- Shakiness or dizziness
- Sweating
- Confusion or irritability
- Rapid heartbeat
- Trouble concentrating or walking

A blood sugar of 50 is considered severe hypoglycemia. If someone loses consciousness or can't swallow safely, emergency help should be called immediately.

It's really important to talk to a doctor about adjusting insulin doses, as frequent lows at this level can be dangerous. They may need to reassess the Lispro timing around meals or the Lantus dose.

4 days ago

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