Back to Ask the Diabetes Team Ask the Diabetes Team

From Chicago, Illinois, USA:

Lantus is a wonderful basal insulin during the day, and I do not want to go back to NPH, Ultralente or another basal insulin, but the results during the day or night are not consistent. How do people with a dawn rise [ED: dawn phenomenon], or another rise during the night manage a Humalog/Lantus plan?


The peakless action of Lantus (insulin glargine) is so well documented that I think that you should start by looking at other aspects of the insulin regimen to explain the high dawn and before breakfast blood glucose levels.

The first is that glargine dose is too small. You might not notice this during the daytime hours, but it would result in high overnight blood sugars. The other possibility is that you are still giving a bedtime snack and here the carbohydrate load (especially if the snack is high in protein or contains unhydrolysed starch) could result in a glucose load that would not be contained by the basal glargine.


Original posting 3 Apr 2002
Posted to Insulin Analogs


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:34
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.