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August 8, 2001

Daily Care

Question from Newry, Maine, USA:

I am 37 years old, and have lived with type�1 diabetes for 35 years, and, for eight weeks, and I have been using Lantus (42 units) in the morning while waiting to start pump therapy. My problem is that I am still having high blood sugars in the morning because of the dawn phenomenon. Should I take some Lente at bedtime for the early morning coverage? How much?

Answer:

It would not be unreasonable to add some NPH or Lente insulin at bedtime if you escalate the Lantus (insulin glargine) dose up with no response in the morning and/or low sugars between meals at other times of the day. Remember that you cannot give other insulins in same syringe as Lantus. You should discuss this with your physician prior to insulin pump therapy.

JTL