Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
November 11, 2003
Question from Billings, Montana, USA:
In your experience, would there be a benefit to giving Lantus in the morning, rather than bedtime if a six year old with type 1 diabetes is having low early morning blood sugars? If so how would the change be made so there is not an abrupt switch?
In general, any significant insulin adjustment (starting a new insulin, changing the time of dosing such as you describe) should be made with the input of your child’s diabetes healthcare team and endocrinologist. Please talk with them.
Generally, I think making a change in Lantus dosing from bedtime to morning time is as easy as an abrupt switch, recognizing that, depending on when the last Lantus dose was given, you may have a day of relatively higher or lower readings.
While Lantus is now approved for use in the morning, I am not sold on that — especially for young children who may be “fast metabolizers” of Lantus. A morning dose may not last the full 24 hours, potentially leaving you some hours in the middle of the night when there is not enough insulin on board. I prefer Lantus at bedtime, most of the time.