Interesting Paul! So far you're the only other person I've seen who had it at 7 hours! I took mine in the evening, around 9:30. If I went to bed on anything like a decent number, I would invariably wake up hypo at 4:30. At first I tried lowering the dose, but that caused problems elsewhere. Meantime I was having highs in the late morning to early evening regardless of what I ate or didn't, but I couldn't very well increase the basal dose to help sort those, what with it already causing me hypos overnight.
I thought that since the 3-4 timeslot is when many people are vulnerable to hypos anyway, perhaps it was just the peak of the insulin coinciding with a natural dip in IR. So I tried moving the dose forward to 11:00 so it would coincide instead with the start of DP around 6ish...nope, having hypos at 6 a.m. now! I tried moving it backwards to 7:00 to see if that would do anything...having hypos at 2 a.m. thereafter! I thought maybe the dose was just too much for overnight and anyway I was soaring high by evening because it was wearing off, so I tried splitting it so I could manipulate night and daytime separately...now I was having hypos twice a day and highs the rest of the time!
It was a nightmare time of basal testing every 2-3 days and just nothing working, ever, meantime I was with a different clinic then who were very resistant to doing ANYthing I asked them to (didn't want to test my TSH, didn't want to increase my thyroid meds when I said I was still symptomatic, tried to avoid additional injections like the plague even after I said I didn't mind at all, didn't want me changing my basal doses by myself, and of course, didn't want to change me over to Levemir!) So the first thing they said was that Lantus was intended to be only once a day and I should reunite my split dose. I told them that that would just leave me without full coverage for the day, but they wouldn't budge. So I had to walk through the whooooole trial and error process again with them just so they would believe what I had already worked out on my own, and when they had tried everything that I had also tried and knew wouldn't work, they suggested...splitting the Lantus dose! (Grrr). At that point I said well if I'm to take two basal shots a day anyway, I'd rather do it with an insulin that is designed to be taken twice a day, so NOW can I have Levemir please? And they didn't really have an argument for that!
Nice to think back on that time and realize what a vastly different team I have now. With them I'm confident enough to try new insulins because I feel like they would really listen to me if I told them something wasn't working or asked to change back. Even for the dreaded cholesterol discussion last appointment, they talked me through my results and then told me what they would normally do in this situation and asked me how I felt about it and what I wanted to do going forward. When I said I wanted to try diet first before statins because I was nervous about taking a statin they were fine with that (compared to my last doctor who just said "oh that will never work, but ok"). The dietician pulled the cholesterol diet sheet and looked over it and said "wow they have really changed things up lately!" And then said "well there are some things I'll just skip over because there's new research out now that says different things, I'll just stick to the stuff we know really works: eat more fish and more fibre!" (ok they do generally believe in the 150g carb per day and she did say use less butter, but nobody's perfect!
) Plus they actually download my meter every time, and not only do they not scold me if there's not a lot of readings or not a lot in range, but they actually LOOK at what is happening instead of just scoffing at whatever I say.
It makes SUCH a difference having actual helpful HCPs. I'm really glad to be in this situation but it also makes me sad and angry for all the people who aren't so lucky -- I just want to ask the HCPs WHY?? why are you in this field if you don't actually care about your patients as people? Do you really feel good about yourself when you go home at night after treating your patients like naughty children all day in service of some target or other, or of your own authority?