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Livonia, MI
A 54-year-old male asked:

Hb1ac level is 12.7 . take 1000mg metformin twice a day and a total of 120 units of lantus (insulin glargine) a day?

2 doctor answers3 doctors weighed in
Dr. Alan Feldman
43 years experience
Uncontrolled: A hba1c of 12.7% says that you have uncontrolled diabetes. You should be checking fingerstick sugars, and they are likely to be in the 300s. Taking Lantus (insulin glargine) Insulin alone will not work well. You likely need a combination of Lantus (insulin glargine) and short acting Insulin (taken before meals). Adding other oral agents such as pioglitazone, canagliflozin, bromocriptine may help. Switching to u500 Insulin as well.
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Dr. Quang Nguyen
Specializes in Endocrinology
Regimen change: You need to diversify the treatment regimen. At the beginning, Lantus (insulin glargine) will help but as the disease progresses, meal time coverage is necessary. This is evident in your case. I recommend continuing with metformin but need to talk to your doctor about backing down Lantus (insulin glargine) and adding short acting insulins to cover foods. Other options instead or on top of short acting insulin: glp-1, sglt-2, ...
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Apr 15, 2019


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