Doctor insights on:
Insulin Glargine Medication
Why do you have to give gliclazide and lantus (insulin glargine) together. Isn't lantus (insulin glargine) enough to lower blood sugar? Also why give these medications before food?
As of jan. 1, my prescription drug coverage will no longer cover lantus. They want me to switch to levemir (insulin detemir). Is levemir (insulin detemir) basically the same thing?
Tough question: Some patients do much better on Lantus and others do better on levemir (insulin detemir). You will have to work with your doctor on this. Essentially they do the same thing. ...Read more
Fair question: Hi. It happens. You can do either of two things. Just use your fast acting insulin (Novolog, Humalog, or Apidra) as needed for the next 18 hours to manage your BG, or take the Lantus (insulin glargine) 6 hours late and your next Lantus (insulin glargine) dose on time, and accept you'll be dose stacking for the first 6 hours of the next dose. Watch your BG carefully during this deviation in your regimen. Good luck! ...Read more
Resuming it ASAP: Diabetes is a result of persistently high sugar over long period of time, but acutely it is much more dangerous to have too low sugar than high. So missing a dose or two of diabetic medicine is not detrimental, but should be kept to a minimum. I suggest resuming your medicine asap. Eat well, exercise regularly, take your meds as prescribed, and see doc regularly as advised. Good luck. ...Read more
Hi, how often should I be taking the insulin lantus (insulin glargine)? I'm getting 40 units a day.
3 hours Late taking lantus (insulin glargine) injection last night. When should I take tonight's injection?
Lantus (insulin glargine):
Lantus (insulin glargine) is a once-a-day injection usually taken every 24 hours.
Don't worry if you miss 1-3 hours - no short term or long term things to worry about if you are keeping your blood sugar under control.
If there is wide fluctuation in your blood sugar levels I recommend you see a diabetes educator. ...Read more
What is the proper lantus (insulin glargine) dose for a 60 year old man with type I diabetes and when should it be taken?
Can you tell me if I took about 140 units of lantus (insulin glargine) long acting insulin would it result in a fatality?
Depends: Hi. No way to tell. Are you a type 1 or a type 2? What's your normal Lantus (insulin glargine) dose? If you made a grievous dosing error, go to the ER (drinking juice on the way), so they can have an IV in you and be prepared for a crash. I have type 2's who use Lantus (insulin glargine) 300-400 units/day; 140 units wouldn't kill them. I have type 1's using 16 units/day; 140 units would mess them up pretty badly. Be safe. ...Read more
I been doing 18 units lantus (insulin glargine) and around 10 units novorapid but had some hypos but still better than novomix?
Absolutely: It is easier to titrate (adjust) your doses if the insulins are separate. The only advantage of the mix is convenience. ...Read more
I have changed insulin from glargine Lantus (insulin glargine) to levimer was this a wise choice and what do you think of these?
Lantus or Levimer:
Tough call but if you are doing OK, relax and enjoy.
If not, discuss this with your doctor as soon as you can. ...Read more
I take lantus (insulin glargine) 20 units at night and glimeperide 2mg in the morning was 73kgs a year ago now am 88 kgs what can I replace the 2 with?
No easy answer: Your weight gain can be due to many reasons. The improvement in your blood sugar control since being on these medications is probably a major reason. Unfortunately, medications like glimeperide and Insulin promote weight gain, whereas other medications for diabetes such as metformin and glp-1 agonists promote weight loss. You should talk to your doctor about these other possible medications. ...Read more
I am type 1 diabetic since I was 8. Now I am 30. I am taking novo rapid and lantus (insulin glargine) 3 times a day. Got a proposal for insulin pen. How gud is it?
Good: The Insulin pen is simply a more convenient way to take insulin. You can get Lantus (insulin glargine) and NovoLog in a pen. You will be able to dial the dose of Insulin needed. You would use a pen needle with the pen to inject the insulin. Each pen holds 300 units of insulin, so it will typically last for weeks. You do not need to refrigerate the pen once you start using it. ...Read more
Basal insulin: 40% of the Insulin a pancreas makes is done constantly and the other 60% is done to respond to your carbohydrate ingestion (when you eat). Lantus (insulin glargine) is the first Insulin that was design to take care of that 40% because it is designed to work over 24 hrs without any peak in action minimizing low blood sugar reactions. ...Read more
Yes: But a consistent regimen is recommended. Preferably before bedtime. ...Read more
If 'N' = NPH, yes:
It peaks in 6-8 hours, last 10-14 hours.
Lantus has mosest peaks, lasts 24 hours
the amer assoc of clinical endocrinologists
recommends not using nph, but longer acting basal insulin, like Insulin to obtain smoother control [often in combination with meal time short-acting insulin]. ...Read more
Lantus (insulin glargine): Is a long acting insulin, is meant to be used once a day. Every patient is unique, so adjustig your regimen is unique as well. Is better to ask your doctor for his/her reason to do split the dose. I am curious as well. The important issue is the total dose you need per day (once, or in divided doses. Again Lantus (insulin glargine) is mainly for once a day due to it long duration). ...Read more
Yes: Taking a long acting insulin (lantus) and a shorter acting insulin (Actrapid) is called basal/bolus therapy, and is the preferred way to treat type 1 diabetes. It more closely mimics the function of the normal pancreas. However, newer "analog" insulins (Novolog, Humalog, (insulin lispro) Apidra) work faster and are more predictable than Actrapid, and are preferred, and should be taken before each meal. ...Read more
I take 60 units of lantus (insulin glargine) before bed and 20 units before each meal. Can I start another?
Yes, bolus insulin: Lantus (insulin glargine) is a basal Insulin not used at meal time. The 60 units you take at bed time seems appropriate for this type of insulin. Talk with your physician for clarification on the Insulin you need at meal times. (a bolus Insulin should replace the 20 units of Lantus (insulin glargine) you indicate using before each meal). Bolus Insulin is intended to cover carbohydrates you eat at each meal. Various bolus insulins. ...Read more
If I ran out of lantus (insulin glargine) until monday, would it be ok to take small doses of my humolog to even out my sugar until then?
Last night sugar was 135 before bed. I didn't eat anything else. I injected the dose of lantus (insulin glargine) like every night and woke up with my sugar at 315...
My lantus (insulin glargine) was stored in the fridge. While I was away it broke and the lantus (insulin glargine) was at 25-30°c for 5 days. The liquid is clear. Can I still use it?
Probably: This is from the package insert :store used (open) vials either in the refrigerator, between 36 and 46 degrees f (2 and 8 degrees c), or at room temperature, below 86 degrees f (30 degrees c). To be safe, just check your bs more and see if it's consistent with your previous vials. Chances are it will still be fine. ...Read more