Doctor insights on:
Victoza Vs Lantus
Diabetes: The four medications work in 4 different mechanisms with the end goal of keeping blood sugar under control. Would suggest taking Glimepiride in mornings, metformin & Byetta before meals & Lantus (insulin glargine) at bedtime. Goal fasting blood sugar of 100 & hba1c of 6.5 good luck. ...Read more
Lantus (insulin glargine): I am assuming that your insulin injections have been started not long ago. Injections should not cause weight gain but there is a more important issue. Type 2 diabetes can and should be corrected such that you no longer have diabetes. Insulin injections should not cause weight gain. With that in mind, talk to your doctor about diabetes and also have a dietitian help you with your weight. ...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
Not much different: Some minor differences but all in all, they are fine. Once/week vs. Once/day. The main thing is Bydureon (exenatide) takes 6-10 weeks to reach maximum strength so your numbers might be higher at the beginning. If you ride it out, you will be ok in 8 weeks. I use the two interchangeably depending on insurance coverage. ...Read more
Rapid acting insulin: Like other Insulin analogs Humalog (insulin lispro) (lispro) is a rapid acting meal time insulin. It can be injected before or immediately after meal. It has a quick onset, short duration of action, less variation in absorption and decrease chances of low blood sugar (hypoglycemia) if use appropriately. Indicated for management of diabetes mellitus. Humalog (insulin lispro) is administered subcutaneously only. Can be use in pumps. ...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
No conversion: Hi. There is no standard conversion factor between Victoza (liraglutide) and Januvia. Victoza (liraglutide) is much more efficacious and also causes weight loss, which Januvia does not. Victoza (liraglutide) can cause nausea and general GI problems, whereas Januvia causes no GI problems. eat healthily and exercise regularly. Control your diabetes well. Good luck! ...Read more
Blood insulin=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?
Need more info: Most people diagnosed with type 2 diabetes continue to make insulin for many years. The way to tell this is by measuring a blood level of c-peptide. Also- Since you are only 45, if you are not obese, would check with your doctor to see if you might have later onset type 1. ...Read more
Sulfonylurea.: That seems like a lot of sulfonylurea type medication - Glimepiride and Glyburide. The reason why that's important is that they can cause hypoglycemia (low blood sugar) which can be dangerous. I'd like to see you on more Metformin and less sulfonylurea to reduce your risk of hypoglycemia. ...Read more
I'm on metformin, lantus (insulin glargine) n novolog. Can i replace the lantus (insulin glargine) n novolog w byetta to help w weight gain n still get the same sugar control?
Only with supervisio: Please contact your health care professional about making changes in your diabetic therapy. Byetta can be helpful in controlling diabetes, but may not solve your weight gain problem. That should be controlled, under supervision, with diet and exercise. ...Read moreSee 1 more doctor answer
Made a mistake taking 27 units of humalog instead of 5. Lantus (insulin glargine) dose is 27.
Drank a 25gm carb coke and two dex4 fast acting glucose tabs, 4gmcarb ea?
Humalog (insulin lispro) lasts ~4 hrs: Lantus (insulin glargine) is basal Insulin that works slowly over ~24 hrs to control fasting (non-meal) glucose. Humalog is fast-acting mealtime Insulin that works most action 1-2 hrs after dosing, to control after-meal glucose. If someone injects more Humalog than desired, they should check glucoses every ~30 min until humalog's action is over in ~4-5 hrs. How many carbs needs to be taken varies by each person. ...Read more
Congratulations: Great move. Well, NovoLog is quicker acting but also quicker getting out of your system. So make sure you eat as soon as you inject. As with any insulin, proper close titration is necessary to avoid hypoglycemia and wild fluctuations in your sugar levels. Overall, best short acting Insulin on the market at present, and the most physiologic. ...Read more
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