Lantus before surgery
Common Questions and Answers about Lantus before surgery
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I seemed to be gaining a lot of weight since being on Lantus for the last two years as well I have mood swings and irritability and now started having severe lows right after injecting the Lantus (it usually happens if I bleed after my shot and has happened since switching to the Solostar disposable pen needle.
Anyone else have any bad reactions to the Lantus.
I suppose I need to be one to make the case for Lantus insulin. I have switched to Lantus shots with Humalog before meals and am absolutely thrilled with the control I have now over very normal blood sugars. I really think that this is a decision that all who want good control need to make for themselves. There are advantages to pumps and advantages to Lantus insulin as a basal dose.
I am just careless sometimes. But my Lantus peaks around 3 or 4 every morning, and depending on the night before I may experience a mild/mildly severe low. Has it ever been suggested to take Lantus in the AM? My thought is this:
If I took Lantus in the A.M. (Aprox 6:30 or so) my peak would be about 5 or 6 hours later. This would be my lunch time.
I could use a sliding scale determined at lunch.
If I forgot the dinner shot, the Lantus would still be working.
About a month ago I started taking 36 Units of Lantus at bedtime using the Opticlik Cartridge Delivery System and during the day I use Novolog Insulin throaway Flex Pen and that is 12 units before I eat anything. I have had so much problem with that Lantus Opticlik that my Health Providers will switch me to the Levimere Flex Pen after I use up all the lantus cartridges. Is lantus a better insulin or is Levimere just as good as Lantus using it as a basal 24 Hour insulin???.
Per UCLA Med Center we are currently dosing him 8 units of Lantus split to 5 units in the AM before school, then 3 units about 2 hours before bedtime), with a bedtime BG check. We also are giving 1 unit Humalog per carb unit. We found the thigh for him is the best place for the Lantus. Stomach absorption rate was too fast.
It's early in the game but this so far is working quite well for us. During the initial 15 days we administered first 12, then 10 Lantus all at night, as recommended.
You did not mention how old the bottle of Lantus is that you are using. Lantus comes with instructions saying to not use any "open" bottle longer than one month. My twin and I, both type 1 diabetics and both on Lantus, do notice unpredictable things happening when a bottle is older than one month, or occasionally when a bottle seems to go "bad a little bit before the one month deadline.
This is his fourth day on Lantus. He is doing fine but I am having problems trusting the Lantus - when his b/s drops below 100, I want to give him a can of apple juice, and of course that causes a moderate high. Also, he is not interested in stopping to eat as many snacks and meals because he does not have to 'feed' the NPH. Are these common problems in families starting on Lantus? It's as if my son and I are not making the most of this honeymoon period of a good insulin.
Lantus is very slow-acting and really rarely causes severe hypoglycemia, in my experience, for warning symptoms occur long before it gets severe. However, if the warning symptoms are not listened to, I have personally noticed that the hypoglycemia that eventually happens makes me feel worse than some of the quick-acting insulins do.
t even go to work. Changed shot to before bed instead of morning and it made no difference. After a little over a week I stopped it. Lost 5 lbs cause I couldn't eat anything. So she said she may have me try Lantus if Victoza didn't work. I emailed her yesterday telling her I gave up Victoza and want to try the Lantus. Has anyone had success on Lantus? Do I have to give up the oral meds while on it?
That evening I continued the 1 unit of Lantus, so that I had almost two full days on the new split dose before adjusting it again. The next night, I increased the evening Lantus by 1 unit again, and decreased the morning Lantus by 1 unit the next morning. And so on until the numbers are staying stable for you while you sleep.
I had the same problem with Lantus not lasting a full 24 hours. And a shot taken before bed would run out some time after supper the next day. Having the shot in the morning meant that I would have a high fasting bg the next morning.
Many users find that splitting the Lantus dose between morning and evening shots helps. But this assumes that you have a constant need for basal insulin over a the 24 cycle. I have a much greater need for insulin from 3am to 11am because of the Dawn Phenomenon.
The high levels at night are probably happening because the evening Lantus is not truly lasting 24 hours. See if this makes sense to you... Lantus is marketed as a 24-hour insulin, but it doesn't work full force for exactly 24 hours and then -- poof -- suddenly quit. If you read the paperwork in your Lantus box, you will read that it lasts anywhere between 20-24 hours.
I have been type 1 diabetic for 24 years now (female), and I am using lantus(once a day) and humalog(3 times) for the last 5 years.
between bedtime and breakfast I am having a drop in BGs of around 10-13 mmols. and then in the mornings, after breakfast BGs shoot up, so my normal carb-insulin ratio doesnt work well.
I cannot understand why this overnight drop is happening, which is becoming scary. I tested BGs during the night and there seems to be a drop of 2 mmol/hour.
My BG at 4AM was always excellent - somewhere between 80 - 130, but when I did a finger stick at 8AM right before taking my Lantus, it was anywhere from 200 - 300. No food in between - just this huge jump. Keeping good records showed me that I got 18-20 hours of coverage At Most from the Lantus, and when I hit that blank spot between 4 and 8 AM, there was just nothing left. I ended up splitting the Lantus to a 2/3 dose in the AM, and 1/3 in the evening.
T just start with a larger percentage, for either you would find yourself way high all day if you just cut several units from your Lantus in the morning without that extra Lantus the night before, or if you simply start the new night dose on top of the full morning dose, you will go low. One unit at a time is safe, but more is not. Hope that makes sense. The problem is that one dose is still working strong when you take the other one.
I am so sorry about what you are experiencing. This is the nightmare of all insulin dependent diabetics, going low in the middle of the night and not being able to wake up. I am not a doctor, so my advice comes from 40 years of experience with Type I Diabetes. There will always be some swings with daibetes. There are so many variables; food, exercise, hormones,stress, illness, etc. Many of these can't be controlled.
Hello. I am T1 since Oct 2004, and switched to Lantus in Feb. Most of my BG numbers are very good (A1Cs 6.0 and 5.5), but since switching to Lantus, I have experienced 5 episodes of sudden and extreme drops in BG. They happen late morning, not related to breakfast, novolog dose or exercise. My BG is usually above 150 when it starts, and I must consume 150-200 grams of carbs (as juice or gel) to get it to stabilize, usually in 20-30 mins.
as I never heard of these problems with Lantus. Lantus is a 24 hour basal insulin that starts to work in an hour after injected and lasts most of the day without peaking. Also, I have never heard of a Lantus pen but have a call into our local rep to ask. My teenage son has Type 1 diabetes and there is never a dull moment with diabetes, is there.
I am on lantus and the Novolog pen. I know when I first started lantus I got very anxious and before I had to take it, just in a dead panic. I can not fully answer your question, but I need your help. Can you ask your daughter if her lantus burns, itches, and/or does the area she injects it (arm, leg, stomach) feel heavy or like a big knot is under it?
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