Mixing lantus with other insulin
Common Questions and Answers about Mixing lantus with other insulin
lantus
I have tried correlating it with high doses of H due to high carb intake and then a possible mixing of the H with the Lantus. Neither theory panned out. Does anyone have any similar experiences? I was warned by nurse that I might have reactions to the Lantus, but have not been able to get back to the clinic to find out if this is a normal reaction that will go away. So far, it does wax and wane so my motivation is confused. Will this go away after awhile?
The only insulin that I am aware of that cannot be mixed with others is Lantus -- it ALWAYS must be given as a separate shot. But the other insulins can be given by themselves or mixed. It shouldn't change a thing. The reason that they are usually mixed is so the diabetic person only has to have one shot rather than two. Giving them separately should not change the dosage in any way. It is wonderful that your daughter can have this special time with her grandma.
It seems to peter out sort of slowly sometime in that time frame, leaving very little Lantus working to help with his dinner-time quick-acting insulin. So it may take more insulin in the evenings than at other mealtimes to cover the same amount of carbs.
Some of us prefer to split the Lantus dose, taking some in the morning and some in the evening to equal the complete dose. That way, only half is petering out after 20 hours, and the sugar levels stay more even throughout the day.
I have read on other sites of people having similar unexplained problems with lantus, longtime T1s that describe the feeling as being like a big spurt of insulin from the pancreas but they are long past a possible honeymoon phase. All conclude it's haywire absorbtion. I take one bedtime dose, do not mix, and always use a new syringe. Does anyone have experience with this or know of more detailed info on Lantus absorbtion and stability? Thanks.
The currently accepted treatment of choice is a basal (long-acting) insulin like Lantus once or twice a day and a bolus or rapid acting insulin before meals. A fixed dose of bolus like you describe is not as good as developing a carb ratio. You need to take the correct insulin dose each meal to cover what you eat (unless you want to eat the same thing every meal!).
You may wish to discuss premixed insulin, which is a combination of specific proportions of intermediate/long-acting and short acting
I too use a jet injector, an advantajet. I have been using jet injectors for more than 15 years and recomend them also. My endocronologist has suggested I use Lantus in place of Ultralente as it is being discontinued by Lilly very soon. I was wondering, since Lantus can't be mixed with other insulins whether there have been any problems with it when injected using a jet injector.
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.
I use Lantus cartridges in a Humalog pen. And it works perfectly. For me, a major benefit of switching from NPH to Lantus has been the reduced variability in action. And delivery via the Humalog pen appears to be very consistent.
Hi Mags2000!!!
Well, I also use Lantus Insulin, in my case Insulin glargine (I don't know if Lantus makes other Insulin types or under other trademarks), as mentioned by Zoelula the "side effects" may be that your sugar levels may rise, and you may have some symptoms of hyperglycemia like hunger, fatigue, dry mouth, etc.
I have been prescribed Lantus insulin for my diabetes. Since I have started using the injections (6 months), I have experienced dry and burning in my eyes. My doctor suggested that I get my tear ducts plugged to make sue I have enough tears to be able to wear contacts. I have worn contacts since 1976, and this is the first major problems that I have had. I now have to wear glasses at all times; maybe once every two weeks I can wear contacts for 3-5 hours.
As for starting your Lantus in the morning I would check with your endocronologist. Lantus is a 24 hour insulin, so I am not sure what effects taking it in the morning opposed to taking it at night would be, but of course ask. Also ask your endocronologist about taking your humalog before meals, I am not sure if you meant that or if you do just take it before bed time. And are you eating a snack when you take humolog before bed? Humalog is a quick acting inulin, usually taken before meals.
I have been on lantus since about 2003, and in 2007 I was diagnosed with breast cancer. I ve just been reading how lantus may cause cancer . im afraid the lantus may have caused this. did anyone else have anything like this happen? as well im type1 diabetic and my bloodsugers are really up and down all the time and i take a split dose of lantus. my suger will drop and stay down all day or for hours!
If you use insulin to eat what you want and use insulin to cover over eating you will gain weight.
Thanks for the feedback. I am still thinking about switching off Lantus just to see if I feel better. If not, I can always go back on it. I see my dr. in April and will see what happens.
m 40, Type 1, diagnosed 1990, one Lantus shot per day, Humalog for meals, with sliding scale adjustment for high (which I have to use EVERY DAY). Last A1C was 8.5, which was the best in about 3 years. Blood sugars very bad, lows in 20-25 range, highs up to 500-600. See nurse practitioner at endocrinologist's office. She doesn't know how to help me, so is passing me off to a diabetes center. I feel like I need to adjust my own insulin, because I'm not getting a lot of help.
Yes this happens a lot, when switching to lantus or the pump. Lantus is a long acting insulin that has no peak it gives you a steady basal rate similar to the insulin pump. I realize that it is hard to trust the the insulin enought to not have a snack, but it does work, and it is hard to resist the urge to react to the number.
The main concern I would have about the addition to Lantus 20 units daily would be the risk of low blood sugar, especially in combination with glimepiride. Both Lantus and glimepiride can cause low blood sugar or hypoglycemia. Just make sure you're watching for the signs of low blood sugar, which are, sudden headache, feeling shaky, and weakness. There are many more signs of hypoglycemia and I encourage you to research it more yourself.
Montefiori Medical Center (Bronx, New York) performed an in-depth study of 240 women receiveing Lantus (insulin glargine) during pregnancy. The results were published in the Journal of Reproductive Medicine, April, 2009 (4) 208-10. They found the drug to be well-tolerated and advised continuing the use of Lantus during pregnancy. PubMed has no studies whatsoever that substantiate an adverse affect on pregnancy.
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