Byetta and lantus insulin
Common Questions and Answers about Byetta and lantus insulin
byetta
Examples are insulin zinc suspension, protamine zinc insulin, and the insulin analogues insulin glargine and insulin detemir. The latter two insulins are now the most widely used long-acting insulins.
* Biphasic insulins: mixtures of short-acting and intermediate-acting insulins in different proportions, such as 30/70, 50/50. Examples are NovoMix 30, Humulin M3, Insuman comb and Humalog Mix25.
Hello,
obviously you are having a problem tolerating byetta, and given that this is now 3 months and you have lost so much weight, I would think it may be rational to ask your doctor if you can stop this medication and try something different?
Why did your dr. not decide to start you on Metformin?
Have you been monitoring your blood sugars (while on byetta)? What is your fasting and post-eating blood sugars. What was your Hba1c when you started this med?
I used Byetta for a long time and I am not an expert or medical person. You are best to get the information from your doctor. Before I started using Byetta, I had to take classes from a nurse on how I had to inject Byetta into my stomach. It was prescribed by my Doctor. Byetta has side effects reported by some people but I had no problems with it other than the expense. It does give you a feeling of fullness and it has a nickname (Spit).
Not only have I gained 30 pounds, I started having mood swings and irritability since starting Lantus and lately now in the past month I had two severe lows right after taking the Lantus (within 30 minutes of taking my shot). Each time I did draw blood as I removed the needle but the doctor and diabetic educator insist that I cannot hit a vein and even if I went into a vessel it would not cause the insulin to react so quickly.
I am type 2 on insulin, I take lantus and have had several times around 12-4am where my sugar suddenly drops. It has dropped 75 in just two hours. I start freaking out. It won't go down all day until late at night. The doctor says it doesn't peak but why this sudden drop? I rather take a small dose of Humalog at night. I know that my Humalog would stop after about four hours and didn't have to worry about it overnight.
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!).
About a month ago, my doctor changed my long acting insulin from Novolin NPH to Lantus. This completely threw me off and I ended up being woken up by paramedics 3 times in 1 week. My blood sugar would be normal before bed and then by morning it had gone to 1.8. When I would eat a snack before bed to keep my blood sugar from dropping, I would go high - 13.0-15.0 on average. My doctor has now switched me back to my Novolin NPH and I am still having a hard time getting back on track.
Was prescribed Lantus 1yr and half ago and for all that time I was telling various doctors and the pharmacy that my sense of smell had been altered that all perfume smelt terrible. I even posted this on the internet. Also that my face cheeks get rash. All the Doctors and Pharmacies ignored me saying they had never heard of such a side effect. Further to much worse facial rash I insisted to go off the Lantus and get something else.
i would recommend you call the clinic as that very well could be a reaction to the Lantus and they may put you on a different background type insulin. The body needs two forms of insulin schedules, a bolus to cover meals and abackground or basal schedule to cover the glocose the liver releases all day. But i would also when you call the clinic let them know of your concerns.
Most diabetics in America who take injections rather than using a pump use Lantus once or twice a day and a quick-acting insulin like Novolog before meals. We do not normally take NPH with the Lantus, for they do similar things. Once the Lantus dose is right, NPH becomes unnecessary. I would suggest that you discuss this with her endo.
We always thought that she needed to take the long acting insulin 2 times a day rather than 1 and when we saw her endocrinologist about a year ago, they changed her to Levimere insulin. You take this insulin morning and night. It has been a life saver for her in that she feels her lows quicker and her reactions aren't as pronounced. It takes a while to get the dosages right but we have also seen a tremendous change.
I use a short-acting insulin, Novolog, and a 24-period insulin, Lantis. I give Novolog with each meal, and Lantus when I go to bed. I am having troubles with my sugars in the morning. I wake up at 7am, and eat breakfast. I give my shot immediately after eating breakfast, around 7:20. I test my sugar before I eat breakfast and it is normally good. Then at 8am, I head to school. When I arrive at school around 9am, I test my sugar, which is usually pretty high (200-300).
Just remember that the more insulin you shoot, the more weight you gain. Try cutting back on your carbs and that will cut down on your Lantus and that will cut down on your weight.
Remember that human insulin, like Lantus, is not like switching from tylenol to advil. There are more significant signs your body will give you. It's like it's telling you that it noticed you have made a very serious change.
The mood swings are common in female diabetics.
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