Difference between lantus and nph
Common Questions and Answers about Difference between lantus and nph
lantus
I think the problem centers on the fac that she is on Novolog and NPH in the morning and then she is on Novolog and Lantusin the evening. NPH lasts 12-18 hours and Lantus lasts 18-26 hours. I think those doses are overlapping. My question to the Dr. would be why is she on Lantus and NPH??!?!?!?!?
It is important to note that a diluted blood sample will produce a diluted reading.
(she used to take NPH) She does not notice as many peaks and valleys as when she was on NPH, however, she has heard from people other than medical professionals that it really only lasts 18 hours. My sister feels that being on lantis has helped her. Her opinion is that if after giving it some time, a person does not see a big difference, it would not be worth it if it is Very expensive. She likes that she is not taking the 2 shots of NPH and doesn't seem to have as MANY lows.
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.
Im a type 1 diabetic, since 1991, and have been on NPH since 1998. Last November i had a huge problem, a bad low, which caused me to hallucinate, then sadly my new wife got hurt. Then this continued until march when then i was told my body was rejecting the NPH, is this common? My wife has since filed for divorce, i am now on new insulin, Lantus, and i cant even talk with her.
What was she on before and what were the results? If she is experiencing lows or highs in her fasting and in between meals and bedtime than I would adjust the Lantus accordingly up or down. Always adjust a very small amount initially and see how that works for a couple days. If she is experiencing highs or lows two hours after meals than it would be her bolus and her Insulin:Carb ratio needs tweaking. You need to give a bit more information for us to go on.
My son recently changed from NPH/R/H to Lantus and humalog pens. 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?
My daughter seems to be having the same problem. She's 15 and takes 68 u of lantus at nite and supliments w/novolog pen when she's eating. They just keep increasing her dosage, but nothing seems to change. She eats pretty decently (for a teen), but she always seems to be high.
I also wondered if she might be resistent to the lantus. We've tried new bottles, etc. How many units do you take per day?
He is now working at a stressful job in finance in NYC and lives with his girlfriend. He is currently taking 2 shots a day of Humilin Reg. and NPH. Over the last six months he has bottomed out at least 8 times usually at lunch time and the paramedics have had to be called to his workplace. Yesterday when they arrived his Blood Sugar was 19. It seems he drops so quickly that he is unable to treat himself by eating a snack. He keeps himself healthy by eating well and is overall good shape.
Yes, I am now careful even with NPH. It is not as good as Lantus and overnight is the rough time. I find NPH plus an extre evening Humalog inhjection (4 per day) works best. I have considered a pump, but 5 injections probably give me the same coverage, and are more convienient.
On another note, I am thinking of starting a disbetes support group in my area for long time type 1 diabetics. I would like to hear from anyone else who may have experience with such a group.
So imediject has a valid point if you are taking Lantus in the morning. Many diabetics split their doses of Lantus and take some at night and some first thing in the morning so that peaking is minimal (for some of us, there IS a slight peak about 4 hours after injection) and the petering out of it as it wears off is also minimal.
Some folk take split doses and others take one dose a day. A potential disadvantage to Lantus is that it CANNOT be mixed in a syringe with short acting insulin. This characteristic requires taht folks take more shots usually. If the results are good and if you can afford the additional syringes, it is often a good treatment plan.
Good luck & let us know how you're doing...
My grandson is a Type 1 diabetic. He takes Lantus at night, NPH and Humalog at Breakfast, and Humalog at evening meal. He measures his blood sugar six time a day: 7:30am (breakfast), 9:30 am, noon, 5:30 pm (dinner), 7:30 pm, and 9:30 pm. My concern is the apparent difference in effectiveness of the Humalog which he takes at 7:30 am and 5:30 pm. He measures his blood sugar two hours after taking the Humalog (@ 9:30 am and @ 7:30 pm).
I personally would ask the doctor why she is putting him on NPH instead of on Lantus. I was on NPH for over 20 years as I grew up, and the odd peak times of this kind of insulin force you to feed the peaks. When the newer 24-hour Lantus was made available to diabetics, I switched and life is much easier now. The Lantus offers a base dose for about a day, with minimal peaks.
I am waiting for supplies to come that will allow me to change from shots to the pump, but in the meantime, my after dinner blood sugars still dive very quickly. I cut my Humalog and NPH doses in half and eliminated the use of Ultralente but I am still having the same problem. My blood sugar will go down 100-150 mg/dL or more within an hour of eating (even when eating carb-rich meals). No matter what I seem to do, this trend occurs. Are there any other individuals with this problem?
In the past I was put on Novolin NPH (28 units morn and 28 at bedtime) and I was taking 7 units of reg with each meal. Well, I recently changed drs and the new dr put me on Novolog pen 70/30-I am at 18 units ever 12 hours and it is not lowering blood sugar readings at all. Does anyone have any experience with this? Is the Novolog pen comparable with the NPH and Reg regamen? I was doing well with the Novolin and I am confused as to why I was swithched.
Heck, I was even using NPH instead of Lantus because I could never get Lantus to work right for me. Even so, my two NPH shots plus sliding-scale Humalog worked very well. And I work out (aerobic and weight lifting) religiously.
The tight control changed as my metabolism changed in my early 30s. I'm 32 now and things just went a little whacky, for lack of a better word. I tried (like hell) to get things back under control, but I just couldn't do it.
I recently read on here somewhere that Lantus is usually given at bedtime because it lasts 18-24 hours and that by the time it is dwindling the dinner injection is given kind of as the bridge between the first Lantus injection and the next one the following evening. Thus making a steady regimen. However I quite frequently fail to give myself injections at dinner. I am just careless sometimes.
If you believe your are reacting badly to Lantus (or any other medications) you should ask your physician for an alternative, at least to verify it is the medication and not some other factor that is causing the problem. Lantus is popular for it's 24 hour action, but so is Levemir (Novo Nordisk). NPH insulin can also be used for long acting insulin, though two injections may be needed to get the 24 hour coverage.
I have been off the Lantus now since the beginning of April and what a difference. The cramps are gone and other than normal aches and pains, I am not hurting from head to toe. Have not been to see the dr. yet because I have to go in with proof that it made a difference. I think I am ready now. Don't know what it is about these 24 hour insulins, but my body just does not like them.
I have been diabetic for ten years now and have been taking lantus and humalog this whole time. Well a new doctor Im seeing took me off lantus due to the fact that it could cause my twins to become insulin resistant. She has me taking more of the humalog but it doesn't seem to be helping me and now i have a harder time controlling my sugar where before i kept it pretty well controlled. Should i get a second opinion or does anyone have suggestions?
I myself used to have lows when sleeping often enough to frighten me and my husband when I was taking NPH. I switched to taking a 24-hour insulin called Lantus, and this solved the problem for me. So if he is not interested in switching to a pump, beautiful control without severe lows can be acheived with this newer-than-NPH insulin.
I agree with the previous postings that stress can cause lows, and of course being a newlywed is a stress, even though a GOOD stress.
Recommended
