Lantus action
Common Questions and Answers about Lantus action
lantus
I am a type 1A diabetic with normal insulin sensitivity and predictable bg responses to insulin doses. Until now. I went on a reducing diet (high protein, next to 0 carbs, increased exercise) but never decreased my once daily PM dose of Lantus (10 units.) Immediately my AM bg's jumped to over 200 and stayed there. No hypoglycemia during sleep (I never woke up, anyway.)I could bring my daily bg's down with my shortacting insulin.
And as for the sweats about a half hour after taking Lantus, there IS a slight peak action with Lantus, although this peak action for most people is several hours after taking the Lantus. In my case, I usually take my Lantus at about 6 am, and I notice a peak that causes my glucose levels to drop by about 8 am. This happens even if I have not taken any Novolog or eaten breakfast (sometimes I wait until I get to work to take Novolog and eat breakfast), so it has to be the Lantus peaking.
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 on insulin for nearly 38 years and am lucky enough to have no complications so believe I have managed my control pretty well. However since starting to use Lantus (and I was one of the first users in the UK) I have stopped having real problems with hypos but have had great problems with consistency of delivery. I want to find out whether this is just me (and I do not think so) and how many other diabetics are having similar problems and what they are doing about it.
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.
And yes, I agree that there is a peak in the action of Lantus somewhere between 4-5 hours, usually. Some people notice it more than others. I notice it a great deal and have to feed it when it happens. But it still is much better than the old NPH insulin with its horrible peak actions that could get dangerous.
17 yrs? and now your asking?
You R Serious, right?
Go ahead take just the Lantus and test every couple of hours after and of course before meals and see what happens..
and I surely Hope you got the book > Think Like a Pancrease my friend..
I take 40 units Lantus (long acting), and sliding scale Novolog (fast acting) insulins. My bg is always so high in the mornings, I have to take Novolog and wait for sugar to come down to eat. I've had diabetes for many years, but never knew for sure which one! My dr would switch my diagnosis all the time. But went to endo and they did a blood test, and said I'm type 1. I'm angry my dr. never did anything about this.
This has happened in early afternoon and after dinner. She is on Novalog and NPH before breakfast and Novalog and lantus in the evening. The fact that it has happened two different times in day is why I "hoped" this was a diluted reading rather than actual blood glucose reading. This is all new to me and now I'm fearing the bath. ho hum...Thanks.
It would involve one daily injection of a long-acting insulin like Lantus, which has a flat action profile over 24 hours. And a shot of Humalog or Novolog before each meal. Doing this would minimise the carb/insulin mismatch when you skip a meal.
The basal/bolus regimen would give you more flexibility and better control. You may want to discuss this with your doctor.
However, you may find that your fasting blood sugar becomes higher due to the dawn rise now being at the end of the lantus action. Alternatively, talk to you dr about using levemir. This is dosed morning and night and the dose can be different for morning and evening to target optimal blood sugars. There is also a new insulin called Tresiba. Many find that this gives very stable blood sugars with less risk of lows. You may also discuss this with your Dr.
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.
my doctor had me start by removing only 1 unit of my morning dose of Lantus, and then that night I took 1 unit of Lantus. That meant that I was only 1 unit shy of my total for the day. Then I waited 2 days to see what the pattern would be (you could even wait longer to see what happens). Then I did the same procedure again, removing another unit from my morning dose of Lantus and adding it to my evening dose. And wait several days to see what happens in the mornings.
The publicised action profile for Lantus is typical for "most" users. But many of us have a different experience. Like you, I have found that Lantus has a definit peak at about 5 hours after injecting. I also found that Lantus doesn't last the full 24 hours with me.
I have got around this by splitting the Lantus dose into morning and evening shots. I use 7 units daily, 4 in the morning and 3 in the afternoon. The peaks for each shot are fairly small.
My wife has since filed for divorce, i am now on new insulin, Lantus, and i cant even talk with her. There are more things that were going on because of the NPH since my doctor had instructed me to take a third shot at lunch time. I love this Lantus, things are great since ive been on it but still having trouble understanding the things abou tthe NPH, any help would be apperciated.
Lantus, Humalog, and Novolog ALL require prescrptions because 1) they have not been out on the market as long as the conventional porcine/bovine insulins (Humulin N, R, L, 50/50, 70/30, etc), 2) The onset of actions for Humalog, Novolog, and Lantus are quite fast (anywhere between 5 to 15 minutes), and although these insulins generally do NOT cause hypoglycemia episodes (low blood sugar), if patients do not know how to use them properly, they can lapse into a hypoglycemia episode and this can
I used to have occasional very severe night lows, and when I started taking Lantus and Humalog/Novalog, I tried taking the Lantus in the morning at the recommendation of an excellent endo. It solved the problem for me.
Even if he tests before he goes to bed, a lot can change in the 8 hours while we sleep. Going high and getting complications is a miserable alternative and it is NOT necessary.
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!
I have noticed that no matter what I do the lantus stings after I inject it before I go to bed. Is this common? Is there any tricks anyone has learned that has helped them?
Page 1 of 269 for: I'm taking 32-40 units of lantus a day. My A1C is 6.7. Why would I be given a pill instead of short acting insulin if the lantus has proven to work so well?
ive tried numerous pills for diabetes over the past 20 years. Efficacy never enough- so we tried lantus.
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 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 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???. I get my supplies from the Military Hospital because I am a retired service member and they do not have the lantus solostar flex pen but they do have the levimer flex pen.
verify all information received here with your endocrinologist before taking any action. I am the parent of an 18 year old who was diagnosed at the age of 21 months and we've done shots (N&R, Lantus&Humalog), inhaled insulin (did a 2 year study), and currently she's on an insulin pump (& loving it!).
My daughter's endo had her on a sliding scale dosage, dependent on her bg reading.
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