Lantus bid dosing
Common Questions and Answers about Lantus bid dosing
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When I started using 2u Lantus in morning, 2 weeks ago, I'd go low in the late afternoon/early evening, and then my morning sugars would be elevated ... 140s, 150s. So I split the dose: I'm now using 1.5u Lantus AM & 1u Lantus PM. It definitely works better than 2u QD, and I've checked the middle of the night - not a problem. The drug sheet for Lantus doesn't mention BID dosing, but my internet articles do. What are your thoughts, and is Levemir better for BID dosing?
While a BID dosing schedule is nice, the fundamental cooperative toxicity between interferon, ribavirin and a protease inhibitor must be factored into the mix, Chung added.
BID dosing will not make more patients get treated now, agreed Dr Susannah Naggie, assistant professor of medicine, Infectious Diseases, Duke University. The new regimen will not make a difference for someone who has already decided to wait, she said.
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To me, the basic difference is variability and flexibility. With Lantus, you know exactly what you are dosing, and you also dose exactly the amount of fast acting you need. With 70/30 there is a lot extra to take into account. I personally don't know many, if any, people who are still using mixed insulin, except in poorer countries where they can't get anything else.
I am on Lantus since Jan 2014 and find it very hard to addapt. I was told to use 8 units at bedtime no matter what my reading is at night now i have notice at night when my reading is 9.7 and give myself 8 units of lantus my reading is very high in the morning 13.8 or more now when is lantus then suppose to kick in . my mealtime insulien is 2 to 3 units at mealtime, Surely I have to give myself more lantus at night maybe 12 units.
In a Phase IIa combination trial in HCV patients, we reported data that showed that setrobuvir added to pegylated interferon and ribavirin accelerated the rate of viral clearance, with comparable response at setrobuvir doses of 200 mg bid and 400 mg bid. A single patient out of more than 60 exhibited viral breakthrough while receiving setrobuvir plus standard of care, corresponding to a low breakthrough rate of < 2%.
She is supposed to call this morning about changing his dosing. She said evenutally he will be able to go to the insulin to carb dosing but not now.
I have figured out if he does not eat every 2 hours his sugar goes low. Is that normal? I feel like I am over feeding him.
Also he has NO symptoms as of now of low sugar so thats REALLY scary.
Thanks for the info and all the suggestions. It is GREATLY appreciated!
I take my bolld sugars of a morning fasting and they are like 167-191, I take 1000 mg of janumet and 18 units of lantus before bed, of a morning I take 20 Units of lantus, 45 mg actos why am I having problems regulating my blood sugars, I also take 7 units of novalog after every meal??? Do you have any other sugustions??
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.
The first dose of RO5024048 to be given in Part 3 will be 500 mg BID, the second dose will be 1500 mg BID, and the third group will be 1000 mg BID. Standard doses of PEG-IFN and RBV will be used during Part 3. Doses of PEG-IFN and RBV will be modified if necessary.
An 4th group of 25 HCV genotype 2 or 3-infected patients who have been previously treated with interferon but who did not respond will also be enrolle in part 3.
My daughter is 17 and is having trouble with adjusting insulin doses...how much lantus would be a good dose to start with?
and weights well over 230 pounds only takes 34 units of lantus at night and up to 16 units of humalog if he eats pizza. I have told him that the lantus dose is governed by weight and since I weigh 220 and take 33 units a day, he isn't taking nearly enough. I think he is compensating with the humalog, which runs a higher risk that he will and does have insulin reactions. I also started out taking lantus at night.
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.
I would also never every recommend that he do something that would violate CFR regulations by concealing the fact he is taking Lantus with an insulin syringe. My own opinion is that use of Lantus together with Metformin, together with exercise and tight dietary control (and I mean tight) would not unduly hazard the general public.
I take Lantus and I also take Metformin 500 mg. twice a day. I am on 20 units of Lantus and have taken Lantus for years. (I use to be on 40 units a day, until I lost 125 pounds) I have not been good about following my diet and I notice that my blood sugar readings have been higher.
My fasting blood sugars have been higher than normal (around 175) but I know it's because I have been eating too many carbs and have gained 20 pounds.
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.
I am a 40 year old male, 190 lbs, active and on low carb diet, who has been on insulin NPH BID 25 units for the past 2 years. Prior to that I took oral medications only(all sorts, metformin, avandia, etc..) In October of last year my A1C was at 6.3. Adjusting my insulin levels seemed to have no effect on my fasting blood gloucose level (typically in 130 range).
(stent placement) I am currently taking Metformin 1000 mg x 2 twice daily, plus Lantus Solostar, 27 units. When I began the insulin, my blood glucose was over 400! Now it is down between 200 - 230 in the morning. They want to put me on a different type of insulin to take with meals. I don't want to do that. Is there anything I can do to lower my blood sugar naturally without taking more insulin?
In the double-blind, randomized placebo-controlled Phase Ib study, treatment-naive genotype 1a and 1b patients are to receive oral capsules of ANA598 over three days at doses of 200 mg bid (twice-a-day), 400 mg bid or 800 mg bid. Ten patients are to be enrolled at each dose level, eight receiving active drug and two receiving placebo.
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