Lantus dosage calculation
Common Questions and Answers about Lantus dosage calculation
lantus
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.
I find that it is pretty much impossible to drop severely low in that period of time with Lantus, if the dosage is correct and the last blood test was normal. It could be that the oral meds plus the Lantus are too much for him and his dosage needs to be adjusted. If it is happening often, have him test frequently for awhile and write down the results to he has a record of the patterns. Then he needs to work with his doctor to perhaps lower the dosage of one of the medicines.
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.
No, I am not aware of any people who have contacted us with any kind of resistance to Lantus. I do know that Lantus must be replaced at the end of a month on one bottle. The expiration date is really important, for near the end of the month, some of us find that it no longer crystallizes properly. Some people notice that when the Lantus bottle is about one month old, it doesn't work well. But if you just started the bottle, this is probably not the problem.
MY DOCTOR PRESCRIBED LANTUS INSULIN TO REPLACE THE HUMULIN L INSULIN THAT I HAD TAKEN FOR SEVERAL YEARS. I HAVE NOTICED THAT WHEN I TAKE THE LANTUS INSULIN PRESCRIBED DOSAGE(S) THAT APPROXIMATELY 15-30 MINUTES LATER I START TO SWEAT PROFUSELY. IS THIS A NORMAL REACTION TO THE LANTUS INSULIN? I VOICED MY CONCERNS TO MY DOCTOR AND HE HAD NO COMMENT. I AM ALSO TAKING SEVERAL DOSES OF HUMULIN R AND HAVE GAINED WEIGHT SINCE I STARTED TAKING THE LANTUS. PLEASE ADVISE. THANK YOU.
I take Lantus every evening. I fell asleep and failed to take my dose. I woke at 5 am. should i inject novolog to correct my number?
I had it in my head that I should be taking Lantus in the morning and at night. I have been having great readings. Watching what I eat and just now getting into a regular exercise routine. I had to take a new pen out of the fridge today and looked at the directions... says to take at night. So essentially I have been taking double the dose per day. Can this be bad? My readings do not drop below 80 and I feel great. I also take a small dose of Humolog with my meals.
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.
I have just switched from Mixtard/Actrapid to Lantus/Actrapid 3 days ago due to very poor blood sugar control at night and in the morning. The current dosage of Lantus is 15 units in the morning with additional 15 units of Actrapic before evety meal i.e. breakfast, lunch and dinner.
Blood sugar level in the morning shoots up to 15-16mmol (fasting), by noon it will remain at 9-12mmol (before lunch) and will gradually comes down to 4-5mmol before dinner.
Has anyone else done this? After 5 days with increasing dosage of lantus I can't get a number under 200. A couple of days ago I started using metformin as well and still no response. I am now up to 25 units of lantus and 1000 in the AM and 500 in the PM of metformin. I have liver issues and maybe the IR is playing into this. Anyone have any insight into this?
My daughter get a "mixed" shot of Humolog & Novoli N in the morning adn seperate shots of Humolog & Lantus in the evening. She wants to spend the night with her grandma but her & her grandma have not been able to get the hang of mixing the morning shot. They do fine with the single insulin shot. I need to know if the morning shot can be done with 2 seperate doses and if so, does the dosage need to be adjusted.
The insurance company and the pharmacy say its because of the wording of the dosage. His dosage on his lantus only went up 4 units a day. I get the same exact box as I always did but now its costing me double. His Humalog also went up $10.00 for no reason anyone can think of. Instead of paying $95.00 like I thought it ended up costing $255.00. We live paycheck to paycheck and since moving to a small town I haven't been able to find a job.
This is a wonderful resource for Type I's...often a minority in support groups, IMHO. My first posting to the forum although I've been type I since age 7...now a healthy 45 year old (female).
I am mostly happy with the current combination of Humalog Pen and Lantus. My questions are in regards to Lantus:
I understand the "non-peak" aspect...but personally dropped very low in early a.m.'s (about 4-6 a.m) after injecting on a regular basis at 10 p.m.
s comment on his insulin adjustment, his Endocrinologist, not his PCP, should be aware that upping his Lantus dosage has not helped. You may wish to discuss premixed insulin, which is a combination of specific proportions of intermediate/long-acting and short acting insulin in one bottle or insulin pen. Btw, Lantus [not to be confused with Apridra] is a long acting insulin not short [fast].
40). He is really WEAK, when this occurs should more humalog (as in correction) be given? It's bedtime and I don't want him to drop low.
My sugar has been between 60 and 80 for the last couple of days. I have been taking 35 units of Lantus plus in addition to my diabeties pills. The reason I started taking the insulin is because my glucose could not be brought down. Now it is too down. Should I continue with the insulin now that is controlled?
He went to his endo with his problem and they changed his dosage to the 24 hr long acting, Lantus. He then takes a short acting when he eats. Things have been MUCH more stable sincen then. He has a little more flexibility with his eating times: not eating on time at lunch gave him lows and a crummy afternoon of work.
Over the years he had his dosage adjusted here and there, but it really made a difference when he switched to the long acting insulin.
It does take a while to figure out the right dosage for you when you begin any new routine. Ultimately, the Lantus should be able to give you better control and more lifestyle flexibility. I'm assuming that you take regualr insulin at mealtimes in conjunction with the Lantus. Of course, you would have to discuss this with your doctor.
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