Lantus dose adjustment

Common Questions and Answers about Lantus dose adjustment

lantus

Avatar n tn His blood sugar at 9pm was 155 I gave him the Lantus as ordered.At 2am he was shaky,sweaty,and weak.was the Lantus dose to much for his blood sugar level?I should mention he ate supper late 7pm.I'm wondering if I gave it to close to thr humolog dose before supper.
Avatar n tn Many of us who take Lantus and who are prone to night lows opt to do this morning dose instead of the evening dose. Obviously you would need to discuss this with your doctor. And of course you cannot just change one night, for you either would be doubling the dose by taking the Lantus the next morning or you would be going without Lantus for a half a day if you wait until the 2nd morning to take it.
Avatar n tn Glucose levels before breakfast, under some protocols, adjustments are determine by the dose of Lantus before bedtime, for example.
12861759 tn?1432917955 I am currently using Lantus and Novolog. Drs. advice is to start with 40 units of Lantus and up it 2 units every third day until I get a fasting BG of less then 130. Is it more important to get to my Lantus goal on a consistant basis before I try to adjust my Novolog?
Avatar m tn 3 months ago my 84 year old father was switched from 4 mg glimperide to lantus 30 units, then 40 units. A1c was 8.9 before change. Now it is 11.5 and he has lost appetite and 10 pounds. This week we started 8 units of insulin before meals. Bs still 200s to 300s all the time. He does have chronic renal failure which has been stable. My question is why go through all this hassle, which is not easy for his age if it's making bs worse? Couldn't he go back to pills and add on another med??
Avatar n tn Does anyone know a formula for amount of Lantus needed for a basal dose vs how many units fast-acting you take per carb? I have major swings. Yesterday was told by a nurse that the Lantus I take is really low compared to amount of Humalog I take, but she never told me HOW much she thought I should be taking. I take 1.5 u Humalog per carb for all meals (for last 3 weeks - has changed many times). I'm supposed to take 11 u Lantus in am. My morning BS is usually 300-500.
Avatar n tn 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?
Avatar n tn The 72-hour glucose monitor is used often by doctors to attempt to ascertain what kind of glucose patterns a patient is having or how certain foods or activities affect that patient's glucose readings. If you are having trouble fine-tuning your insulin regimen, then your doctor may hope that using this device for a short period of time will help him or her try to establish a better combination of basal dose and mealtiime bolus to keep your glucose levels more even-keeled than they are now.
Avatar n tn Sorry, my comment should have been directed to Suzanne.
Avatar n tn I am currently using Lantus (one dose in the morning only). Since these incidents I have started dividing up my dose into two or three injections in the morning. And for the record there have been other times in the past that I have accidentally injected into a capillary and the reaction is immediate and I can tell the difference from what I am now experiencing. My Dr's have no explanation.So now I am afraid to take my insulin as I never know what will happen.
Avatar f tn 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.
Avatar f tn 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.
Avatar m tn Lantus should be used as your long acting / basal insulin. look up basal testing, which will explain how to work out what dose of lantus you need. Then you use fast acting insulin based on how many carbs you eat and your insulin sensitivity. #30 is too low. You want to keep your blood sugar in the 70 - 120 range (ideally middle of this range if you can).
Avatar n tn If I were to switch I would ask my Dr. if I could skip 1 dose of Lantus and just start on a new schedule. In other words I would skip 1 evening dose and not take another dose until the following morning 36 hours later. This would seem to be the easiest to me but you would have to bolus a lot that one day to compensate. Like I said see the Dr. this can be really complicated. Long answer to a short question. Hope it helps some.
Avatar n tn You might also want to ask about the insulin pump, Which does the same as the Lantus. It gives you a base line of insulin and you just dose your self when you eat according to the amount of carbohydrates you eat.
Avatar n tn The insulins that are available right now (you did not mention which type or types you are currently taking) certainly do their peak work and then dissipate within one 24-hour day, if not sooner, so there is no benefit to waiting longer than this to see what happens. At this point, the adjustment to insulin doses is generally done EACH day, according to when the peak action of whatever type of insulin the diabetic person is taking.
Avatar n tn Some of us prefer to split the Lantus dose, taking some in the morning and some in the evening to equal the complete dose. That way, only half is petering out after 20 hours, and the sugar levels stay more even throughout the day. The Lantus shouldn't work quickly, for it crystallizes in the injection site and slowly dumps tiny bits of insulin into the body all day. So the quick-acting insulin is what you want to use to lower a high reading.
Avatar n tn 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?
Avatar f tn Also is anyone combining both Novilin NPH and Lantus with Lantus at bedtime and the NPH at a lower dose around noon.
Avatar n tn My dose for lantus is 22 but what if while my mom was injecting me she accidentally forgot 4 units off
Avatar m tn m trying to say is maybe your son needs to increase his lantus dose, watch his night meals carefully... and of course consulting an endocrinologist is essential... Hope your and your son best!!!
Avatar f tn My 23-year-old nephew who is 6'2" 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.
Avatar n tn Keeping good records showed me that I got 18-20 hours of coverage At Most from the Lantus, and when I hit that blank spot between 4 and 8 AM, there was just nothing left. I ended up splitting the Lantus to a 2/3 dose in the AM, and 1/3 in the evening. That covered the 'no Lantus left' spot that was causing the mystery highs.
Avatar n tn Does anyone know what the keys to good, consistent control are with this product? My doctor merely generalized by saying I would need to find my dose with Lantus by increasing a couple of units every few days for high fasting BG. Thanks for any light you can shed.
Avatar f tn Novolog is before meals And Lantus is before bed or late in the evening.
Avatar n tn 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.
Avatar f tn My daughter is 17 and is having trouble with adjusting insulin doses...how much lantus would be a good dose to start with?
Avatar f tn 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!