lantus dosing instructions

My Dr has prescribed a glucose 2hr PC as part of my regular HA1c bloodwork, and I wonder what he hopes to learn. I use Lantus in the morning for my baseline and Humalog for meals/high sugar etc. His instructions have never been clear when I go for the bloodwork after fasting ( the other tests he runs at the same time as the HA1c require a 12 hr and 8 hr fast). Should I administer both insulins as I would normally (Lantus at brreakfast time and Humalog if the fasting sugar is high, ie.

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?

htm 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.

I just got this injectable insuline device, but it does not come with step, by step instructions on how to open and how to apply and measure the right amount of insuline to be injected.

Recently my endocrinologist suggest I use Lantus. She thought it would be better for me. I also use Humalog. She started me with 48 units of Lantus, at night. I quickly noticed that it was too high of a dosage. I was waking up in the middle of the night hypoglycemic. The lowest was 2.9 and even then, in the morning, sometimes at 3.5-4.0. She decided to bring it down to 40. Not low enough. During the day my ratios went from 1:7 to 1:6.

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.

Call your local pharmacist. We at MedHelp are not allowed to give out dosing instructions. Your pharmacist will be able to tell you exactly how to dose the medications. If your regular pharmacy is closed on Sunday, call any pharmacist availabe at your local grocery store or drug store such as Walgreens, CVS, or RiteAid.

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.

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.

Some physicians have their patients bring their blood sugars down to a normal range in the evening, with Novalog and then keep it that way with a nightly dose of Lantus. But you need the cooperation and dosing advice of a physician.

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.

) So, I guess, my advice would be that if and when you retreat, be sure that you get detailed and accurate instructions concerning the medications and dosing instructions. Also, it would be wise to get a timer and set it and some alarms for reminders. I hope other here can tell you more about your other questions. Best of luck to you going forward.

That depends on your doctors comfort levels in prescribing , a patients ability to tolerate side effects, other medical conditions, effectiveness of using opiates, but typically- most physicians will not prescribe over 90 to 100 MME mg dosing per day-(Morphine equivalent dosing per day)- and typically only for patients who have been on opiates for some time. MME dosing combines both long acting and immediate release types of opiates to reach 90-100mg MME daily.

Hi, You need to speak with your prescribing physician about dosing instructions with the Suboxone. Make certain you follow his instructions, especially going from Methadone to Suboxone. Let us know how you make out.

Lantus dosing instructions

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