Lantus dosing twice daily
Common Questions and Answers about Lantus dosing twice daily
lantus
Hi,
If this low dose of lantus twice daily is working for you without any problems, there is no reason to change it. Lantus is written as once daily but many doctors(including myself) and patients split the dose because even though it is supposed to be "peakless", it is not for some people. At low doses it works especially well as a split dose. Levemir can be used instead, and is more commonly written as twice daily.
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.
Separate dosing of Lantus (long acting) and Humalog (short acting) where you inject each insulin separately (also called MDI for multi daily injections) is much more flexible. You test and adjust your basal insulin (lantus), then you dose your fast acting for each meal based on how much food / carbs/ protein you eat. You can also use your Humalog to correct for high blood sugars. Mixed insulin cannot be used to correct high blood sugars.
s way of dosing insulin is rather old-fashioned and there are new dosing regimes that can be more effective. Such as dosing your insulin to give a basal level, and then dosing based on carbs/fat/and protein in every meal.
There is good information on line and website that offer support and information for lower carb diets and diabetes management.
Please send me a message directly to my mailbox and I'll send you a link to a support community, if you are interested.
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 main concern I would have about the addition to Lantus 20 units daily would be the risk of low blood sugar, especially in combination with glimepiride. Both Lantus and glimepiride can cause low blood sugar or hypoglycemia. Just make sure you're watching for the signs of low blood sugar, which are, sudden headache, feeling shaky, and weakness. There are many more signs of hypoglycemia and I encourage you to research it more yourself.
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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.
An A1c of 8.9% equates to a daily glucose average of 208.73 mg/dl, a little over twice the normal daily average. At 83 yo and with his current ailments Lantus may be required. A second opinion, especially from an endo, would not hurt.
If you decide to go with Lantus, his insulin glargine may come in cartridges [not vial], the medication will already be inside. He must only use the OptiPen One Insulin Delivery Device with the cartridges.
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.
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 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.
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.
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?
(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?
If you are on triple therapy for genotype 1 and undetectable then your doc is following AASLD protocol for anemia management
Anemia developed among recipients of both PIs. Hemoglobin decreases below 10 g/dL (grade 2 toxicity) occurred in 49% of patients who received a BOC regimen compared to 29% of those who received the SOC
regimen, whereas 9% had a hemoglobin decline of <8.5 g/dL (grade 3 toxicity).
If you intend to use the Klonopin as a prophylactic (preventative) treatment for a chronic anxiety disorder (such as panic disorder), it should be dosed twice daily at the minimum. When dosed twice daily at the minimum, Klonopin accumulates. The amount of the drug in your system is held at a consistent level once it accumulates. The benefit of accumulation is twenty-four hour coverage for your anxiety symptoms.
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