Lantus insulin peak
Common Questions and Answers about Lantus insulin peak
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but the Vol is wrong in that Lantus does not have a peak. It does have a peak at about 4-6 hours but it is not a large peak. This peak does effect many users in the middle of the night.
The easiest suggestion is to make sure that you test at dinner. You really need to be doing this regardless of whether you are on Lantus or not.
You might talk with your endo about using Lantus -- a very long acting insulin that has almost no peak. Some folk take split doses and others take one dose a day. A potential disadvantage to Lantus is that it CANNOT be mixed in a syringe with short acting insulin. This characteristic requires taht folks take more shots usually. If the results are good and if you can afford the additional syringes, it is often a good treatment plan.
Good luck & let us know how you're doing...
And as for the sweats about a half hour after taking Lantus, there IS a slight peak action with Lantus, although this peak action for most people is several hours after taking the Lantus. In my case, I usually take my Lantus at about 6 am, and I notice a peak that causes my glucose levels to drop by about 8 am. This happens even if I have not taken any Novolog or eaten breakfast (sometimes I wait until I get to work to take Novolog and eat breakfast), so it has to be the Lantus peaking.
Yes this happens a lot, when switching to lantus or the pump. Lantus is a long acting insulin that has no peak it gives you a steady basal rate similar to the insulin pump. I realize that it is hard to trust the the insulin enought to not have a snack, but it does work, and it is hard to resist the urge to react to the number.
m not a medical professional, just the parent of a kid with diabetes. Lantus is a long acting insulin that starts working within 1 to 2 hours, with a minimal peak in about 6 hours, and lasts 24 hours. You take one shot of it for your long acting insulin, and you still need to take a fast acting insulin to cover your corrections and meals. It is provides a fairly constant basal insulin all day long.
I have had diabetes for 28 years, and I live in Canada, where Lantis is not sold, because of a pricing dispute with an arms-length government body. I just started using Lantis, by crossing the border and paying the ridiculous price for it because of the claims I've heard from users. Okay, so here's my question to verteran users of Lantis. Is it that much better? In the last few days I've read people say they are taking two doses of it.
Hi again Steveman,
A few thoughts come to mind -- even tho' you're a teen ;-)
Often our summer schedules are different from school-year schedules and it's reasonable to expect to make changes in our diabetes management, too. I'm not sure which long-acting insulin you're taking, but it sounds as tho' it's not Lantus -- one of the newer insulins that doesn't *have* a real peak and lasts about 24 hours.
The other comment by imediject is another possibility. If you are injecting Lantus as your long-lasting insulin, and are injecting it in the morning, the Lantus will probably wear off between 20-24 hours after injection, causing glucose levels to rise in the morning until that morning's dose can kick in and cover it. You need insulin whether you eat or not, for a normal body produces and uses small amounts of insulin all day long, not just when we eat.
Most diabetics in America who take injections rather than using a pump use Lantus once or twice a day and a quick-acting insulin like Novolog before meals. We do not normally take NPH with the Lantus, for they do similar things. Once the Lantus dose is right, NPH becomes unnecessary. I would suggest that you discuss this with her endo.
My wife has since filed for divorce, i am now on new insulin, Lantus, and i cant even talk with her. There are more things that were going on because of the NPH since my doctor had instructed me to take a third shot at lunch time. I love this Lantus, things are great since ive been on it but still having trouble understanding the things abou tthe NPH, any help would be apperciated.
For people with night lows, taking the Lantus in the morning is the safest way to take this particular type of insulin, for it DOES have a slight peak action about 4 hours after injection, and for people taking it at night, the peak is while they sleep. If he takes it in the morning, this peak happens right before lunch, when he is awake, and the total dose peters out while he sleeps so a severe night low is pretty much impossible.
Hi, this is probably reflecting the peaking of the lantus. If 60s are as low as you go, it 's probably not too big a problem. Your fasting blood sugar is not low. Likely what is happening is that you are going a bit low, and then going a bit higher. You may possibly consider changing your lantus dose to the morning instead of the evening. This way the 'peak' will be happening during the day.
I have read on other sites of people having similar unexplained problems with lantus, longtime T1s that describe the feeling as being like a big spurt of insulin from the pancreas but they are long past a possible honeymoon phase. All conclude it's haywire absorbtion. I take one bedtime dose, do not mix, and always use a new syringe. Does anyone have experience with this or know of more detailed info on Lantus absorbtion and stability? Thanks.
My tests indicate to Drs. I am or am becoming type 1 and concerned with weight loss so placed on insulin. Lantus -5 units. Sugars are controlled and A1c in the 6'es. The big problem is that I am basically foggyheaded all the time upon awakening. Unclear, drunk feeling although not like I am going to fall down. they have checked adrenal glands, thyroid,etc. there seems to be no pattern with sugar levels. Could it be the suger levels, or insulin itself?? Or something else.
About a month ago, my doctor changed my long acting insulin from Novolin NPH to Lantus. This completely threw me off and I ended up being woken up by paramedics 3 times in 1 week. My blood sugar would be normal before bed and then by morning it had gone to 1.8. When I would eat a snack before bed to keep my blood sugar from dropping, I would go high - 13.0-15.0 on average. My doctor has now switched me back to my Novolin NPH and I am still having a hard time getting back on track.
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. So if your glucose levels have not improved after several days on insulin with glucose readings still running between 400-600, I would certainly call my physician and tell him or her that this is not acceptable diabetes management in your opinion and ask him or her what changes to make.
Lantus is very slow-acting and really rarely causes severe hypoglycemia, in my experience, for warning symptoms occur long before it gets severe. However, if the warning symptoms are not listened to, I have personally noticed that the hypoglycemia that eventually happens makes me feel worse than some of the quick-acting insulins do.
The currently accepted treatment of choice is a basal (long-acting) insulin like Lantus once or twice a day and a bolus or rapid acting insulin before meals. A fixed dose of bolus like you describe is not as good as developing a carb ratio. You need to take the correct insulin dose each meal to cover what you eat (unless you want to eat the same thing every meal!).
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