Lantus peak effect
Common Questions and Answers about Lantus peak effect
lantus
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.
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.
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.
Hello,
Ever since the beginning of summer, I've been waking up a few hours later than usual (usually 9:30 instead of 6:00 am)... Ever since, I've noticed that my morning blood sugar is very high (350-400). I take one dose of Lantus at 6:00 pm (But only 5 units, as I've constantly dropped it in the past to stop from going low during the day), and I inject Humalog before meals (1 unit for every 10 grams of carbs I eat). I am wondering what I can do to control my morning blood sugars?
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.
I don't think that wrinkled fingers would effect her readings, but I would make sure that her fingers are dry. It is a good idea to have very clean hands when you are testing because residual sugar on the fingers, from anything sweet could give a false reading. Might I suggest testing her right before she takes a bath and then waiting maybe 15 minutes after she takes a bath.
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.
I am on lantus and the Novolog pen. I know when I first started lantus I got very anxious and before I had to take it, just in a dead panic. I can not fully answer your question, but I need your help. Can you ask your daughter if her lantus burns, itches, and/or does the area she injects it (arm, leg, stomach) feel heavy or like a big knot is under it?
I ,too, have had severe lows after injecting my Lantus. I have tried to reduce the intervenus effect by splitting the amount injected into two equal amount at different sites, and pinching the fat well up. Seems to help. My doctor says it is impossibble to hit a vein when injecting into fat, but fairly frequently I get a bleed out and I think that means that I hit a vein.
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.
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.
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.
I have type 1 diabetes and am on Lantus. I was wondering though what the difference between 70/30 and Lantus is. My understanding is that they are both long lasting insulins, but I don't know much else. Does anyone know?
have type 2 diabetes latey bkood sugars beteen 250 -380 seen doctor recently was put o lantus 10u did nothing called doc she said to go up to 15u been a few days should i see a specialst she says she can control has not changed does lantus take awhile to take effect an also o metformin 1000 glipizide and juniva
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.
Type 1 for 40 years, good control but disagree with the constant increase in Lantus she adds every visit) Too many lows, not associated with Humalog, then too many rebounds after eating. I have almost perfect days when I slightly reduce the Lantus she prescribes. It's very frustrating, and she thinks this would be a good thing.
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 just started on Lantus and Humalog and my blood sugars seem to keep going up, I take 30 U at night Lantus and I take Humalog 10 before meals if my bs is 180 or higher, does this sound right, I was diagnosed a Type 2 about 6 years ago, but the Glipizide and Metformin I was taking has been stopped, but my fasting bs has been 270 or higher any suggestions I know control my diet I get that, I also weigh 239 my Dr's say to loose weight, and I am going to try.
Was prescribed Lantus 1yr and half ago and for all that time I was telling various doctors and the pharmacy that my sense of smell had been altered that all perfume smelt terrible. I even posted this on the internet. Also that my face cheeks get rash. All the Doctors and Pharmacies ignored me saying they had never heard of such a side effect. Further to much worse facial rash I insisted to go off the Lantus and get something else.
When the newer 24-hour Lantus was made available to diabetics, I switched and life is much easier now. The Lantus offers a base dose for about a day, with minimal peaks. The child then has to take a shot before every meal but the shot can be given immediately after he eats -- the mom watches carefully to see how many carbs he consumed and then figures the dosage out based on what he ate. The reasoning for using NPH instead of Lantus may be because more shots are needed with the Lantus.
I am not a physician, but the mom of a type one diabetic on the pump. I have not heard of this type of side effect from Lantus. I would suggest you talk to your endocrinologist and tell him, you problem, he might be able to switch you r insulin type or see there are other things causing you to have dry eyes. Several types of medications can cause that condition.
Hope this helps. Pleas let us know how it goes.
My 6 year old son was diagnosed type 1 30 days ago (Oct 2). I understand it's really apples to oranges trying to compare a new pediatric Type 1 who may be Honeymooning with an lifelong adult, but anything may be helpful for you.
He's a big healthy boy, 57 pounds. 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.
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