Lantus to nph conversion
Common Questions and Answers about Lantus to nph conversion
lantus
I've just been switched from Novilin NPH to Lantus. I'm to start at 10 units. for one to one correlation that seems to little, I was using 16 - 22 units at bedtime. Also is anyone combining both Novilin NPH and Lantus with Lantus at bedtime and the NPH at a lower dose around noon.
My son recently changed from NPH/R/H to Lantus and humalog pens. This is his fourth day on Lantus. He is doing fine but I am having problems trusting the Lantus - when his b/s drops below 100, I want to give him a can of apple juice, and of course that causes a moderate high. Also, he is not interested in stopping to eat as many snacks and meals because he does not have to 'feed' the NPH. Are these common problems in families starting on Lantus?
I would suggest you take your daughter to an endo and ask to have her placed on the more up to date treatment regimen of a long-acting basal, which would be either Lantus or Levemir, and bolus such as the Humalog with a dose determined by insulin:carb ratio. I also highly recommend the book, Using Insulin by John Walsh.
as I never heard of these problems with Lantus. Lantus is a 24 hour basal insulin that starts to work in an hour after injected and lasts most of the day without peaking. Also, I have never heard of a Lantus pen but have a call into our local rep to ask. My teenage son has Type 1 diabetes and there is never a dull moment with diabetes, is there.
She takes only one shot of lantis a day. She takes this at bedtime. She has been on lantis for 5 months. (she used to take NPH) She does not notice as many peaks and valleys as when she was on NPH, however, she has heard from people other than medical professionals that it really only lasts 18 hours. My sister feels that being on lantis has helped her.
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.
I personally would ask the doctor why she is putting him on NPH instead of on Lantus. I was on NPH for over 20 years as I grew up, and the odd peak times of this kind of insulin force you to feed the peaks. 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.
Heck, I was even using NPH instead of Lantus because I could never get Lantus to work right for me. Even so, my two NPH shots plus sliding-scale Humalog worked very well. And I work out (aerobic and weight lifting) religiously.
The tight control changed as my metabolism changed in my early 30s. I'm 32 now and things just went a little whacky, for lack of a better word. I tried (like hell) to get things back under control, but I just couldn't do it.
If you find that your problem is not due to night lows or to timing of Lantus injections, but is a Dawn Phenomenon evidencing itself, then please tell your doctor what you have read about (do a Google search on "Dawn Phenomenon and print out some articles for him or her). That way you can discuss it with your doctor and maybe help some of his or her other patients as well.
He went to his endo with his problem and they changed his dosage to the 24 hr long acting, Lantus. He then takes a short acting when he eats. Things have been MUCH more stable sincen then. He has a little more flexibility with his eating times: not eating on time at lunch gave him lows and a crummy afternoon of work.
Over the years he had his dosage adjusted here and there, but it really made a difference when he switched to the long acting insulin.
In my case, it takes a bit less Lantus than it did NPH when I was on it. It sounds as if you do need to increase your dosage... I personally don't notice a huge difference between one or two units more or less. I would suggest that you don't wait for your appointment, but call your doctor and tell him or her what your sugars are running (write down the results so you have a record) and ask if you should increase by another 2 units.
I personally love Lantus...
The most effective and up to date diabetes regimen is a long acting basal insulin such as lantus or levimir either once or twice daily and a rapid acting bolus before each meal, dose determined by an insulin:carb ratio so that the dose is covering what you are actually eating. I would ask for a referral to an endo as your doctors don't seem to be up to date on treatment.
My grandson is a Type 1 diabetic. He takes Lantus at night, NPH and Humalog at Breakfast, and Humalog at evening meal. He measures his blood sugar six time a day: 7:30am (breakfast), 9:30 am, noon, 5:30 pm (dinner), 7:30 pm, and 9:30 pm. My concern is the apparent difference in effectiveness of the Humalog which he takes at 7:30 am and 5:30 pm. He measures his blood sugar two hours after taking the Humalog (@ 9:30 am and @ 7:30 pm).
Hi,
controlling your blood sugar is critical for your babies' well being.
In pregnancy this requires both basal and bolus insulin. Seems your new doctor is not so experienced in managing diabetic pregnancy.
Lantas and humalog combination is used by many already as seen above.
When I was pregnant I used Humalin-N (NPH) as my basal and Humalog as my bolus.
Keep up your hard work on managing theblood sugars.
I myself used to have lows when sleeping often enough to frighten me and my husband when I was taking NPH. I switched to taking a 24-hour insulin called Lantus, and this solved the problem for me. So if he is not interested in switching to a pump, beautiful control without severe lows can be acheived with this newer-than-NPH insulin.
I agree with the previous postings that stress can cause lows, and of course being a newlywed is a stress, even though a GOOD stress.
Some people find that one works more effectively than the other, so which is used is really up to the patient. Humulin, more commonly called Humulin NPH, and even more commonly called just NPH, is a long acting insulin. It is absorbed more slowly, and it's effects last longer, about 12 hours. Usually NPH is used in combination with one of the fast acting insulins. An alternative long acting insulin would be Lantus.
Most patients require only about 80% of their old NPH dose when they switch to Lantus, so the fact that you are having to INCREASE your insulin dosage seems to indicate that the root problem may be insulin resistance. The fact that you write that your weight is normal and you eat a low-carb diet seems to make this the only logical explanation for the constantly increasing glucose readings. You may want to do some reading on this problem and current treatments for it.
I believe that the switch from evening Lantus to moring Lantus is generally made in the following manner but you should REALLY see a Dr. to do it correctly. Generally I think they change it over a long period of time by taking 1 less unit at night and then taking 1 unit in the morning and the following day take 1 less unit at night and 2 in the morning etc. I have never done the switch so I am not the best person to advise on it but that is what I understand.
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