Lantus twice daily
Common Questions and Answers about Lantus 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.
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 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.
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?
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 tried to decrease my lantus intake from 28u to 21u, but the nighttime drop didnt decrase or disappaer, insated i started to have very high readings during daytime. I also tried to take lantus twice a day, but that didnt make any difference either. I am wondering whether this is some hormone related issue ,or whether I have developed some resistance vs humalog so it doesnt work well (and the lantus is too much).
No, I am not aware of any people who have contacted us with any kind of resistance to Lantus. I do know that Lantus must be replaced at the end of a month on one bottle. The expiration date is really important, for near the end of the month, some of us find that it no longer crystallizes properly. Some people notice that when the Lantus bottle is about one month old, it doesn't work well. But if you just started the bottle, this is probably not the problem.
sugars between 250-280 daily on metformin glipizide junvia seen doc she put me on lantus 10u did nothing went up to 15u still noting been a few days does it take a while to take effect how much can you take ,also asked to see specialst she said she could do it should i insist to see one?
I have had so much problem with that Lantus Opticlik that my Health Providers will switch me to the Levimere Flex Pen after I use up all the lantus cartridges. Is lantus a better insulin or is Levimere just as good as Lantus using it as a basal 24 Hour insulin???. I get my supplies from the Military Hospital because I am a retired service member and they do not have the lantus solostar flex pen but they do have the levimer flex pen.
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.
Scottlaw,
We are volunteers here and not medical professionals. We do have a lot of experience with Type 1.
It is time to check in with your end about this pattern. When we have a severe low, it does take time for our liver to restore the levels of glycogen needed to combat the next low.
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.
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!).
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.
Most doctors nowadays use Lantus alone as the long-lasting insulin and have given up NPH altogether because of the scary lows that often happen when it peaks. 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.
How to figure out exact amount of daily amount of insulin son uses when he uses 4-5 bottles of novalog insulin a month?
She has been taking Lantus at night and she dreads taking it because it causes her to scream from the burning in her arm. She uses the smallest needles available for the pen. Her diet is very limited and on a daily basis she usually eats about 2 bowls of cucumbers with vinegar and a bit of olive oil and some type of protein, such as chicken or salmon. Her sugar is never consistant. Sometimes her sugar level reads 430, 525, 290 and so on through out the day and sometimes hits way low around 50.
It is a once a week injection that I take along with my daily Metformin and nightly Lantus injection. It has worked really well over the past year. Has anyone else used it? Others I have spoken with have never heard of it. And on top of that, I spoke with a customer service rep at Brystol-Myers who said it was not intended to be used with insulin.
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