Levemir to lantus dose conversion
Common Questions and Answers about Levemir to lantus dose conversion
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.
When you eat, you need the fast acting insulin like Novolog to act quickly to cover the meal. For some, Lantus and Levemir act the same. For me, Levemir seemed to work better in that it provided more consistency to my blood sugar levels. I like Levemir. I have switched to 2 shots per day (morning and night) instead of just taking the 1 shot at night, because the 1 shot at night may not cover the 24 hours.
And what do you call "eating low carb"? I eat under 50gr a day.
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.
That is absolutely impossible to say, especially for someone on an internet website! All diabetics are different. I'm assuming she is Type 2 as that is the forum you are posting to? It would depend on her degree of insulin resistance, her weight and other factors. Is she newly diagnosed? Didn't her doctor give her a starting dose? Is she on a basal/bolus regimen or just on the basal (Lantus). You say she is having trouble adjusting doses. What was she on before and what were the results?
It was working so well for me previously. I went to a new endo about a year ago, and he suggested I try Levemir instead of the Lantus. Once I started the Levemir, I noticed a marked improvement with more consistent bg levels. I am a Type 1 diagnosed at 33, and I am 10 years into the disease. I take sliding Humalog and 12 U Levemir at bed. I hope this helps.
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.
Hi jchitty,
There is actually a really simpe reason to why Lantus stings when coming into contact with the body. The reason lies back to the pH value of the Lantus and the pH value of your body. Values of pH simply describe how acidic or how basic a solution is, the closer to 1 the solution is more acidic and the closer to 14 the solution is, the more basic.
I did not start any other meds with the Lantus. I also became proactive last night and stopped the Lantus. I went back to my NovoRapid, Novolin NPH routine. Will see how I feel in a couple of days. Today went well. I want to find out before discussion with the dr. if this could be the problem, otherwise they will have nothing to compare it to because as I am finding out there are many different reactions as there are people.
I would recommend that you work with your doctor to increase your levemir dose such that you can get your base blood sugar levels down to a more normal level.
That may need to be done over a period of days to weeks. You may want to try splitting the levemir into 2 doses 12 hours apart as some people find this gives better coverage. So, if you take 22 units then take 11 units each 12 hours apart.
Then you would increase (with your Dr.
It began with chills at night, severe dry heaves, (unable to throw up due to reflux surgery) and diahhrea. My doctor said he thought I had a virus. I could not figure out what was going on. I usually gave myself shots in the upper stomach area, so I moved the shots to my legs with no improvement. I even tried Levemir, but after two days the pains came back. I stopped all shots and the pain and other symptoms went away.
Funny, I posted a similar e-mail 2 weeks ago. But I have to say that insulin does cause the person to gain weight and age does not help either. I got that information from Kaiser Permanente's web health library. I began to gain weight when a was placed on 4 shots per day. In addition, I also have to take neurontin which also has weight gain as a contraindication. So, inform your self by researching the contraindications of insulin as well as checking on all your meds.
s truly scary (particularly when driving), and it took a lot of carbs to counteract. It seemed as though the entire Lantus dose took effect immediately (like a fast-acting insulin). After the third incident, I began to split my Lantus dose, taking half in the morning and half in the evening. I've had no problems since - but if I do, I know that I'll be dealing with the effects of only half as much insulin.
RL has given you sage advice. I agree with it. If changing the time of your injection according to your doctor's suggestion (after you talk to him) doesn't help, you may want to ask your doctor if there is a type of insulin that will match your body's routine better. There are many available types, and all have slightly different peak action and length of duration times. There may be one that matches your own body's clock better. We wish you the best.
What were the reasons explained to you by the medical practitioners to "add to my Diabetes Type II meds regime" two orals and one injectable insulin? What meds are you currently taking? W/o knowing you medical history it would be hard to answer your first question. As for the second ?, what do you mean by non-reversable step?
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