levemir vs lantus dose

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.

Insurance forced me transition from Lantus to Levemir in February, and I haven't seen any difference in effectiveness. I am only taking one injection before bed, and it's worked just as well as Lantus in keeping my morning numbers in range. The biggest difference I noticed was that Lantus would burn every time I injected and Levemir does not.

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.

He offered me a levemir sample he said it had less weight gain than lantus and was the same., plus the levemir company still samples, I have been on this stuff for three weeks, I don't feel sluggish after taking it, I feel great, and the pen is nice!

I see the confusion If I understand you, you think Levemir is used for carbohydrates. Levemir is a basle insulin, meaning it works for 24 hours. Like a background insulin. the amount of Levemir taken has nothing to do with the amount of carbohydrates (carbs) you eat. That type of insulin is called a bolis insulin, like Apedra, Novalog... that insulin is taken according to how many carbs are eating and YOUR particular carb to insulin ratio.

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). I have given up using any alcohol or doing demanding exercise(jogging) for a while becuase they make the matters worse (though i really enjoy exercising). any suggestions to why this is happening or how i can take care of this would be greatly helpful.

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.

carb ratio. I also highly recommend the book, Using Insulin by John Walsh.

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.

Lantus works by crystalizing under ths skin. The "other" 24 hour insulin is Levemir, by Novo-Nordisk. It does not crystalize, but attains it's 24 hour effect another way. If you are haing difficulty with Lantus, you have every right to ask to try an equivalent alternitive. If your doctor has a reson why he thinks this is not advisable, he will tell you. The switch from Lantus to Levemir for me required no dose adjustment, and it performed just as well as Lantus.

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?

I just switched to levemir, I go to bed at about 100, wake up at 140 (lil higher than i want) but ill just up the dose 2 units. But seriously, levemir is much more stable than lantus. Its long acting like lantus, but Ive found there isnt any werid peaks and im more even.

If you believe your are reacting badly to Lantus (or any other medications) you should ask your physician for an alternative, at least to verify it is the medication and not some other factor that is causing the problem. Lantus is popular for it's 24 hour action, but so is Levemir (Novo Nordisk). NPH insulin can also be used for long acting insulin, though two injections may be needed to get the 24 hour coverage.

Anyone out there on Lantus, and have you heard about this and will you stop using Lantus due to this news?? What bothers me about this news is that the study seems a bit shaky...but, I also feel, where there is smoke, can fire be far behind?? I, myself, am thinking of changing to Levemir, at least until the experts decide what to do. Only because, I have enough health problems, if I can save myself some anguish, I think I will...What's your take on this issue??

I will send you the links for Lantus and Levemir later. I have reported both now and actually received a phone call from Lantus to get all pertinent info. Have to run this morning.

Your basal insulin dose (levemir) appears too low, as your background blood sugar is always high. 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.

Recently my endocrinologist suggest I use Lantus. She thought it would be better for me. I also use Humalog. She started me with 48 units of Lantus, at night. I quickly noticed that it was too high of a dosage. I was waking up in the middle of the night hypoglycemic. The lowest was 2.9 and even then, in the morning, sometimes at 3.5-4.0. She decided to bring it down to 40. Not low enough. During the day my ratios went from 1:7 to 1:6.

Does anyone know a formula for amount of Lantus needed for a basal dose vs how many units fast-acting you take per carb? I have major swings. Yesterday was told by a nurse that the Lantus I take is really low compared to amount of Humalog I take, but she never told me HOW much she thought I should be taking. I take 1.5 u Humalog per carb for all meals (for last 3 weeks - has changed many times). I'm supposed to take 11 u Lantus in am. My morning BS is usually 300-500.

You might also want to ask about the insulin pump, Which does the same as the Lantus. It gives you a base line of insulin and you just dose your self when you eat according to the amount of carbohydrates you eat.

I have recently started taking Lantus at night and Humalog before meals. After about a month my stomach pain was unbearable. 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.

Some people do think that Lantus insulin causes some patients to gain weight, while the new Levemir insulin apparently does not do this. I read some articles about this just yesterday and was surprised, for I take Lantus and have noticed no weight gain at all. So this could be a factor. However, a change in metabolism in middle age probably is the real culprit, along with possibly a slower metabolism because you are not eating. Exercise should help both problems. Start walking!

I am currently using Lantus (one dose in the morning only). Since these incidents I have started dividing up my dose into two or three injections in the morning. And for the record there have been other times in the past that I have accidentally injected into a capillary and the reaction is immediate and I can tell the difference from what I am now experiencing. My Dr's have no explanation.So now I am afraid to take my insulin as I never know what will happen.

I take Lantus every evening. I fell asleep and failed to take my dose. I woke at 5 am. should i inject novolog to correct my number?

If those are high and all you are on is a basal (long-acting) insulin then it sounds as if you also need to be on a bolus or fast-acting insulin before each meal dose determined by an Insulin:Carb ratio. That is the standard of care and if your doctor doesn't understand that (many don't) you should see an endo. When you get on the right basal-bolus doses, you will see those numbers come down. But if you are eating a lot of carbs, you will be fighting a losing battle.

Levemir takes effect in 3 - 6 hours, peaks in 6 - 15 hours, and is gone within 18 - 24 hours. It is possible your Levemir dose is gone before you expect it to be, which is why your scores are now higher in the morning. Consult your endocrinologist about possibly changing the time that you take the Levemir, as that could change your scores.

Levemir vs lantus dose

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