If you are just starting with insulin it might be best. I'm actually working closely with my group's diabetes educator as well as him. It's just going to take time. I'm famous for expecting instant results.
I would agree with others, your Lantus is likely not even close to what you need. As a T2, I struggle with my fasting blood sugars and use about 50 units of basal a day.
This establishes your physiological dose. You need to wait several days, or even a week from basal dose changes in order to fully observe the changes. Typically you will send in your blood sugar readings to your doctor or CDE and they will guide you through making these adjustments.
I have to be honest with you. If you have been on Glipizide for some time, you likely have little beta cell function left. A basal insulin is useless for dealing with the rise from meals and raising your basal to try to compensate for meals is a recipe for weight gain.
I was this morning with light pm eating with 14 units. I'll check in 2 hrs. Lunch should be under after 2 hrs according to my guidelines. Wht I'm finding too is that the sugar-free candies are adversely affecting my levels apparently. I have to tell you, I eat a lot less carbs. I couldn't hope to eat that and maintain good blood sugar control. I'll typically have a cheese omelet and perhaps a side of sausage.
And I agree with your experience on the candies, they often contain sugar alcohols which are carbs and in some cases are no better than regular candies. Returned from a bike ride and am reading I eat Kashi Original sometimes also. Lots of fiber and protein to slow down the absorption of carbs. It does contain sugar though.
Haven't had a glass of juice in yrs. The Lantus pen is called Lantus Solostar. It contains 3 mL of solution with units of insulin per mL. The Levemir pen is called Levemir FlexTouch. It also contains 3 mL of solution with units of insulin per mL. Lantus and Levemir are both given as an injection just under your skin a subcutaneous injection.
Lantus and Levemir both contain long-acting insulins. Therefore, both medications can cause very similar side effects. Below are examples of these side effects. This list contains examples of more common side effects that can occur with both Lantus and Levemir when taken individually :. This list contains examples of serious side effects that can occur with both Lantus and Levemir when taken individually :. Lantus and Levemir have different FDA-approved uses. A review of studies found that Lantus and Levemir were equally effective at improving blood sugar levels in adults with type 1 diabetes.
There was also no difference in the risk of low blood sugar episodes between the two drugs. The review of studies also looked at people with type 2 diabetes. The analysis found no difference between Lantus and Levemir in improving blood sugar levels or in the rates of low blood sugar episodes. Lantus and Levemir are both brand-name drugs. There are currently no generic forms of either drug.
Brand-name medications usually cost more than generics. According to estimates on GoodRx. Here we look at how Lantus and Basaglar are alike and different.
The Food and Drug Administration FDA has approved both Lantus and Basaglar to improve blood sugar levels in children ages 6 and older and adults with type 1 diabetes.
Both drugs are also approved to improve blood sugar levels in adults with type 2 diabetes. Lantus and Basaglar both contain insulin glargine. Basaglar is called an insulin follow-on drug to Lantus. This means that Basaglar is a biologic product made from parts of living organisms that is highly similar to Lantus. The FDA considers follow-on drugs to be just as effective and safe as the original brand-name version of the drug.
Lantus and Basaglar both come as a liquid solution in a disposable, prefilled pen. Lantus and Basaglar are both given as an injection just under your skin a subcutaneous injection. The drugs are typically given once a day.
This list contains examples of more common side effects that can occur with both Lantus and Basaglar when taken individually :. This list contains examples of serious side effects that can occur with both Lantus and Basaglar when taken individually :.
Lantus and Basaglar are both FDA-approved to lower blood sugar levels in adults and children with type 1 diabetes. They are also both approved to lower blood sugar levels in adults with type 2 diabetes. The use of Lantus and Basaglar for type 1 diabetes and type 2 diabetes has been directly compared. In a 1-year study , Lantus and Basaglar were found to be equally effective at improving blood sugar levels in people with type 1 diabetes.
The people had similar rates of hypoglycemia low blood sugar , allergic reactions, and changes in weight. In this study, both drugs were used in combination with mealtime insulin.
In another clinical study , Lantus and Basaglar helped control blood sugar levels about equally well in people with type 2 diabetes. The drugs were used in combination with oral taken by mouth medications for six months. Lantus and Basaglar are both brand-name drugs. Here we look at how Lantus and Tresiba are alike and different.
Lantus is approved for people ages 6 years and older with type 1 diabetes and for adults with type 2 diabetes. It comes in two forms:. Both Lantus and Tresiba are given as an injection just under your skin a subcutaneous injection. Lantus and Tresiba both contain long-acting insulins. This list contains examples of more common side effects that can occur with both Lantus and Tresiba when taken individually :. This list contains examples of serious side effects that can occur with both Lantus and Tresiba when taken individually :.
Lantus and Tresiba are both FDA-approved to improve blood sugar levels in people with type 1 and type 2 diabetes. The use of Lantus and Tresiba in treating type 1 diabetes has been directly compared in several clinical studies. In a pooled analysis of these studies, Lantus and Tresiba were found to be equally effective at improving blood sugar levels in adults with type 1 diabetes.
Another clinical study found no difference in blood sugar level improvements between Lantus and Tresiba in children with type 1 diabetes.
The use of Lantus and Tresiba in treating type 2 diabetes has also been directly compared. A pooled analysis of nine studies found that Lantus and Tresiba improved blood sugar levels to a similar degree in adults with type 2 diabetes.
However, there was a lower risk of severe low blood sugar and low blood sugar at night with Tresiba. Lantus and Tresiba are both brand-name drugs. Lantus may be used with other diabetes medications, including other injectable drugs or medications taken by mouth. People with type 1 diabetes will need to take Lantus along with a mealtime insulin. A mealtime insulin is needed to control spikes in blood sugar that occur after eating. People with type 2 diabetes will also likely need to take other diabetes medications besides Lantus.
There are several different types of injectable or oral taken by mouth medications that your doctor may prescribe. These drugs lower your blood sugar further and help prevent serious complications, such as nerve damage. Typically, your doctor will start you on a low dosage. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. The following information describes dosages that are commonly used or recommended.
However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs. Note : Making any changes to your insulin treatment plan could increase your risk for both hypoglycemia low blood sugar levels and hyperglycemia high blood sugar levels.
Lantus comes as a liquid solution inside vials and disposable, prefilled pens. Each vial of Lantus contains 10 milliliters mL of solution. Each mL contains units of insulin glargine. This strength is also called Lantus U The disposable, prefilled pen of Lantus is called SoloStar. Each pen contains 3 mL of solution. There are units of insulin glargine in each mL. That adds up to a total of units of insulin per Lantus SoloStar pen. And keep in mind that each form of Lantus takes a different needle type.
The Lantus vial and Lantus SoloStar pen are both meant to be used more than once. This is known as being multi-dose.
The number of times will be different for each person, depending on your dosage. You can use the vials and pens for up to 28 days after you open them. After that time, you should dispose of the vial or pen, even if it still contains some of the drug. If you have type 1 diabetes , the starting dose of Lantus is generally about one-third of your total daily insulin dose.
Your total daily insulin dose is based on your weight. It typically ranges from 0. There are about 2. For example, a lb man weighs about 68 kg. If his doctor prescribes 0. His starting dose of Lantus would be about one-third of 34 units, which is about 11 units of Lantus. The drug is given as an injection just under your skin a subcutaneous injection. You can inject Lantus in the skin of your upper arms, belly at least 2 inches away from your belly button , or thighs.
The usual starting dose of Lantus for people with type 2 diabetes is 0. The usual starting dose of Lantus for children with type 1 diabetes is calculated in the same way as for adults. The dosage of Lantus for these children is about one-third of their total daily insulin dose. It ranges from 0. For example, a lb child weighs about 27 kg. If her doctor prescribes 0. If you miss a dose, take it as soon as you remember. This could increase your risk for serious side effects, such as hypoglycemia low blood sugar levels.
You might. Lantus is typically used for long-term treatment of diabetes. Lantus can interact with several other medications.
It can also interact with certain supplements as well as certain foods. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make them more severe.
Below are lists of medications that can interact with Lantus. Before taking Lantus, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.
Taking Lantus with other diabetes medications can increase your risk for hypoglycemia low blood sugar level. You should ask your doctor about getting on fast-acting insulin to go with your long-lasting insulin. With a cautionary note: basal insulin is the foundation for everything else. That needs to be dialed in correctly first. Otherwise you can get into a never ending tail-chasing mode trying to get the mealtime insulin figured out.
Hi Brian they fixed my account. I was at today!!! I am now appointed guardian by court. I see endo on Nov 3 so I am taking lots of reading to bring my meter in. Feeling so much better, Thanks! You may actually end up finding out that your basal needs are lower than you think, maybe units.
And I have to tell you a basal insulin is likely not going to be sufficient to control your blood sugar all the time. Meals and stress like you have been going through will raise your blood sugar. Maybe you still have some insulin production going, but that is a huge blood sugar surge. You can raise your basal insulin levels to try to counteract these surges at mealtimes, but that is not the best way to deal with it.
Until you see your endo and hopefully get some rapid mealtime insulin you will likely find the best way to avoid after meal highs which can often linger for hours is to eat a low carb diet. Keep your meals as low carb as possible and that will reduce the after meals surges in blood sugars. But understand, that showing logs that your blood sugars are too high after meals is key to having your endo decide to start you a rapid insulin.
So low what you eat so you can demonstrate that you need a rapid insulin. Do you think mail order pharmacy insulin is ok? I can get trisba and others for a max payment for a day supply. This morning fasting. I forgot metformin. I have been very happy with mail order fulfillment of my insulin.
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