Typically the base rate of insulin a person needs drops between Midnight - 3am. Then around 4am the liver starts releasing glucose, which causes blood sugar to rise. This "dawn phenomenon" is thought to give the extra glucose a person needs to wake up and transition out of the parasympathetic rest and digest stage.
One of the disadvantages of an insulin like Lantus is it gives one, flat base rate of insulin. In reality our bodies need different base rates at different times of day.
That's what contributes to many of the highs and lows diabetics using insulin have. I'm a type 1 diabetic and use an insulin pump, which uses just short acting insulin like Humalog or Novolog. I can set my base rate to what is needed, which for me is seven different rates between. I get the highest rate during the early morning dawn phenomenon time and the lowest rate around midnight when my insulin needs drop.
These rates keep my fasting blood sugar steady. When I eat I program the pump to give additional insulin to cover the carbohydrates consumed and also to give extra insulin to correct a high blood sugar. Specializes in Hospital Education Coordinator.
I take mine in two doses split the total daily dose. I get better coverage that way. Time does not matter as long as it is consistent. I educate night workers on this a lot. Interesting exp. Oct 12, I've heard that theory before, but there are a couple reasons that I go with the "waking up and getting ready" explanation for blood sugar rise caused by the liver.
First, non-diabetic adults also have dawn phenomenon. They don't have hypoglycemia so there is no blood sugar related reason for the liver to dump glucose. Periodically I test my pump's basal rate by waking up in the middle of the night to test my blood every hour and usually my blood sugar stays around my target rate from the time I go to bed until I wake up the next morning.
But even though my blood sugar is steady my basal rate changes from:. Second, dawn phenomenon is age related more than diabetes related. It's not found in non-diabetic children but does occur in non-diabetic adults. For most type 1 diabetics it can begin in childhood but more commonly begins in the teen and early adult years. Last, there's not a correlation between dawn phenomenon and the number of years insulin is taken or the number or severity of hypoglycemic episodes. Oct 22, Have read literature that residents of LTC who wander at night were given snack and they then slept for several more hours.
Turns how they were hypoglycemic. We do not maintain any individual data from these items. If you ask another question at a later time, please fill this out each time. Submit your question to our team of health care professionals. See what's on the mind of the community right now. Learn more about our world-renowned team.
Review the entire archive according to the date it was posted. From: DTeam Staff. You can take Lantus at any time of the day. This website uses cookies to improve your experience. We'll assume you're OK with this , but you can opt-out if you wish. Accept Privacy Policy. Close Privacy Overview This website uses cookies to improve your experience while you navigate through the website.
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This category only includes cookies that ensures basic functionalities and security features of the website. 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. If you take Lantus with other diabetes drugs, your doctor may need to adjust your dosage of one or all of them to reduce your risk for low blood sugar. They may also want you to monitor your blood sugar levels more often.
Examples of other diabetes medications that can increase your risk for low blood sugar if taken with Lantus include:. Taking Lantus with thiazolidinediones can cause heart failure , or worsen heart failure if you already have it.
If you take a thiazolidinedione, be sure to discuss it with your doctor before you start treatment with Lantus. If you take one of these drugs with Lantus, your doctor will likely monitor you for signs of heart failure.
Taking Lantus with certain blood pressure medications can increase your risk for hypoglycemia low blood sugar level. If you take Lantus with one of these drugs, your doctor may need to adjust the dosage of either Lantus or the blood pressure medication. Examples of blood pressure medications that can increase your risk for low blood sugar if taken with Lantus include:. Taking Lantus with other types of blood pressure medications can hide the symptoms of low blood sugar when they occur.
This can put you at risk for severe hypoglycemia very low blood sugar level with little warning. If you take Lantus with any of these drugs, your doctor may want you to check your blood sugar levels more often. Taking Lantus with certain antipsychotics can decrease how well Lantus works. This can lead to high blood sugar levels and an increased risk of complications from diabetes. They may also recommend that you check your blood sugar levels more often.
Taking Lantus with corticosteroids can decrease how well Lantus works. This could increase your blood sugar levels, leading to a higher risk of serious complications, such as heart disease. They will also advise you to check your blood sugar levels more often. However, drinking too much alcohol while taking Lantus can increase your risk for hypoglycemia low blood sugar levels. This is because both alcohol and Lantus can lower blood sugar levels on their own.
Lantus is classified as a long-acting insulin. It lowers blood sugar levels in people with type 1 or type 2 diabetes. Lantus is made to work like natural insulin in your body. Insulin is a hormone that does the following:. So you take medication, such as Lantus, to replace the insulin. Your pancreas may also stop making insulin, which would need to be replaced with medication.
Lantus starts lowering blood sugar levels within a few hours. Long-acting insulins take longer than short-acting insulins to start working.
But they last longer in your body. After you inject Lantus, the drug forms clusters beneath your skin. As these clusters break down, insulin is slowly released into your bloodstream throughout the hour period.
The solution in the vial is injected using a syringe and needle. Your doctor will discuss whether the vial or SoloStar pen is right for you. Whether you use a syringe or the Solostar pen, never reuse a needle or share a needle with another person. This helps prevent the spread of germs. Below is information on how to use the vial and syringe, and SoloStar pen. Lantus is given as an injection just under your skin a subcutaneous injection , once a day.
When you first get your Lantus prescription, your healthcare provider will explain how to inject the medication yourself. You can take Lantus at any time, but it should be at the same time each day.
Ask your doctor what time is best for you. Many people take their Lantus dose at bedtime. However, according to the American Diabetes Association , insulin therapy such as Lantus is the first-choice option for diabetes treatment during pregnancy. Insulin therapy is also recommended for women who developed diabetes while pregnant called gestational diabetes. If you need treatment to help control your blood sugar levels during pregnancy, talk with your doctor.
This can help keep your blood sugar levels in a safe range for you and your baby. However, you may need a different dose of Lantus for a time after you give birth. This is due to changes in your body and changes in your sleep and mealtime schedules. You may need a rapid-acting insulin , short-acting insulin, or intermediate-acting insulin to fine-tune your blood sugar level control.
Many people who use a long-acting insulin such as Lantus will also need rapid-acting or short-acting insulin to control blood sugar levels after meals. This could change how well the insulins work. If you have any questions about when or how to take each type of insulin, talk with your doctor or pharmacist. In clinical studies , blood sugar levels were reduced to a similar degree whether people took Lantus in the morning or evening.
Your doctor will monitor how your blood sugar levels change throughout the day. It can. Hypoglycemia low blood sugar levels is one of the most common side effects of insulin products, including Lantus. Also, making any changes to your insulin treatment plan could increase your risk for both hypoglycemia and hyperglycemia high blood sugar levels. Severe hypoglycemia very low blood sugar level can be life-threatening if not treated right away. Talk with your doctor or pharmacist about creating a plan to prevent and manage low blood sugar levels.
DKA is a serious complication of diabetes. It occurs when your blood sugar levels are very high but your insulin levels are low. Instead, your body starts breaking down fat into ketones a certain type of protein for energy.
High levels of ketones make your blood more acidic, which can harm many organs in your body.
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