Once insulin therapy is started, a target glucose range of 140–180 mg/dL is recommended for the majority of critically ill and noncritically ill patients. More stringent goals, such as 140 mg/dL, may be appropriate for selected patients, as long as this can be achieved without significant hypoglycemia.
Can you give Lantus if blood sugar is low?
You should not use Lantus if you are having an episode of hypoglycemia (low blood sugar), or if you are in a state of diabetic ketoacidosis (call your doctor for treatment). Never share a Lantus SoloStar pen or cartridge with another person.
When should I hold long acting insulin?
Usually, you inject long-acting insulin once a day to keep your blood sugar levels steady. You use a needle or pen device to give yourself the injection. Be sure to inject your long-acting insulin at the same time every day to avoid lags in insulin coverage or “stacking” your insulin doses.
Should you check blood sugar before giving Lantus?
Checking your blood sugar helps you know if you’re getting the right dose of Lantus® for your insulin needs. Do not make changes to your dose or type of insulin without talking to your healthcare professional.
When should you not give Lantus insulin?
You should not use this medicine if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar) or diabetic ketoacidosis (call your doctor for treatment). Insulin glargine is not approved for use by anyone younger than 6 years old, and some brands are for use only in adults.
How long does it take for Lantus to lower blood sugar?
Long-acting: It begins working around four hours after injection and it has the ability to work for up to 24 hours. These insulins do not peak but are steady throughout the day. Examples of long-acting insulin including glargine (Lantus) and detemir (Levemir).
Should Lantus be taken before or after a meal?
Lantus use with other drugs
People with type 1 diabetes will need to take Lantus along with a mealtime insulin. This is because Lantus is a basal insulin, a “background” insulin that helps control blood sugar levels in between meals. A mealtime insulin is needed to control spikes in blood sugar that occur after eating.
Can you hold Lantus insulin?
When starting a new Lantus SoloStar take it out of the fridge 1 to 2 hours to allow it to warm up to room temperature. Once a new Lantus SoloStar has been started it should be stored at room temperature, up to 86°F (30°C) and NOT in the refrigerator. Once started the Lantus SoloStar should be discarded after 28 days.
Why is Lantus given at night?
Lantus is designed to give a steady level of insulin over 24 hours, even when you are not eating such as between meals and overnight. This helps keep blood glucose levels consistent during the day and at night.
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How many units of Lantus is normal?
Dosage for type 2 diabetes
For people with type 2 diabetes who aren’t currently taking insulin, the recommended starting dosage of Lantus is 0.2 units/kg or 10 units once per day. The maximum starting dosage of Lantus is 10 units per day.
Can you eat after taking Lantus insulin?
Lantus works continuously in the background and does not need you to eat food when you inject it at your usual time. Inject Novorapid to cover food at whatever time you eat it.
Do you ever hold basal insulin?
Basal never should be held!!! If NPO, do not reduce the basal insulin dose unless: All of the patient’s insulin is being given as basal OR. Patient is on NPH and morning BG is <, 140 mg/dL (then only reduce qAM dose of NPH)
Is it better to take Lantus at night or in the morning?
The package insert for Lantus states that it should be administered once daily at bedtime. However, this product does exhibit a relatively constant glucose-lowering profile over 24 hours, and therefore in theory, time of dosing should not matter if administered at the same time daily.
Is 50 units of Lantus a lot?
It is possible that the “maximum” of 50 units is derived from the technical limitations of the 1/2 mL syringe. The Lantus SoloStar disposable pen has a maximum “dial-able” dose of 80 units. Aside from this technical maximum, there is no mention of a maximum dose in the package insert.
At what sugar level is insulin required?
Insulin therapy will often need to be started if the initial fasting plasma glucose is greater than 250 or the HbA1c is greater than 10%.
How much insulin should I take if my blood sugar is 400?
Theoretically, to reduce 400 mg/dL blood sugar to about 100 mg/dL, you would need at least 10 units of insulin. However, depending on your weight and other factors, a higher dose of insulin is almost always required.
Is it OK to inject insulin after eating?
Research shows that the best time to take a mealtime insulin is 15 to 20 minutes before you eat a meal. You can also take it after your meal, but this may put you at a higher risk of a hypoglycemic episode.
When is the best time to take insulin morning or night?
Ideally, basal insulin should produce at most a 30 milligrams per deciliter (mg/dL) change when blood sugar levels are stable and in your target range during sleep times. That’s why your healthcare provider will most likely advise you to inject basal insulin at night, preferably before bedtime.
Where is the best place to inject Lantus?
Lantus® may be injected in the abdomen, upper arm, or thigh. Remember to rotate injection sites. The abdomen is the preferred injection site for the AutoShield Duo. This location facilitates proper injection technique—such as keeping the pen at the proper 90 degree angle.
What is the sliding scale for insulin?
The term “sliding scale” refers to the progressive increase in pre-meal or nighttime insulin doses. The term “sliding scale” refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. Sliding scale insulin regimens approximate daily insulin requirements.
Is Lantus a basal or bolus insulin?
What is a basal bolus insulin regimen? Basal insulin (Lantus) is injected once per day and ensures there is insulin in the body at all times. injected 3-4 times per day. A basal bolus regimen can provide flexibility with timing of meals and routine and reduce the need for snacking.
Does Lantus cause weight gain?
Some people may experience weight gain during their Lantus treatment. In studies, this was one of the most common side effects seen in people using Lantus. Weight gain is common with many other types of insulin as well. This is due to the way that insulin works in your body to help you store blood sugar.
What is the maximum amount of Lantus per day?
Dosage for type 2 diabetes
Your initial dose of Lantus will likely be 0.2 units of Lantus for every kilogram (kg)* of body weight. The maximum starting dose of Lantus is 10 units per day.
How can you tell when your insulin pen is empty?
Get your pen ready:
Wash and dry your hands well. Remove the pen cap. Look at the window in the pen to make sure the liquid is clear and has no color or specks. Do not use the pen if it is not clear, has a color or specks.
Do you need to refrigerate Lantus insulin?
Keep Lantus away from direct heat and light. After its first use, don’t refrigerate the Lantus SoloStar pen. Keep it at room temperature only (below 86°F). After 28 days, throw your opened Lantus pen away—even if it still has insulin in it.
What happens if you forget to take Lantus at night?
Lantus is a long-acting insulin that works for 24 hours and should be taken regularly at the same time each day. If you miss taking your dose at the regular scheduled time, your blood sugar levels may become high (hyperglycaemia).
What are the side effects of taking Lantus insulin?
What Are Side Effects of Lantus?
- headache,
- hunger,
- weakness,
- sweating,
- tremors,
- irritability,
- trouble concentrating,
- rapid breathing,
How long after taking Lantus should you eat?
You should inject rapid-acting insulin no more than 15 minutes before you eat. Your doctor will tell you how much insulin to inject. Remember, you should not wait more than 15 minutes to eat after you take this insulin shot. Rapid-acting insulin can be more convenient to take than regular insulin.
Can you take metformin and Lantus together?
Can you take Lantus (insulin glargine) and metformin together? Lantus (insulin glargine) can be taken with other oral diabetes medications, like metformin, if your blood sugar level needs better control.
When should a Type 2 diabetic take insulin?
Insulin for Short-Term Blood Sugar Control
“The American Association of Clinical Endocrinologists recommends starting a person with type 2 diabetes on insulin if their A1C is above 9 percent and they have symptoms,” said Mazhari. Symptoms of type 2 diabetes include thirst, hunger, frequent urination, and weight loss.
Can you take Lantus and Humalog together?
No, you should never mix Humalog (insulin lispro) and Lantus (insulin glargine) insulins together in the same syringe. Lantus should never be mixed in the same syringe with any other insulin or injectable medication.
How long after taking insulin should I check blood sugar?
It is important to test both before and about 2 hours after eating. This will let you know that you’ve given the right amount of insulin. If the insulin is properly matched to the food you’ve eaten then there will be only a relatively small rise in your blood sugar level with the meal — let’s say 40 to 60 points.