Guest guest Posted April 11, 2006 Report Share Posted April 11, 2006 Now, I am taking the > Lantus, twice a day, 35 units in the a.m. and 27 units in the p.m.. > For now, I am not taking any other insulin My understanding is that Lantus is a once a day insulin. It has a much longer action time and doesn't really peak, it's more steady acting insulin. The way my diabetes educator explained it to me is that some people don't find it works for a full 24 hours, so they do need to take it twice a day. It sounded to me like they start you on once a day and only add the second shot if necessary... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 In the book " Think Like A Pancreas, A Practical Guide To Managing Diabetes With Insulin, " by Scheiner, MS, CDE, it says that Lantus may show a slight peak at 6-10 hours, and/or may drop off earlier than 24 hours. It could be your physician has experience with other patients and he is trying to prevent or balance a slight peak or drop? Mike > > Hi, I am new to this group and am hoping that someone out there can > offer experience with this question. I am type 1, diagnosed at age 29, > while pregnant with our son. My doctor just switched my insulin from > Humilin N, to Lantus. I always took the Humilin in the morning and > evening, with shots of Humolog during the day. Now, I am taking the > Lantus, twice a day, 35 units in the a.m. and 27 units in the p.m.. > For now, I am not taking any other insulin....but will need to start > back up again, I am sure. My question is, is anyone else out there > taking Lantus more than once a day? All of the warnings indicate that > it should only be taken once a day. Would love to hear some feedback, > thanks ever so much! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 Now, I am taking the > Lantus, twice a day, 35 units in the a.m. and 27 units in the p.m.. > For now, I am not taking any other insulin....but will need to start > back up again, I am sure. My question is, is anyone else out there > taking Lantus more than once a day? While it is generally a once a day insulin there are many people who do take it twice a day. It depends on the dr's experience with it. Might be due to you having taking the other type as well before. There are lots of others on other yahoo diabetes groups who do take Lantus twice a day, some take it only in the evening and some only in the morning. It depends on your individual problems or how your dr thinks it might work for you. I have also heard if you are taking larger doses it is better to break it up like that. I have heard some say it doesn't last on them for the full 24 hrs. I'm not sure if the Lantus website would give further info or not. I'd ask your dr for the specifics of why he prescribed it this way if you are concerned. But at least you know others are doing it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 Now, I am taking the > Lantus, twice a day, 35 units in the a.m. and 27 units in the p.m.. > For now, I am not taking any other insulin....but will need to start > back up again, I am sure. My question is, is anyone else out there > taking Lantus more than once a day? While it is generally a once a day insulin there are many people who do take it twice a day. It depends on the dr's experience with it. Might be due to you having taking the other type as well before. There are lots of others on other yahoo diabetes groups who do take Lantus twice a day, some take it only in the evening and some only in the morning. It depends on your individual problems or how your dr thinks it might work for you. I have also heard if you are taking larger doses it is better to break it up like that. I have heard some say it doesn't last on them for the full 24 hrs. I'm not sure if the Lantus website would give further info or not. I'd ask your dr for the specifics of why he prescribed it this way if you are concerned. But at least you know others are doing it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2006 Report Share Posted April 12, 2006 Thanks all! It is comforting to know that others are taking two shots a day as well. Since I couldn't find anything on the Lantus web site other than the once a day warnings, I was getting just a little concerned. Thanks again for your support. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2006 Report Share Posted April 14, 2006 We are prescribing more and more to DAPHNE which advocates that diabetics in their own right alter their medication/injections inline with their daily test results and in order to achieve a quality of life as near normal as possible. Everyone is different and unique and reacts differently and the information contained in package leaflets is meant as general information only and is not applicable to everyone under all circumstances. You should always check with your doctor, and follow your doctors directions > for dose and frequency. If *anyone* is going to second guess what your > doctor says, it should be your pharmacist. So with respect this is just scaremongering and perpetuates the notion that 'doctor knows best' which sadly in so many cases is not true at all. We should all become as knowledgeable as we possibly can about our disease and then we can live longer and prosper. Take care. Barry UK Re: Re: ? regarding Lantus > Lantus may have a slight peak at 6-10 hours and may drop off before 24 hours > or may last longer than 24 hours. > > From the Lantus package insert: > " LANTUS*®* (insulin glargine [rDNA origin] injection) is a sterile solution > of insulin glargine for use as an injection. Insulin glargine is a > recombinant human insulin analog that is a long-acting (up to 24-hour > duration of action), parenteral blood-glucose-lowering agent. " > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2006 Report Share Posted April 14, 2006 We are prescribing more and more to DAPHNE which advocates that diabetics in their own right alter their medication/injections inline with their daily test results and in order to achieve a quality of life as near normal as possible. Everyone is different and unique and reacts differently and the information contained in package leaflets is meant as general information only and is not applicable to everyone under all circumstances. You should always check with your doctor, and follow your doctors directions > for dose and frequency. If *anyone* is going to second guess what your > doctor says, it should be your pharmacist. So with respect this is just scaremongering and perpetuates the notion that 'doctor knows best' which sadly in so many cases is not true at all. We should all become as knowledgeable as we possibly can about our disease and then we can live longer and prosper. Take care. Barry UK Re: Re: ? regarding Lantus > Lantus may have a slight peak at 6-10 hours and may drop off before 24 hours > or may last longer than 24 hours. > > From the Lantus package insert: > " LANTUS*®* (insulin glargine [rDNA origin] injection) is a sterile solution > of insulin glargine for use as an injection. Insulin glargine is a > recombinant human insulin analog that is a long-acting (up to 24-hour > duration of action), parenteral blood-glucose-lowering agent. " > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2006 Report Share Posted April 14, 2006 We are prescribing more and more to DAPHNE which advocates that diabetics in their own right alter their medication/injections inline with their daily test results and in order to achieve a quality of life as near normal as possible. Everyone is different and unique and reacts differently and the information contained in package leaflets is meant as general information only and is not applicable to everyone under all circumstances. You should always check with your doctor, and follow your doctors directions > for dose and frequency. If *anyone* is going to second guess what your > doctor says, it should be your pharmacist. So with respect this is just scaremongering and perpetuates the notion that 'doctor knows best' which sadly in so many cases is not true at all. We should all become as knowledgeable as we possibly can about our disease and then we can live longer and prosper. Take care. Barry UK Re: Re: ? regarding Lantus > Lantus may have a slight peak at 6-10 hours and may drop off before 24 hours > or may last longer than 24 hours. > > From the Lantus package insert: > " LANTUS*®* (insulin glargine [rDNA origin] injection) is a sterile solution > of insulin glargine for use as an injection. Insulin glargine is a > recombinant human insulin analog that is a long-acting (up to 24-hour > duration of action), parenteral blood-glucose-lowering agent. " > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 15, 2006 Report Share Posted April 15, 2006 > > You should always check with your doctor, and follow your doctors > directions > > for dose and frequency. If *anyone* is going to second guess what your > > doctor says, it should be your pharmacist. > > So with respect this is just scaremongering and perpetuates the notion > that > 'doctor knows best' which sadly in so many cases is not true at all. We > should all become as knowledgeable as we possibly can about our disease > and > then we can live longer and prosper. > > Take care. Barry UK So Barry, is your position that you are better off taking advice from someone on this (or any other list) who may (or may not) know what they are taking about and whom you have absolutely no knowledge of their education or experience? Especially if it contradicts the treatment plan prescribed by your physician (who has at least seen you in person, and maybe even ran a test or two)? Of course, you can add to the fact that (with the exception of N and R) all diabetic medications need to be prescribed by your physician. Becoming knowledgeable is one thing... to advocate that one should disregard their physicians plan of treatment is quite different. At least by going to the physicians office, you have at the very least, a reasonable expectation that the person is an MD or DO. Here, your chances of talking to a physician are about the same as talking to a 16 year old sociopath who may desire to cause someone harm. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 15, 2006 Report Share Posted April 15, 2006 > > You should always check with your doctor, and follow your doctors > directions > > for dose and frequency. If *anyone* is going to second guess what your > > doctor says, it should be your pharmacist. > > So with respect this is just scaremongering and perpetuates the notion > that > 'doctor knows best' which sadly in so many cases is not true at all. We > should all become as knowledgeable as we possibly can about our disease > and > then we can live longer and prosper. > > Take care. Barry UK So Barry, is your position that you are better off taking advice from someone on this (or any other list) who may (or may not) know what they are taking about and whom you have absolutely no knowledge of their education or experience? Especially if it contradicts the treatment plan prescribed by your physician (who has at least seen you in person, and maybe even ran a test or two)? Of course, you can add to the fact that (with the exception of N and R) all diabetic medications need to be prescribed by your physician. Becoming knowledgeable is one thing... to advocate that one should disregard their physicians plan of treatment is quite different. At least by going to the physicians office, you have at the very least, a reasonable expectation that the person is an MD or DO. Here, your chances of talking to a physician are about the same as talking to a 16 year old sociopath who may desire to cause someone harm. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 15, 2006 Report Share Posted April 15, 2006 > > You should always check with your doctor, and follow your doctors > directions > > for dose and frequency. If *anyone* is going to second guess what your > > doctor says, it should be your pharmacist. > > So with respect this is just scaremongering and perpetuates the notion > that > 'doctor knows best' which sadly in so many cases is not true at all. We > should all become as knowledgeable as we possibly can about our disease > and > then we can live longer and prosper. > > Take care. Barry UK So Barry, is your position that you are better off taking advice from someone on this (or any other list) who may (or may not) know what they are taking about and whom you have absolutely no knowledge of their education or experience? Especially if it contradicts the treatment plan prescribed by your physician (who has at least seen you in person, and maybe even ran a test or two)? Of course, you can add to the fact that (with the exception of N and R) all diabetic medications need to be prescribed by your physician. Becoming knowledgeable is one thing... to advocate that one should disregard their physicians plan of treatment is quite different. At least by going to the physicians office, you have at the very least, a reasonable expectation that the person is an MD or DO. Here, your chances of talking to a physician are about the same as talking to a 16 year old sociopath who may desire to cause someone harm. Mike Quote Link to comment Share on other sites More sharing options...
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