Lantus BID

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Just wondering what your feelings or thoughts are on lantus BID for someone with type 2 diabetes. How does this help compared to lantus nightly? I see this as an unnecessary stick for patients, chance for more error, and even a chance for increased low blood sugar.

What do you think, it seems to be great once daily, titrate up the dose 1 unit nightly until the target AM glucose is obtained, if needed add meal time insulin, but I don't see a benefit to BID lantus dosing, seems like this is something I am seeing more and more and often times these people are uncontrolled and either simply need a dose adjustment or they need meal time insulin.

Specializes in LTC.

I did levemir BID while pregnant for tighter control. I saw significant improvement on the BID dosing. My CDE explained that not every person gets a full 24 out of either Lantus or Levemir. The link is very helpful, thank you.

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Lantus BID can help those with difficult to control blood sugars due to the peak time of Lantus.

As a diabetic who has used Lantus for years (current dose 60 units qd), I am adamantly against HS dosing. My blood sugar has gone into the 40's on several occasions within an hour of taking my Lantus. It scares me to think of what might have happened if I had been sleeping.

The explanation I got was that my pancreas could 'kick in' at same time I took my Lantus, thus the low bloid sugars.

My husband never has low blood sugars so I don't worry about that. He's always very high. I've never seen him hypoglycemic. In over 10 years.

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Specializes in Hospital Education Coordinator.

it does not peak, so no snack needed. Also, it is for people who have little or no insulin availability, so do not stop even if NPO, unless MD orders.

I am a diabetic and a nurse and a diabetic educator. I use Lantus bid, with approval from my endocrinologist, because it did not cover me 24 hours. My dose is 1/3 in the a.m. and 2/3 of total dose in the p.m. to cover the times when I was most likely to have higher glucose levels. Makes a difference to me.

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Specializes in orthopedic/trauma, Informatics, diabetes.

I'll have to ask the person who said 30u/site. It may be just our policy.

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Specializes in Adult Internal Medicine.
I'll have to ask the person who said 30u/site. It may be just our policy.

If it is your policy it isn't right ;)

Sent from my iPhone.

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