Lantus Insulin ????

[Jammer]

Has anyone found any good use for this stuff? In my experience so far, it just doesn't seem to do what it's suppose to. The idea of course is a 24 hour control so that the peaks and valleys of coverage aren't as big but so far I just don't see this happening. On a semi-regular basis lately, I'm giving anywhere from 80 to 110 units of this stuff and still the patients go into the three and four hundreds with their blood tests. Maybe I've just run into a batch of particularly insulin resistant folks but in my experience this "new" insulin just isn't what it's cracked up to be. I guess we'll just keep pushing it though until the drug companies stop wining and dining the docs with it.

What's been your experience?

[baseline]

http://www.diabetesnet.com/diabetes_treatments/insulin_lantus.php.

Sorry! Guess I don't know how to post hyperlinks. This is a good site. As well as the ADA. Lantus is best given at HS. It is inactivated by even a tiny bit of other insulin, and is usually used in combination therapy in Type 2 diabetics. It doesn't have a peak,and sustains for 24 hours. Does this help....? Im no expert, but I work with diabetes case managers. If you would like the most current info, I will be happy to get it for you!

[Youda]

I'm a type I, IDDM.

When Lantus first came out, I was really pushing my doc for it to try to level out my after-eating spikes. He wouldn't go for it, but did add Ultra-Lente to my regimen instead. The UL works so well for me that I've never pushed my doc for a change. Anyway, I'm wondering what is so different with Lantus vs. some of the long-acting insulins? Anyone have any experience with that?

[caroladybelle, BSN, RN]

I've had several people bottom out badly on the stuff.

We'll see had it does over the next few monthes, but I monitor them close on that stuff.

[Audreyfay]

Lantus is "peakless." However, some people find they have varying peaks at different times. It is really interesting to see how differently it works in different people. One thing that our hospital does to avoid the potential insulin vial mix-up, is that the pharmacy draws up the lantus, and sends it to the unit in pre-drawn syringes. I'll have to try the refrigeration of lantus. Hadn't really thought about that. Thanks!

[wjeff]

Related to diabetic pts bottoming out, I are they getting there hs snacks?

[wjeff]

Related to diabetic pts bottoming out, I are they getting there hs snacks?

[UNLVRebel_RN2B]

I have type 1 diabetes and have used Lantus. It personally did not work well for me because I have "dawn phenomina" (sp?) where my blood sugars peak w/the rising of the sun. However, it is a lot better than other long-acting insulins on the market. I know a lot of people who just love it. I use an insulin pump now, which is awesome.

[UNLVRebel_RN2B]

I have type 1 diabetes and have used Lantus. It personally did not work well for me because I have "dawn phenomina" (sp?) where my blood sugars peak w/the rising of the sun. However, it is a lot better than other long-acting insulins on the market. I know a lot of people who just love it. I use an insulin pump now, which is awesome.