Can you take lantus in the morning

Giving glargine in the morning exerted greater insulin activity in the first hours, in contrast to evening dosing, which exhibited higher potency in the second 12 hours. In addition, with evening administration, the suppression of nocturnal endogenous glucose production, lipolysis and glucagon concentration were "more consistent.

Conversely, morning dosing may be preferable whenever greater protection against the risk for nocturnal hypoglycemia is needed," the investigators conclude. The study did not have commercial funding. The authors did not respond to request for comment by press time. Could you have members with eosinophilic esophagitis EoE? Learn more about this progressive inflammatory disease. Sign in. Annals of Long-Term Care.

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Ovarian Cancer. Pain Management. Spinal Muscular Atrophy. Clostridioides Difficile. Psoriatic Arthritis. Rheumatoid Arthritis. Clinical Advances. Comparative Effectiveness. Real-World Outcomes. The diabetes doc was a little off with the timing. 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.

Below are examples of these side effects. This list contains examples of more common side effects that can occur with both Lantus and Levemir when taken individually :. This list contains examples of serious side effects that can occur with both Lantus and Levemir when taken individually :.

Lantus and Levemir have different FDA-approved uses. A review of studies found that Lantus and Levemir were equally effective at improving blood sugar levels in adults with type 1 diabetes. There was also no difference in the risk of low blood sugar episodes between the two drugs.

The review of studies also looked at people with type 2 diabetes. The analysis found no difference between Lantus and Levemir in improving blood sugar levels or in the rates of low blood sugar episodes. Lantus and Levemir are both brand-name drugs. There are currently no generic forms of either drug. Brand-name medications usually cost more than generics. According to estimates on GoodRx. Here we look at how Lantus and Basaglar are alike and different. The Food and Drug Administration FDA has approved both Lantus and Basaglar to improve blood sugar levels in children ages 6 and older and adults with type 1 diabetes.

Both drugs are also approved to improve blood sugar levels in adults with type 2 diabetes. Lantus and Basaglar both contain insulin glargine. Basaglar is called an insulin follow-on drug to Lantus. This means that Basaglar is a biologic product made from parts of living organisms that is highly similar to Lantus. The FDA considers follow-on drugs to be just as effective and safe as the original brand-name version of the drug. Lantus and Basaglar both come as a liquid solution in a disposable, prefilled pen.

Lantus and Basaglar are both given as an injection just under your skin a subcutaneous injection. The drugs are typically given once a day. This list contains examples of more common side effects that can occur with both Lantus and Basaglar when taken individually :.

This list contains examples of serious side effects that can occur with both Lantus and Basaglar when taken individually :. Lantus and Basaglar are both FDA-approved to lower blood sugar levels in adults and children with type 1 diabetes. They are also both approved to lower blood sugar levels in adults with type 2 diabetes.

The use of Lantus and Basaglar for type 1 diabetes and type 2 diabetes has been directly compared. In a 1-year study , Lantus and Basaglar were found to be equally effective at improving blood sugar levels in people with type 1 diabetes. The people had similar rates of hypoglycemia low blood sugar , allergic reactions, and changes in weight.

In this study, both drugs were used in combination with mealtime insulin. In another clinical study , Lantus and Basaglar helped control blood sugar levels about equally well in people with type 2 diabetes. The drugs were used in combination with oral taken by mouth medications for six months.

Lantus and Basaglar are both brand-name drugs. Here we look at how Lantus and Tresiba are alike and different. Lantus is approved for people ages 6 years and older with type 1 diabetes and for adults with type 2 diabetes.

It comes in two forms:. Both Lantus and Tresiba are given as an injection just under your skin a subcutaneous injection. Lantus and Tresiba both contain long-acting insulins. This list contains examples of more common side effects that can occur with both Lantus and Tresiba when taken individually :.

This list contains examples of serious side effects that can occur with both Lantus and Tresiba when taken individually :. Lantus and Tresiba are both FDA-approved to improve blood sugar levels in people with type 1 and type 2 diabetes. The use of Lantus and Tresiba in treating type 1 diabetes has been directly compared in several clinical studies.

In a pooled analysis of these studies, Lantus and Tresiba were found to be equally effective at improving blood sugar levels in adults with type 1 diabetes. Another clinical study found no difference in blood sugar level improvements between Lantus and Tresiba in children with type 1 diabetes.

The use of Lantus and Tresiba in treating type 2 diabetes has also been directly compared. A pooled analysis of nine studies found that Lantus and Tresiba improved blood sugar levels to a similar degree in adults with type 2 diabetes.

However, there was a lower risk of severe low blood sugar and low blood sugar at night with Tresiba. Lantus and Tresiba are both brand-name drugs. Lantus may be used with other diabetes medications, including other injectable drugs or medications taken by mouth. People with type 1 diabetes will need to take Lantus along with a mealtime insulin.

A mealtime insulin is needed to control spikes in blood sugar that occur after eating. People with type 2 diabetes will also likely need to take other diabetes medications besides Lantus. There are several different types of injectable or oral taken by mouth medications that your doctor may prescribe. These drugs lower your blood sugar further and help prevent serious complications, such as nerve damage.

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.