When do you increase basal insulin?

My preference for most children is to adjust basal rates starting one hour prior to observed blood glucose changes, and two hours prior for most adults. For example, if a child’s blood glucose is dropping from 3 to 6 AM, I would recommend a basal reduction from 2 to 5 AM.

How do you know when to increase Lantus?

You will want to check your blood glucose at 3:00 a.m. for 2 to 3 days after you make a change to your Lantus®.

  1. If your blood glucose is below target range at 3:00 a.m., then decrease your basal dose.
  2. If your blood glucose is above target range at 3:00 a.m., then increase your basal dose.

What is basal insulin requirement?

Basal insulin requirement is ~30% of the total daily insulin dose in type 1 diabetic patients who use the insulin pump. Diabetes Care.

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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Is 80 units of Lantus too much?

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.

What percentage of daily insulin is basal?

When using replacement therapy, 50 percent of the total daily insulin dose is given as basal, and 50 percent as bolus, divided up before breakfast, lunch, and dinner.

How do you adjust basal insulin?

If your blood glucose remains within 30 mg/dl from bedtime to wake-up time, your basal dose is probably OK. If it rises more than 30 mg/dl, increase your basal insulin dose by 10% and repeat the test. If it drops by more than 30 mg/dl, decrease your basal insulin by 10% and repeat the test.

When do you add insulin to type 2 diabetes?

Insulin should be initiated when A1C is ≥7.0% after 2–3 months of dual oral therapy. The preferred regimen for insulin initiation in type 2 diabetes is once-daily basal insulin. In addition to timely initiation, rapid titration of the dose is indispensable for successful insulin therapy.

Is Lantus better in AM or PM?

Lantus is approved only for bedtime dosing. That’s because the pre-approval studies were conducted only using bedtime dosing, therefore the FDA approved the drug that way. But from experience, patients can also use Lantus in the morning. Lantus is a “peakless” insulin…

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Should I eat before or 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.

What is the best time of day to take insulin?

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. Don’t panic if you forget to take your insulin before your meal.

What happens if you take Lantus twice?

Do NOT use a double dose of your insulin. If you double a dose, this may cause low blood sugar levels. High blood sugar levels over a period of time can lead to too much acid in the blood (diabetic ketoacidosis).

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.

Can you take metFORMIN and Lantus together?

metFORMIN insulin glargine

Using metFORMIN together with insulin glargine can increase the risk of hypoglycemia, or low blood sugar. You may need a dose adjustment or more frequent monitoring of your blood sugar to safely use both medications.