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Blood Sugar Still High After Lantus

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Getting High Blood Sugar Levels Under Control

Getting high blood sugar levels under control Getting high blood sugar levels under control A 70-year-old man with a history of type 2 diabetes takes insulin glargine (Lantus) 100 units every morning (he is afraid of developing hypoglycemia at night) and insulin aspart (Novolog) 20 units with each meal. However his blood sugar is still around 250 mg/dL. Can the Lantus dose be increased, and if so, to what? Or should the patient be switched to insulin detemir (Levemir) twice daily? Can the dose of Levemir be greater than 100 units? What else would you suggest for this patient? If your patient's blood sugars are in the 250 range all day, he likely needs more insulin. Patients with type 2 diabetes will routinely need 1-2+ units/kg body weight per day. If he is requiring more than this, one should look for factors that might increase insulin resistance (infection, Cushing syndrome, etc.), noncompliance, or incorrect administration. (I have discovered that some patients who were supposed to be taking multiple shots of insulin per day were injecting air and not insulin!). There is no maximum dose of glargine per se, although at doses >100 units, I usually prescribe this agent b.i.d. In Continue reading >>

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Popular Questions

  1. righteousdude2

    Can Too Much Lantus Rasie Blood Sugar?

    I've been noticing that the more Lantus I take, the higher my fasting number is. When I back off the dosage, the fasting number goes down too!
    Just wondering if anyone else is having similar problems???
    Pastor Paul

  2. Shanny

    Not sure i understand why this presents a problem. The goal is lower fastings, attained by using as little insulin as possible, right? What am I missing here?

  3. breezeonby

    Quote:

    Originally Posted by removethehaze
    I've been noticing that the more Lantus I take, the higher my fasting number is. When I back off the dosage, the fasting number goes down too!
    Just wondering if anyone else is having similar problems???
    Pastor Paul I have noticed some weird things happening while taking Lantus. I have had to skip my bedtime dose several times. I had surgery done in February and didn't take any Lantus the night before and my blood sugar was perfect all day. I skipped a dose one night when I just didn't want to take it and my blood sugar was perfect all day. The beginning of March I started to decrease the dose because I was having too many lows and I really haven't notice much change. The only change is that my FBS is a little higher, but that is what I wanted the decrease in dosage to do. My FBS is between 75 and 85. I think that there are some things about insulin which we just don't have an answer for. I have read that your basal insulin should be 70% of your TDD.

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