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Levemir 20 Units

How Many Units Of Insulin Are You On?

How Many Units Of Insulin Are You On?

Just curious, for those of you on insulin, how many units of insulin you are on and how far along are you? We are still trying to find a dosage that works for me. Currently I'm on 17 units of Levemir before bed, I'm almost 23 weeks along. 28 weeks. Im on 5 units on novalin before bed, but I'm almost sure I'll have to up it this week at my next appointment. My fasting numbers are a bit high, but I've been mostly able to keep after meal numbers down with a very strict diet. I'm on 28 units of levemir before bed. Fasting numbers are finally under control. Just started the 28 units Friday. Before that I was on like 12 and then 18. I am 36 weeks tomorrow and didn't start insulin until about 34 weeks I'm on 61 units of levemir at night and take humilog with each meal. I was diagnosed quite early and am insulin resistant :( Thanks everyone! I know it's all individual, but I was just curious where everyone was at. With 17 units, I had one fasting number that was good and one that was higher then before we increased. It's all just so frustrating! I started on 10 units Levemir before bed at 12 weeks and I've managed to make it to 29 weeks only going up to 12 units. I suspect I'm going to have to increase soon though as I can see my fasting numbers creeping up...where I used to get 4.2, 4.5 etc I'm now getting 5.0, 5.2 (5.3 being the limit). I'm on 6 units of NPH at night and regular insulin with meals during the day. Plus 1000mg metformin twice a day. At 29 weeks today, so I anticipate more adjustments :-) Continue reading >>

Levemir (insulin Detemir) Dosing, Indications, Interactions, Adverse Effects, And More

Levemir (insulin Detemir) Dosing, Indications, Interactions, Adverse Effects, And More

Once daily dosage: Administer SC with evening meal or at bedtime Twice daily dosage: Administer SC with morning meal and either with evening meal, at bedtime, or 12 hr after the morning dose Type 1 diabetes: Approximately one third of the total daily insulin requirements SC; rapid-acting or short-acting, premeal insulin should be used to satisfy the remainder of the daily insulin requirements; usual daily maintenance range is 0.5-1 unit/kg/day in divided doses; nonobese may require 0.4-0.6 unit/kg/day; obese may require 0.6-1.2 units/kg/day Type 2 diabetes inadequately controlled on oral medication: 10 units/day SC (or 0.1-0.2 unit/kg/day) in evening or divided q12hr Type 2 diabetes inadequately controlled on GLP-1 receptor agonist: 10 units/day SC given once daily in evening Subsequently adjust dose based on blood glucose measurements If converting from insulin glargine: Change can be accomplished on a unit-to-unit basis If converting from NPH insulin: Change can be accomplished on a unit-to-unit basis; however, some patients with type 2 diabetes may require more insulin detemir than NPH insulin Closely monitor blood glucose during transition and in the initial weeks thereafter; concurrent rapid-acting or short-acting insulins or other concomitant antidiabetic treatment may require dose adjustment Dosage of human insulin, which is always expressed in USP units, must be based on the results of blood and urine glucose tests and must be carefully individualized to optimal effect Dose adjustments should be based on regular blood glucose testing Adjust to achieve appropriate glucose control Look for consistent pattern in blood sugars for >3 days Same time each day: Compare blood glucose level with previous levels that occurred at that time of day For each time of day: Calc Continue reading >>

Levemir Flextouch And Vial | Levemir (insulin Detemir [rdna Origin] Injection)

Levemir Flextouch And Vial | Levemir (insulin Detemir [rdna Origin] Injection)

Levemir FlexTouch, the latestin prefilled pen technology from Novo Nordisk Low-injection force push button.A built-in spring mechanism requires low force to inject all doses. When your dose is delivered, youshould hear or feel a clicka Accurate dosing.Turn the dose selector to select the number of units you need to inject, from 1-80 units. A large and clear dose display shows the units you have selected Thinnest needle available.The 32G Tip needle is the thinnest needle made by Novo Nordisk,b a leader in diabetes care for more than 90 years More insulin than a vial.One box of LevemirFlexTouch contains 5 disposable pens, each prefilled with 300 units of Levemir for a total of 1500 units of Levemirinsulin. Youll get 50% more insulin than you get from a vial (1000 units) Insurance coverage.Levemir FlexTouch is covered by most health insurance and Medicare plans nationwide aAfter dose counter has returned to 0, keep needle in skin for 6 seconds before the needle is removed. If you do not, you may not have received your full dose and you should check your blood sugar more often because you may need more insulin. You may or may not hear an audible click at end of dose. bNeedles are sold separately and may require a prescription in some states. Needles and LevemirFlexTouchmust not be shared. If you prefer to take your insulin with a vial and syringe, or if you need to receive your insulin in a vial for insurance reasons, you can still get Levemir. Unopened Levemirshould be kept in the refrigerator at a temperature range between 36 and 46F (2 and 8C) Keep unopened Levemir in the carton to protect from light Unopened Levemir can stay in the refrigerator until expiration. See the expiration date on the box Keep at room temperature, below 86F (30C), and not refrigerated for up to Continue reading >>

Levemir Dose Does It Sound Right

Levemir Dose Does It Sound Right

Member T1 since 2001 now on novorapid and levmir hi i am currently on levemir and taking 20 unit at 10pm at night i find before my meal it was 5.5 1hours after meal my sugar is running at 6.6 and in between the hour it spiked to 9.4 and after 2hours of meal sugar is now at 6.2 btw i take novorapid as fast acting insulin i took 11units and had 50 grams of carbs Last edited by Static192; 4/03/15 at 02:50 PM. This is a long acting insulin it dose not work for meals you need novolog or such for that A1C December 6= 8.1 put on MDI Pumping Madtronic 4-4-13 D.D. Family T2 1986, insulin 2000, Double 08, Omnipod 6/12 Levamer is a basal insulin (takes care of fasting BG) and 5.5 is a fine number. 2 hours after eating you had a fine number. its just the 9.4 thats a little high. since the ending BG is close to the starting BG it could be the timing of your NOVORAPID inj. You might need to take it a before eating. D.D. Family T1 since 1966, pumper since '03, transplant '08 The way to know if your levemir dose is correct is to not eat and then do some testing to track if you glucose goes up during that period (don't fast all day or you may have a liver dump). Once your basal is correct, then you can determine if your novorapid insulin to carb ratio is correct. One thing at a time. T1 since 1966, dialysis in 2001, kidney transplant in 02 from my cousin, pumping 03 - 08, pancreas transplant Feb 08 D.D. Family Type 2 since June 2014, levemir & metformin While I'm a T2, that was my dosage - 20 units once a day. From that, it became 10 units 2x a day. As a T1 it will obviously be a lot more challenging to get your basal dosage(s) down to help balance out your fast-acting. My only bit of advice is that levemir rarely has the effective range as advertised. While it's supposed to last anywh Continue reading >>

Getting High Blood Sugar Levels Under Control

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 addition, we are finding that in some patients, Lantus seems to last only 12-18 hours, so that splitting the dose to 80 units in the morning and 30 units at bedtime would likely improve his morning/fasting blood sugars. Using insulin detemir b.i.d. at this dose would also suffice. Most patients on stable insulin regimens are taking approximately 50% as basal (glargine in this case) and 50% as bolus (mealtime aspart), so this patient likely needs an increase in his prandial doses. If, despite dosing adjustments that put him at 250-300+ units/day of insulin U-100, he is still not at goal, many d Continue reading >>

Levemir Dosage

Levemir Dosage

For those who are beginning diabetes treatment with Levemir, dosage recommendations will vary, based on factors such as your weight, the dosage of other insulin medications you are taking, and other medical conditions you have. Levemir comes in injectable form, and is typically used once or twice a day. Your Levemir dosage can be injected into the skin and fat layer of the stomach, upper arm, or thigh. Levemir Dosage: An Introduction The dose of Levemir® (insulin detemir) your healthcare provider recommends will vary, depending on a number of factors, including: Your current dose of other insulins Your weight How you respond to Levemir (especially as measured by your blood sugar levels) Other medications you are taking, including other diabetes medications Other medical conditions you may have. As is always the case, do not adjust your dose unless your healthcare provider specifically instructs you to do so. What Is a "Unit" of Levemir? In order to understand the dosing of Levemir and other insulin medications, it is important to understand what exactly a "unit" of insulin means. There are various different types of insulin. A single unit of insulin should have the same biological activity, no matter what type of insulin you use, as all insulins are compared to a single standard. Levemir Dosing Guidelines You can take Levemir once or twice a day. If you take it just once a day, you should take it consistently, either at bedtime or with your evening meal. If you take it twice a day, the first dose should be in the morning, and the second dose can be with your evening meal, at bedtime, or 12 hours after the first dose. Your healthcare provider will help you determine which way is best for you. If you are currently using a "basal-bolus" insulin regimen (a long- or interme Continue reading >>

Diabetes Iii Flashcards | Quizlet

Diabetes Iii Flashcards | Quizlet

Dulaglutide and albiglutide are given once weekly; the other once weekly agent is exenatide extended release (Bydureon) A patient with diabetes is using Humulin N twice daily and Humulin R three times daily. He currently uses a total of 90 units of insulin per day. Using a standard NPH-regular insulin regimen, how much NPH does he inject in the morning? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) UV is a 58 year old female with diabetes, history of myocardial infarction, hypertension, dyslipidemia and osteoporosis. She is currently taking metformin XR 2000 mg PO daily, glipizide XL 20 mg daily, lisinopril 20 mg PO daily, metoprolol XL 100 mg PO daily, aspirin 81 mg PO daily, atorvastatin 80 mg PO daily and alendronate 35 mg PO weekly. Her A1C is 8.2%, BP 138/88 mmHg, and LDL = 100 mg/dL. Which of the following medications could decrease the risk of death in UV if added to her regimen? Empaglifozin and liraglutide should be considered in patients with long-standing diabetes (that is not well controlled) and established atherosclerotic cardiovascular disease. PT is a 47 y/o female who has had type 2 diabetes for about 5 years. She has previously been well controlled on metformin 1,000 mg BID. Her most recent A1C, drawn last week, was 7.6%. She was asked to check glucose readings four times daily and keep a glucose log for a week, in order to determine what changes need to be made to her therapy. Which of the following glucose readings are not currently at goal? Before breakfast After breakfast After lunch After dinner Before breakfast, after lunch, and after dinner After breakfast, after lunch, and after dinner A patient is picking up a new prescription for Afrezza. When should the pharmacist counsel the patient to ta Continue reading >>

Levemir Overview

Levemir Overview

Levemir is a prescription medication used to treat type 1 and type 2 diabetes. Levemir, a long-acting form of insulin, works by replacing the insulin that is normally produced by the body and by helping the body to use sugar for energy. It also stops the liver from producing more sugar. This medication comes in an injectable form and is typically injected under the skin once or twice daily. Common side effects include redness and skin thickening at the injection site, weight gain, and constipation. Levemir is a man-made long-acting insulin that is used to control high blood sugar in adults and children with type 1 and type 2 diabetes. This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information. Levemir may cause serious side effects. See "Drug Precautions" section. Common side effects of Levemir include: Low blood sugar (hypoglycemia) Reactions at the injection site (local allergic reaction). You may get redness, swelling, and itching at the injection site. If you keep having skin reactions or they are serious, talk to your doctor. Weight gain. This can occur with any insulin therapy. Talk to your doctor about how Levemir can affect your weight. Tell your doctor if you have any side effect that bothers you or does not go away. These are not all of the possible side effects from Levemir. Ask your doctor or pharmacist for more information. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take: angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalap Continue reading >>

Transition Levemir To One Shot Pm Tresiba

Transition Levemir To One Shot Pm Tresiba

Transition Levemir to one shot PM Tresiba So, I picked up sample of Tresiba this morning at endos office. Ive been told two things today as Endo was not in office. I take split dose of levemir 4units AM and 4units PM. I took my 4units AM Levemir at 8AM this morning and was told to take the full 8 units one dose of Tresiba this evening at 8pmstay on that unitl monday and call office. Then, CDE just sent me an email telling me to, since I took my 4units AM dose of Levemir this morning, to skip my Levemir PM dose tonight, SKIP my AM dose of Levemir tomorrow morningTHEN take a full 8 units PM dose of Tresiba tomorrow night. Can this be right? The problem with Levemir is it doesnt last long enough for me, per doseI think. (sometimes I dont know what the problem is). How can a type 1 go this long without any basal on board? Your CDEs advice is very cautious. I looked up the duration of Levemir action in the package insert and found its duration of action as up to 24 hours. I know that insulin duration is partly a function of the size of the dose. All other things being equal, a larger dose of long acting insulin will last longer than a smaller dose. That being said, your dose of Levemir at 8 units is relatively small. I suspect that it will not last the full 24 hours. Even if it does, its effect will likely wear out before the next evening. According to your CDEs directions it sounds like to me you will be without any basal insulin in your system from the time your PM dose wears out until the following evening with your initial dose of Tresiba. I am not a doctor and Ive never taken Levemir so I am not qualified to give you any medical advice. What I will say is what I would likely do under similar circumstaances. I would go ahead and follow your CDEs instructions but I would Continue reading >>

Levemir Vs. Lantus: Similarities And Differences

Levemir Vs. Lantus: Similarities And Differences

Levemir and Lantus are both long-acting injectable insulins that can be used for long-term management of diabetes. Insulin is a hormone that is naturally produced in the body by the pancreas. It helps convert the glucose (sugar) in your bloodstream into energy. This energy is then distributed to cells throughout your body. With diabetes, your pancreas produces little or no insulin or your body is unable to use the insulin correctly. Without insulin, your body can’t use the sugars in your blood and can become starved for energy. The excess sugar in your blood can also damage different parts of your body, including your blood vessels and kidneys. Everyone with type 1 diabetes and many people with type 2 diabetes must use insulin to maintain healthy blood sugar levels. Levemir is a solution of insulin detemir, and Lantus is a solution of insulin glargine. Both are basal insulin formulas. That means that they work slowly to lower your blood sugar levels. They’re both absorbed into your body over a 24-hour period. They keep blood sugar levels lowered for longer than short-acting insulins do. Although the formulations are slightly different, Levemir and Lantus are very similar drugs. There are only a few differences between them. Children and adults can use both Levemir and Lantus. Specifically, Levemir can be used by people who are 2 years or older. Lantus can be used by people who are 6 years or older. Levemir or Lantus can help with daily management of diabetes. However, you may still need to use short-acting insulin to treat spikes in your blood sugar levels and diabetic ketoacidosis (a dangerous buildup of acids in your blood). Learn more: All about diabetic ketoacidosis » Administration Both Levemir and Lantus are given through injection in the same way. You can gi Continue reading >>

Levemir

Levemir

LEVEMIR® (insulin detemir [rDNA origin]) Injection DESCRIPTION LEVEMIR® (insulin detemir [rDNA origin] injection) is a sterile solution of insulin detemir for use as a subcutaneous injection. Insulin detemir is a long-acting (up to 24-hour duration of action) recombinant human insulin analog. LEVEMIR® is produced by a process that includes expression of recombinant DNA in Saccharomyces cerevisiae followed by chemical modification. Insulin detemir differs from human insulin in that the amino acid threonine in position B30 has been omitted, and a C14 fatty acid chain has been attached to the amino acid B29. Insulin detemir has a molecular formula of C267H402O76N64S6 and a molecular weight of 5916.9. It has the following structure: Figure 1: Structural Formula of insulin detemir LEVEMIR® is a clear, colorless, aqueous, neutral sterile solution. Each milliliter of LEVEMIR® contains 100 units (14.2 mg/mL) insulin detemir, 65.4 mcg zinc, 2.06 mg m-cresol, 16.0 mg glycerol, 1.80 mg phenol, 0.89 mg disodium phosphate dihydrate, 1.17 mg sodium chloride, and water for injection. Hydrochloric acid and/or sodium hydroxide may be added to adjust pH. LEVEMIR® has a pH of approximately 7.4. Continue reading >>

What Is Levemir (insulin Detemir)?

What Is Levemir (insulin Detemir)?

Levemir is the brand name for the prescription drug insulin detemir. It's used to treat type 1 and type 2 diabetes. Levemir is a long-acting insulin that lowers blood sugar by encouraging tissues to take excess glucose, discouraging the body from making more glucose, preventing the breakdown of fat and protein, and helping the body regulate levels of blood sugar. The Food and Drug Administration (FDA) approved Levemir in 2006. Novo Nordisk manufactures the drug. Levemir FlexTouch Levemir FlexTouch is an insulin pen syringe prefilled with Levemir. It's designed to make the drug easier to use. You should keep unopened Levemir FlexTouch in the refrigerator until you’re ready to use it. After opening, store it at room temperature no warmer than 86 degrees Fahrenheit. You should dispose of FlexTouch 42 days after opening, regardless of whether or not there is any left in the device. Levemir versus Lantus Levemir is similar to another man-made form of insulin, insuline glargine, which is sold under the brand name Lantus. Both drugs have similar side effects and have been to be effective at managing blood sugar levels in people with type 1 and type 2 diabetes. Talk to your doctor about which drug is better for you. Levemir Warnings You should not take Levemir if: You’re allergic to Levemir or any other ingredient in the drug Your blood sugar is low Talk to your doctor before taking Levemir if: You’re sick, stressed, or have an infection You have kidney or liver problems The potassium level in your blood is low Your doctor may lower your dose of Levemir if you are taking certain drugs, such as exenatide (Bydureon), liraglutide (Victoza), or albiglutide (Tanzeum). Levemir Storage You can store unopened vials of Levemir at room temperature or in the refrigerator, but toss a Continue reading >>

Urgent Question - About To Change To Tresiba, But Blood Sugar Is Coming Down With No Basal On Board

Urgent Question - About To Change To Tresiba, But Blood Sugar Is Coming Down With No Basal On Board

My DD (15) is switching this weekend from Levemir x2/day (30u morning/20u @ 9pm) to Tresiba taken in the evenings. The last shot of Levemir she got was last night at 10pm - 20 units - she got no basal insulin this morning. So Ive been watching on the CGM and her blood sugar is actually gradually lowering over the day instead of rising. I expected her to be high as soon as the Levemir wore off about 9am this morning. I am hesitant to start her into Tresiba tonight with 40 units (which is 20% lower than her Levemir dose). What do you think is going on? When was she diagnosed? is she still in honeymoon? (I doubt it given her basal but) Was she particularly active yesterday or today? Could the lowering of BG be linked to her bolus doses today? Could it be that she actually took her Levemir dose this morning? Thats what happened to us the day my son switched to a pump. She is a Type 1, for 4+ years. Not particularly active at all - especially slow moving today. No, she has no bolus active either. No, she didnt take any Levemir today. Its been 19 hours since her last Levemir, still slowly moving down. I am thinking I will hold off starting the Tresiba until I see her in an upward trend. Is that wise? Now I am really second guessing her starting dose of Tresiba. Maybe lowering the starting dose even further than 20%. Maybe the Levemir was more like injecting water for her. I am thinking I will hold off starting the Tresiba until I see her in an upward trend. Is that wise? @Sprocket1 , I cant help thinking that there is a lot of inertia in this system. Your Levemir likely remains active for a long time, possibly close to 24 hours for your daughter, plus she needs less basal during the day. She is not in honeymoon anymore if she has been diagnosed for 4 years so it is extremely Continue reading >>

Levemir® (insulin Detemir [rdna Origin] Injection) Indications And Usage

Levemir® (insulin Detemir [rdna Origin] Injection) Indications And Usage

Levemir® is contraindicated in patients with hypersensitivity to Levemir® or any of its excipients. Never Share a Levemir® FlexTouch® Between Patients, even if the needle is changed. Sharing poses a risk for transmission of blood-borne pathogens. Dosage adjustment and monitoring: Monitor blood glucose in all patients treated with insulin. Insulin regimens should be modified cautiously and only under medical supervision. Changes in insulin strength, manufacturer, type, or method of administration may result in the need for a change in insulin dose or an adjustment of concomitant anti-diabetic treatment. Administration: Do not dilute or mix with any other insulin or solution. Do not administer subcutaneously via an insulin pump, intramuscularly, or intravenously because severe hypoglycemia can occur. Levemir® (insulin detemir [rDNA origin] injection) is indicated to improve glycemic control in adults and children with diabetes mellitus. Levemir® is not recommended for the treatment of diabetic ketoacidosis. Intravenous rapid-acting or short-acting insulin is the preferred treatment for this condition. Levemir® is contraindicated in patients with hypersensitivity to Levemir® or any of its excipients. Never Share a Levemir® FlexTouch® Between Patients, even if the needle is changed. Sharing poses a risk for transmission of blood-borne pathogens. Dosage adjustment and monitoring: Monitor blood glucose in all patients treated with insulin. Insulin regimens should be modified cautiously and only under medical supervision. Changes in insulin strength, manufacturer, type, or method of administration may result in the need for a change in the insulin dose or an adjustment of concomitant anti-diabetic treatment. Administration: Do not dilute or mix with any other insulin Continue reading >>

Key Facts About Basaglar: A Less Expensive Long-acting Insulin

Key Facts About Basaglar: A Less Expensive Long-acting Insulin

If you’ve been using a long-acting insulin like Lantus, you might have heard about a friendly competitor called Basaglar which is coming soon to pharmacies. Basaglar is insulin glargine known as a biosimilar (also called a follow-on biologic). Because of the manufacturing process it isn’t considered a generic, but there are no differences from Lantus in regard to safety, purity and potency. To get to know Basaglar better, here are some details you’ll want to be aware of. What is the difference between a biosimilar and a generic? Generic drugs are copies of a brand name drug, and their manufacturing process can be replicated exactly through chemical reactions. Biologics are made using manufacturing processes and living organisms that are unique to each manufacturer. Therefore, it is not really possible to make an exact copy of a biologic. For an in-depth look at the definition of biosimilar, see here. Is Basaglar less expensive than Lantus? The cost of Basaglar is estimated to be about 20% cheaper than Lantus. It is manufactured by Eli Lilly as a KwikPen. Basaglar won’t be sold in a vial form. Will my insurance switch me to Basaglar? In some cases, yes. CVS Health has announced that Basaglar will be on formulary in place of Lantus. Is it really equivalent to Lantus? Yes, the onset, peak and duration of action are almost identical. Will my dose be the same as the insulin I’m currently taking? Your healthcare provider will tell you exactly how to make the switch. In general, Lantus and Basaglar can be interchanged unit for unit. If you were on Levemir, the conversion will also be unit for unit. If you were taking Levemir twice a day, the total number of units will likely be given as one Basaglar injection. If you are switching from Toujeo or NPH, your dose might Continue reading >>

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