Lantus Basal

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How Do You Use Basal Insulin?

When the first long-lasting basal insulin analogs (insulin glargine [brand name Lantus] and insulin detemir [Levemir]) came out, they were supposed to last 24 hours. You injected once a day. That schedule clearly doesn’t work for everyone. Why is that, and what works for you? First of all, what is “basal” insulin? “Basal” insulin is that background level of insulin you need 24 hours a day. It’s not for the food you eat; it’s for everything else insulin has to do in your body. As I wrote here, insulin keeps glucose stored in the liver, fat stored in fat cells, and promotes cell reproduction, along with several other functions. People with Type 1 and many with Type 2 have very low or no basal insulin. Without basal insulin, your liver can pump out glucose all the time. Your sugars can go way up even if you don’t eat, like at night. So the invention of a 24-hour basal insulin was a great advance. It brought people’s A1C levels way down, but it doesn’t always work as advertised. Dr. Richard Bernstein, author of Diabetes Solution, says “In my opinion, there is no 24-hour basal insulin.” Larger insulin doses take longer to absorb. According to Dr. Bernstein, drug Continue reading >>

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Popular Questions

  1. lia

    Anyone use the A1C at home test kits?

    I tried doing the forum search, but a1c is too short to be included in it, so the results were all about 'home.' Nothing about a1c.
    I was just looking into them and Walmart has the Relion a1c home test kit for $9. Compared to $85 at the doctors, they are going to be losing my business.
    Most of them take about a week to give you the results. You have to mail the test in, and they mail or email the results back. Bayer has one that is completely at home and it just takes a few minutes, but it is close to $30.
    They are supposed to be as accurate as the ones sent to the lab from the blood sample people. Amazon is out of them right now, but the comments are still up for them, and one person got the exact same result from it that he did from the doctor's lab.
    That's nice to be able to do. Things are looking up. Go science, go

  2. smorgan

    I've used the Wal-Mart one several times, the one you mail in. I have no reason to believe it is any less accurate than the ones my doctor sends to the lab.

  3. jwags

    I buy the Bayer A1c Now kits when they are on sale. They will usually be $19.99 on sale and you get 2 tests. You get results in 5 minutes and they are pretty accurate. Check out the sale flyers for Walgreens, CVS, Drugmart.

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