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August 28, 2005

Blood Tests and Insulin Injections, Insulin Analogs

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Question from Philadelphia, Pennsylvania, USA:

I take Lantus in conjunction with Prandin and Glucophage. My doctor has told me to increase my Lantus up to 20 units, I am currently taking about 14 units. The doctor said to wait about five days at the new Lantus dose to see if it is working well. I take my Lantus in the morning, so depending on what my blood sugar is, I may decrease my Lantus amount to maybe 12 or 13 units. I am wondering, is it a problem to adjust Lantus dosages on a day-to-day basis? Does it make it less effective if you do not take a consistent dose over time?

Answer:

From: DTeam Staff

I strongly disagree with adjusting Lantus on a day-to-day basis. What your blood sugar is at the time of the injection has very little to do with the effect that changing the dose will have over the next 24 hours. It is always possible that you give extra because your blood sugar is high when it comes time to give your Lantus but your blood sugar drops over the next twelve hours. Then you are in a pickle because you took extra.

JTL