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Insulin Analogs

To prevent hypoglycemia during the active summer months, should I decrease my son’s Lantus or feed him extra carbohydrates before bedtime?

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My two year old is having high blood sugars six weeks after diagnosis. Could his honeymoon be over? His blood sugars are not “normalized.” Is this common? Could you explain the Somogyi effect and insulin resistance? Is it really safe for him to use Lantus since it is not FDA approved for those under six?

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I used Humalog with a pump, but I started having problems and the doctor said the insulin crystallized in the pump so he switched me to NovoLog which went fine for a while. However, now I’m having the same problem (high and uncontrollable blood sugars). I went through four pumps and don’t agree it crystallized in the pump. For now I’m on Lantus and NovoLog by injection. Why would the insulin do this?

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I don’t agree with the statement that Lantus has essentially no peak. My daughter’s blood sugar drops significantly during the night. How do they claim that Lantus has “no peak?”

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When I increase my insulin, as directed by my specialist, my blood sugar goes over 300 mg/dl [16.7 mmol/L]. I test four times a day, take Lantus and NovoLog for meals. What do you suggest?

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What can you tell me about Apidra? How does it compare to NovoLog?

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I am an American living in West Africa. Where might I be able to get Lantus in Nigeria? I may run out before I return to the U.S.

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Is it safe to do a mixed injection of Lantus, NovoLog and NPH?

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To achieve glucose control, does one need a greater amount of Lantus than any other long acting insulin? Can Lantus cause tissue damage due to its low pH?

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My nine year old has had several nighttime lows this week even with reduced insulin. Are they perhaps caused by her Lantus? Why wouldn’t they occur during the day since she takes her Lantus in the morning?

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