July 15, 2007
Daily Care, Insulin Analogs
Question from Miami, Florida, USA:
Knowing what we know now about the safety of Lantus and short term insulins, why do pediatric endocrinologists at children’s hospitals still use NPH to treat new type 1 patients? Isn’t the evidence overwhelming? Why doesn’t a national association of endocrinologists do something about stopping this practice?
Answer:
Some of us have used Lantus for many years with decreased hypoglycemia overnight and improved glucose control. It is difficult to answer your question without specifics. Lantus (and Levemir) are both very acceptable basal insulins to be used as part of an MDI (multiple daily injections) intensive regimen. NPH can also be used successfully, but needs several overlapping doses and often has more hypoglycemia problems associated with it than Lantus and Levemir.
SB
