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Discussion in 'Type 1 Diabetes' started by Chloelox, Jun 23, 2021.
Switching to lantus tonight! Just wondering other peoples pro’s and cons? I’m nervous lol!
I switched from Lantus - didn't get on with it at all. I am the 1 in 10,000 who gets extreme muscle pains (myalgia) with glargine insulin. Also had very erratic glucose levels with too many hypo's. I'm using Levemir now and it suits me better.
But lot's of people like Lantus, - what are you on now.
currently taking humulin I, but I’m experiencing evening highs when the basal is losing effect so I’ve been switched to lantus today to try and control that.
I used Lantus for 12 years with no problems.
It didn’t last the full 24 hours and had a little peak after 4 hours but I took it with my evening meal so I didn’t run out at night but had overcome the peak before sleeping.
I am a little surprised you are not being prescribed one of the newer nasals such as Levemir or Tresiba which have flatter profiles.
I’ve pretty much got on fine with Lantus, I questioned a while back if it was lasting 24hrs but after some testing that seemed to be more down to a liver dump.
I’ve experienced one ‘Lantus low’ and it was very unpleasant dropping from 7-2 mmol very quickly. But it’s only happened once in nearly a year.
Good luck, I hope it helps you
my basal needs can fluctuate depending on hormones, exercise etc and tresiba was decided to probably not be the best for the fluctuations. Levemir hasn’t been mentioned though. I did a fair bit of research tonight and have read a lot about severe hypo’s which has worried me slightly. As I am currently on my own in the house with the baby while my husband works away..
I've used Lantus for years.. In some ways. It kinda works for me?
The pros for me? Can tweak dosage & will be effective the following day. (An anticipated hot heavy work load?)
I seem to be more insulin sensitive at the latter half of the day & evening. So as it tails off, either working or doing a gig. I can stay in a holding pattern twix 4.8 & 5.5mmol whilst physically active?
The cons for me, when it don't work. It shows. I would tend call it potentially unstable.
But a change of cartridge without fail puts it right for the following day. It can basically lose potency & you may find yourself possibly fixing with correction doses of fast acting?
Yeah, I tried talking my endo into a basal change. But he's right in some respect. A pre-emptive tweak for the following day may be more effective for my needs than something like Tresiba? (Which could be like steering a tanker?)
I was on Lantus for 9 years I think. No problems with it. I injected twice daily as it was thought it wasn't lasting 24 hours with one injection, that was ages ago - pre-libre and all that stuff.
Do you have a cgm?
I liked it for the first ten years I was on it. And the 24 hour lifespan means you can adjust it when you need to eg extra exercise or illness.
I do yes
That makes life a lot easier. If it has alarms, just make sure you have glucose by your bed and you should get woken by a hypo.
In my (non zero but limited) experience, extreme lantus lows happen very soon after the injection, so just making sure you're awake for 15 minutes after you inject should forestall any epic crashes. But honestly, you probably won't ever get one.
As for the 4am dip, you should either wake or be woken by a cgm alarm for that...
Hi there - I was on Lantus for a number of years until I did a DAFNE 1 week course. I’ve been T1 for 48 years, and was encouraged to do the DAFNE course as part of getting Libre. I felt SOOOO irritated by this, thinking there is nothing new I could be taught but attended. I have never been so glad about anything… ever! During the course the tutors (diabetic specialist nurse and dietician) clearly demonstrated that Lantus doesn’t last 24 hours in all of us prescribed. I am so surprised you are being prescribed it as it’s apparently well known. Most get 14-17 hours. Was switched to Levemir during course and it’s given me a great drop in HBA1C and much better control - inject x2 a day am and pm. I have greater control over managing lows post exercise etc due to twice daily.