i have type2 diabetes and my dr. wants to switch me from nph to lantus good idea????

Question

i have many lows day and night is this medication better? no smart answers this is a serious disease o.k.

Answer 1

Lantus is much more stable insulin. it's considered a 24 hour peakless insulin. You might be getting lows because of the NPH peaking at different times in the day and night. People are less likely to have lows on Lantus. Although it's considered a 24 hour insulin it's also possible that it doesn't last as long in some people or lasts longer in others. It's not uncommon for people to split their dose. You can always switch back or to something else.

Answer 2

I am an RN and know alot about your condition. I work in an ER and we are constantly making adjustments to diabetic patients dosages and medications to help in their control.

Lantus is more steadily acting and works over a longer period (stated 24 hours). NPH is longer lasting then regular insulin (stated 6-12 hours). Lantus also has more ability to control your diabetes versus NPH since NPH will still allow for peaks and throughs in your insulin levels. Lantus also allows for you to eat when you want, versus the dreaded "Oh I have to eat something because I took my insulin 30 minutes ago and I dont want my sugar to drop".

Hope this helps

(PS, in case you end up in a crisis with a HIGH blood sugar, and you feel the need to give yourself NPH or even Reg Insulin, DO NOT MIX Lantus with anything in the same syringe)

Answer 3

My husband is a diabetic type 2 and did very well switching from NPH to Lantus. It was easier for him to remember just one injection a day. It needs to be taken the same time each day to keep from having highs and lows.

Answer 4

Lantus/glargine should keep your levels steadier than NPH, but I am concerned about your low readings.
Does your doc want you to have humalog (lispro) available also, to take care of high glucose levels?
From everything that I have heard, the lantus/ lispro route is a good way to go. But please be aware that I am offering suggestions and not giving advice.
Have you asked about getting an insulin pump?
My daughter is doing much better with the pump than she did on the lantus/lispro regimen. She is Type 1.

Answer 5

lantus is a 24 hour long acting insulin. nph is a 12 hour long acting insulin. lantus is better insulin. It's ok. Don't worry about it! Just do what your doctors say! You need better control on your diabetes... I should know.... I have Type 1 Diabetes for 14 years

Answer 6

Many diabetics experience Dawn Phenomenon. There are basically three causes: 1) If your blood sugar goes low at night, your body might overreact and go reflexively HYPERglycemic. This is probably not you since you eat late and snack before bed. (You can test this by setting your alarm for the middle of the night for a few nights in a row. If your blood sugar is low, then you can eat more before bed.) 2) All people, diabetics and non-diabetics alike, have an increase in blood sugar to prepare for the morning rise, except that non-diabetics have a better insulin response to accommodate this surge. 3) Your body naturally clearis insulin overnight. In a diabetic this can cause a confusion of signals to your liver since having glucagon present with low levels of insulin screams to your liver to produce blood sugar. Some diabetics drink red wine before bed to suppress DP. Some find the snack before bed helpful. (I would advise you to not drink milk before bed, as it's high in sugar and could be exacerbating the problem. In fact, try not eating before bed at all to see if your blood sugar drops in the morning.) The Metformin is probably helping, but you might need to increase your nighttime dosage and even add a morning dose. 500 mgs is not that much. Most diabetics take over 1000 mgs per day. I suggest you don't snack, maybe drink some red wine, and wake up early and eat right away. That should bring you down faster in the morning. In other words, even if you can't avoid DP, you can minimize its impact by eating breakfast. Also, Metformin works best on a full stomach. It's about 50% less effective when taken on an empty stomach.

Answer 7

High blood levels of glucose can cause several problems, including frequent urination, excessive thirst, hunger, fatigue, weight loss, and blurry vision. However, because type 2 diabetes develops slowly, some people with high blood sugar experience no symptoms at all. How to treat diabetes naturally https://tr.im/dwJzV

Symptoms of type 1 diabetes:

Increased thirst
Increased urination
Weight loss in spite of increased appetite
Fatigue
Nausea
Vomiting

Patients with type 1 diabetes usually develop symptoms over a short period of time, and the condition is often diagnosed in an emergency setting.

Symptoms of type 2 diabetes:

Increased thirst
Increased urination
Increased appetite
Fatigue
Blurred vision
Slow-healing infections
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If you think you have diabetes i think you should have a checkup and speak with your doctor just in case.

Answer 8

Agreed. Lantus may not be the perfect answer, but it certainly was part of the better plan for me. Slower acting, helps conrtol better. It is the regression of the disease. Gets my thumbs up. Much though depends on you, your eating and physical habbits. Good luck.

Answer 9

Hello. I am sorry to hear of your condition. And, I am very serious about my answer to your question, as I am NOT being funny. I know full well the seriousness of the disease of diabetes as I have family and friends who have the condition. My comments to you are why not learn how to CURE the condition and not just treat and maintain it? The mainstream medical community normally uses chemical based medications, which has huge side effects, to train us how to simply maintain our conditions instead of curing them once and for all. But, diabetes are totally curable and not that difficult to do once you know what causes the disease and how to cure it. See the link below for the book called, "The Cure For All Diseases," by Dr. Hulda R. Clark, Ph.D., N.D. She has discovered that there are only two causes of diseases, Toxins and Parasites. If you will learn to cleanse your body of the toxins and kill the parasites, you will cure and stop the progression of the disease. And, finally, you will need to go about building back up your vital organs that suffer from having diseases, by focusing on proper nutrition and high quality supplements. Good Luck to you and yours!

Answer 10

Lantus made me sick. It sucks too because if you mix nph with Humalog or regular, you can't do that with Lantus.

So, you might want to try it, but be aware.