During my outpatient clinic last week, I was queried about the “untethered regimen” in which the person with diabetes uses both Lantus and the insulin pump. I have heard Dr. Steven Edelman (an adult endocrinologist and person with type 1 diabetes) talk about this regimen in person and in a diabetes conference.
What is it? The “untethered regimen” is such that Lantus is given as an injection to provide approximately 75 percent of basal insulin with the remainder (25 percent) given by the pump. The pump continues to provide bolus insulin for correction and carbohydrates. Generally, most diabetes healthcare providers recommend either insulin pump therapy OR multiple daily injections with Lantus once (or occasionally twice daily) or Levemir (twice daily or occasionally once daily) along with rapid acting insulin for boluses to avoid confusion. Most feel that it is hard enough using one regimen rather than making one’s insulin regimen even more complicated by ...
Generic Name: INSULIN DETEMIR - INJECTION Pronounced: (IN-sue-lin DET-a-meer) Levemir SubQ Overdose
If overdose is suspected, contact your local poison
control center or emergency room immediately. US residents can call the US
national poison hotline at 1-800-222-1222. Canadian residents should call their
local poison control center directly. Symptoms of overdose may include
headache, sweating, shakiness, increased hunger, vision changes, nervousness,
tiredness, seizures, loss of consciousness.
Levemir SubQ Missed Dose
It is very important to follow your insulin regimen
exactly. Do not miss any doses of insulin. Discuss specific instructions with
your doctor now in case you miss a dose of insulin in the
Levemir SubQ Notes
Do not share this medication, needles, or syringes with
It is recommended you attend a diabetes education program
to understand diabetes and all the important aspects of its treatment,
In 2009, there was much ado about the possible correlation between glargine and cancer in people with type 2 diabetes. Several studies published in Diabetologia indicated a relationship between different types of cancer and glargine. Therefore, investigators developed prospective studies to prove whether or not there was a causal relationship. The latest evidence- based literature has not demonstrated a causal link between glargine and cancer. This lack of relationships with specific cancers has clearly reduced anxiety regarding the potential effect of glargine on cancer. However, there have been concerns focusing on breast cancer, particularly with longer exposure to insulin. Keep in mind that there is a clear association between diabetes and the incidence of cancer that is not completely understood. Some sources include insulin resistance and obesity, age and smoking. Because glargine is the most commonly prescribed formulation of insulin, its safety is extremely important to ...
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