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,
Isn’t it funny when a mistake leads you to discover something beneficial? I had this happen to me last week and thought I’d share, so other can benefit from my “mistake”. (Note: My doctor has given me the green light to make these changes to my dosing without his consultation. Please check with your doctor before changing the timing or dosing of your insulin.)
Typically I give myself two injections of Lantus daily: one at bedtime (usually around 10:00 p.m.) and another with breakfast (between 6:30 and 7:00 a.m.) One morning, I realized I forgot my morning Lantus dose and ended up giving it to myself at 10:30 a.m. Later that day, I noticed the Dexcom didn’t show the gradual rise of my blood sugar in the late afternoon to early evening period that I was getting used to seeing. Maybe the timing of the Lantus dose had something to do with it?
I decided to test the theory and try giving the second daily do...
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