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Lantus

Lantus is a long-acting basal insulin analogue, usually given once or twice daily to help control the blood sugar level of those with diabetes. Its theoretical advantage is that it has a 24 hour duration of action, with a "peakless" profile. Thus, it more closely resembles the basal insulin secretion of the normal pancreatic beta cells. In type 2 diabetes and in combination with a short acting sulphonylurea (drugs which stimulate the pancreas to make more insulin), it can offer moderate control of serum glucose levels. more...

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In the absence of endogenous insulin (Type 1 diabetes or depleted type 2), Lantus needs the support of a fast acting insulin taken with food to reduce the effect of prandially derived glucose. It is post-prandial glucose elevation which more significantly affects HbA1c and thus determines the progression of the long-term complications of diabetes mellitus.

The peakless profile of Lantus also enables the dose to be relatively higher than standard NPH insulin. Because standard NPH is normally administered at night, its peak of action tends to coincide with the lower serum glucose levels associated with nocturnal metabolism. This can induce nocturnal hypoglycaemia. Lantus offers the benefit of a more consistent pharmacological dynamic without nocturnal hypoglycaemia. The result of this is a patient who feels more confident and more comfortable with a lower pre-bed and pre-breakfast capillary glucose level.


Lantus is formulated at pH4, whereby it is completely soluble. Upon injection, it is neutralized leading to the release small precipitates. This ensures that small amount of Lantus is released into the body continuously, giving a peakless profile

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Lantus insulin can now be injected at any time of the day
From Nursing, 11/1/03

DIABETES

Previously indicated for once-daily administration at bedtime, Lantus (an insulin glargine injection marketed by Aventis) has received FDA approval for flexible administration at any time of the day. The new approval means that Lantus can be administered once daily at any time, but the time should be the same time each day.

Lantus, the only basal insulin analogue that provides 24-hour glucose-lowering activity with one injection, is unique because it has no pronounced peak. It exhibits similar absorption and consistency of action regardless of the injection site. Possible adverse events include hypoglycemia, lipodystrophy, and skin reactions.

Don't dilute Lantus or mix it with any other solution.

Copyright Springhouse Corporation Nov 2003
Provided by ProQuest Information and Learning Company. All rights Reserved

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