Levemir vs Lantus

rosettasweitzer
By rosettasweitzer Latest Reply 2014-03-06 17:21:57 -0600
Started 2010-07-17 08:32:27 -0500

I am currently taking injections twice a day after being on an insulin pump for the past ten years due to lack of health insurance.

I get my insulin from my Endocrinologist at no cost.

She started me on Levemir as soon as I came off the pump in January, but this past visit she gave me Levemir AND Lantus because she was short on bottles of Levemir. She told me my dose would be the same as the Levemir and to take it once a day or if I felt more comfortable to take it twice a day, splitting my total dose in half.

I take it once a day like I did the Levemir, but Ive noticed my blood sugars are running higher through out the day, and that my need for correction injections is almost a daily basis and most of the time more than once per day.

Is it possible that Lantus is somewhat different than Levemir and that I need a higher dose?

I also have Rheumatoid Arthritis and MANY diabetic complications, as Ive been diabetic since I was 9 and didnt get the luxury of a pump till I was in my twenties. My diabetes complications all resulted before I was on a pump… My Rheumatoid Arthritis is flaring right now so I wasnt sure if maybe that has something to do with it also?


12 replies

silvie mae
silvie mae 2013-09-11 18:48:41 -0500 Report

I started on Lantus once a day and then twice daily for quite sometime and had a very difficult time maintaining consistent results. I was then switched to Levemir Twice daily. I had better management with the Levemir.

lemkedoris@yahoo.com
lemkedoris@yahoo.com 2013-09-10 15:46:39 -0500 Report

I am on levemir now two times a day and on novolog fast acting the levemir works good for me two times a day I need 80 but split in half one half at night one other in the morning been working for me talk to your doctor he can tell you if you can split it in half.

Mas72
Mas72 2012-03-13 19:42:49 -0500 Report

Lantus and Levemir are both basal insulins but work differently in the body to get one (or two shots) to last over an extended period of time. Lantus is acidic and forms crystals that slowly dissolve over time when injected into the body's normal Ph. Levemir achieves its duration by binding to albumin. In general some people need to go to two shots of Levemir to get 24 hours of action, and usually need a higher dose to do so, which is when Levemir is supposed to begin peaking. The reality though is that everyone's body is different, so the insulins can act differently. Testing often when transitioning and listening to your body will let you know how they are working for you.

realsis77
realsis77 2011-08-29 14:58:04 -0500 Report

Hi lantus has been a God send for me! I love it! Its really helped me get under control without side effects! Personally I love lantus!

Angelcourtisan
Angelcourtisan 2011-02-13 20:03:36 -0600 Report

like you I have been on both Lantus and Levemir. But I was also on the insulin pump. I was misdiagnosed when I was 13 (I went into a comma and almost died) and I was put on the pump not even 3 months later so I was in D.K.A a lot cause I was not properly trained to use the equipment given to me. But I take my Levemir shots twice a day once when I get up in the morning and once when I go to bed at night. While these are both long acting insulins they may get through your system in 12hrs. or less so it may mean that you just need to take two shots instead of one.

realsis77
realsis77 2010-10-17 13:53:48 -0500 Report

I recently got put on lantus and its been a God send for me! It works so well for the first time my numbers are actually normal. That's right normal. For me that's huge. Lantus dosent peak so I never have a low just twenty four hours of straight control! I can not stress enough how great this medicine has been for me. Lantus is slightly acidic so it can have a sting every now and then but gosh its worth it! I feel great. I swaer by it.

rosettasweitzer
rosettasweitzer 2010-07-17 14:55:46 -0500 Report

I take Novolog for meals. I know Lantus or Levemir are used as the basal insulin and that Novolog should be used as a bolus insulin… But when she gave me the Lantus she said they were the same…that my dosage of both lantus and levemir would be the same and that i could take the levemir twice a day and the lantus i could take twice a day or take the total amt i was taking in levemir as one dose. But I thought maybe they were different since it seems like my blood sugars seem to run higher when i take the lantus as one dose. Could I be more sensitive to the Levemir than I am the Lantus I wonder?

Type1Lou
Type1Lou 2011-08-29 15:08:41 -0500 Report

Trust your body and your readings. Communicate your observations and concerns to your Endo so she can further guide you to better control. (I was on Lantus/NovoLog prior to just starting on my pump, August 16.) The time of day I took my Lantus was changed from bedtime to morning to avoid scary morning lows…so time of day you take the shot(s) may also be a factor. Best wishes for a better resolution!

Jeannie Holmes
Jeannie Holmes 2010-07-17 11:08:41 -0500 Report

I take Lantus twice a day. I have forgotten to take my night time shots a few times and have noticed that my BS are the same either way?? I wonder if it even works?

AYOUNG75
AYOUNG75 2014-03-06 17:21:57 -0600 Report

J. I ASSURE YOU IT WORKS. I MISSED MY NIGHT SHOT ONCE AND HAD PIZZA THE NEXT DAY FOR LUNCH. THAT MORNING RDG WAS 96 BUT AFTER THE PIZZA IT WAS 258 -NOT GOOD-. SO I MADE SURE I TOOK MY NIGHT SHOT AFTER THE PIZZA AND THE NEXT MORNING I WAS BACK TO NORMAL AGAIN. I SWEAR BY THE LANTUS!
AYOUNG75

kdroberts
kdroberts 2010-07-17 10:38:45 -0500 Report

Yes, they are different. Levemir has a peak and best used twice a day, lantus has no real peak and is usually once daily. Also, what are you doing for meals? Neither lantus or levemir will cover carb at mealtime

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