What is Lantus
is a hormone naturally produced by the pancreas. Insulin enables
the body to use the sugar in food as a source of energy. When
the body does not produce enough insulin, or when the insulin
produced by the body is not effective enough, the condition
is called diabetes mellitus. This condition allows sugar levels
in the blood to become very high. Diabetics must use man-made
insulin or insulin that comes from pigs (which is very similar
to human insulin) to lower these high blood sugar levels.
is used in the treatment of diabetes mellitus.
may also be used for purposes other than those listed in this
General medical information about Lantus
Know the signs and symptoms of low blood sugar (hypoglycemia),
which include shaking; nausea; headache; drowsiness; weakness;
dizziness; fast heartbeat; sweating; pale, cool skin; anxiety;
and difficulty concentrating. Carry a piece of candy or
glucose tablets with you to treat episodes of low blood
Follow any diet and exercise plan that you
have developed with your doctor or nurse. Changes in what
you eat or how much you exercise can change the amount of
insulin that you need to control blood sugar levels.
Ask your doctor or nurse what to do if you are sick with
a cold, flu, or fever. These illnesses may change your insulin
Do not change the brand of insulin
glargine or syringe that you are using without first talking
to your doctor or pharmacist. Some brands of insulin glargine
and syringes are interchangeable, while others are not.
Your doctor and/or pharmacist know which brands can be substituted
for one another.
Do not mix or dilute Lantus with
any other insulin or solution.
What you should discuss with your doctor before
using Lantus Do not use Lantus if you are allergic to insulin
or if you have intolerance to a certain Lantus product.
Before using insulin, tell your doctor if you have
any other medical conditions or if you take other prescription
or over-the-counter medications, including vitamins, minerals,
and herbal supplements.
Before using Lantus, tell
your doctor if you have kidney or liver disease. You may
require a dosage adjustment or special monitoring during
Lantus is in the FDA pregnancy category
C. This means that it is not known whether it will be harmful
to an unborn baby. Do not use this medication without first
talking to your doctor if you are pregnant or could become
pregnant during treatment.
It is not known whether
Lantus passes into breast milk. Do not use this medication
without first talking to your doctor if you are breast-feeding
How should you use Lantus Use Lantus exactly as directed by your doctor. If
you do not understand these instructions, ask your doctor,
nurse, or pharmacist to explain them to you.
insulin has been stored in the refrigerator, it can be warmed
to room temperature before use.
Lantus is usually
used once a day. Follow your doctor's instructions.
Do not mix or dilute Lantus with any other insulin or solution.
Do not use any insulin that is discolored, looks
thick, has particles in it, or looks different from previous
bottles, cartridges, or pens of Lantus.
sites as directed by your doctor. Usually, you should not
inject within 1 inch of the same site within 1 month.
Never reuse a needle or syringe. Dispose of all needles
and syringes in an appropriate, puncture-resistant disposal
Do not change the insulin strength (e.g.,
U-100) or insulin type (e.g., glargine, lispro, regular,
etc.) unless your doctor recommends a change for you.
Do not change the brand of insulin glargine or syringe that
you are using without first talking to your doctor or pharmacist.
Some brands of insulin and syringes are interchangeable,
while others are not. Your doctor and/or pharmacist know
which brands can be substituted for one another.
Follow any diet and exercise plan that you have developed
with your doctor or nurse. Changes in what
you eat or how
much you exercise can change the amount of insulin that
you need to control your blood sugar levels.
your doctor or nurse what to do if you are sick with a cold,
flu, or fever. These illnesses may change your insulin requirements.
Your healthcare provider may recommend regular monitoring
of blood sugar levels with blood or urine tests.
Wear some type of medical identification bracelet, necklace,
or other alert tag to inform others that you have diabetes
and that you require insulin in the case of an emergency.
Proper foot care, eye care, dental care, and overall
proper health care are important for people with diabetes.
Visit your doctor, dentist, eye doctor, and other heath
care practitioners as recommended by your doctor.
Store unopened vials Lantus in the refrigerator between
36 and 46 degrees Fahrenheit (2 and 8 degrees Celsius),
in the original carton. Do not store Lantus in the freezer
and do not allow it to freeze. Do not use Lantus if it has
been frozen. Throw away any expired Lantus.
of Lantus insulin can be kept unrefrigerated for up to 28
days, but should not be exposed to excessive heat or sunlight.
Once punctured, the insulin vial in use, whether
stored in the refrigerator or at room temperature, must
be used within 28 days. Throw away any unused insulin 28
days after the vial is first punctured.
If you miss a dose: Follow your doctor's directions if you miss a dose
of insulin. To prevent missed doses, be sure to always have
enough insulin on hand, especially if you are going on vacation.
What happens if you overdose: Seek emergency medical attention if an overdose is
Symptoms of an insulin overdose reflect
very low blood sugar levels and include headache, irregular
heartbeat, increased heart rate or pulse, sweating, tremor,
nausea, increased hunger, and anxiety.
What should you avoid while using Lantus Do not use alcohol without first talking to your
doctor. It lowers blood sugar, and you may experience dangerously
low blood sugar levels.
Follow any diet and exercise
plan that you have developed with your doctor or nurse.
Changes in what
you eat or how much you exercise can change
the amount of insulin that you need to control your blood
Possible side effects of Lantus Rarely, people have allergic reactions to insulin.
Seek emergency medical attention if you experience an allergic
reaction (difficulty breathing; closing of the throat; swelling
of the lips, tongue, or face; or hives).
effects of insulin therapy result mostly from blood sugar
levels that are either too high or too low. You should be
familiar with the symptoms of both high and low blood sugar
levels and know how to treat both conditions. Also, be sure
your family and close friends know how to help you in an
Low blood sugar may occur when too much
insulin is used; when meals are missed or delayed; if you
exercise more than usual; during illness, especially with
vomiting or diarrhea; if you take other medications; after
drinking alcohol; and in other situations.
or low blood sugar, has the following symptoms: shaking;
nausea; headache; drowsiness; weakness; dizziness; fast
heartbeat; sweating; pale, cool skin; anxiety; and difficulty
Keep sugary candy, fruit juice, or
glucose tablets on hand to treat episodes of low blood sugar.
Increased blood sugar may occur if not enough insulin
is used, if you eat significantly more food than usual,
if you exercise less than usual, if you take other medications,
if you have a fever or other illness, and in other situations.
Hyperglycemia, or high blood sugar, has the following
symptoms: increased thirst, increased hunger, and increased
Monitor your blood sugar levels and ask
your doctor how to adjust your insulin doses if your blood
sugar levels are too high.
Side effects may also
occur at the site of injection. If the area becomes thickened,
hard, or pitted, talk to your doctor before injecting at
that site again.
Side effects other than those listed
here may also occur. Talk to your doctor about any side
effect that seems unusual or that is especially bothersome.
What other drugs will affect Lantus
drugs can interact with insulin or affect your blood sugar
levels. Do not take any other prescription or over-the-counter
medicines, including vitamins, minerals, and herbal products,
without first talking to your doctor or pharmacist during
treatment with insulin.