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LANTUS® Long-Acting Insulin: Dosing and Titration

See LANTUS® suggested titration options>


Experience LANTUS® long-acting (basal) insulin now:

Guidelines for effective once-daily dosing with LANTUS® to initiate in your insulin-naïve patients and to switch your NPH or premix insulin patients.

Initiating LANTUS®

*To reduce the risk of hypoglycemia.

Close monitoring under medical supervision is recommended during the transfer and initial weeks thereafter. Dose adjustments of LANTUS®, other insulins, or OADs may be required.

LANTUS® long-acting basal insulin can be administered any time of day. Use LANTUS® once a day at the same time every day 1
Injection sites
  • No resuspension required—a clear solution1
  • Low variability in absorption and duration of action, regardless of the injection site1,12
  • After injection, LANTUS®, a basal insulin analog, is slowly released over 24 hours1

Structured titration to target fasting blood glucose:

Below are two suggested options for titrating LANTUS® long-acting (basal) insulin doses to help patients reach target fasting blood glucose levels.5,13

TITRATING LANTUS®

†Adjust insulin dose subsequently to patient’s need.
‡Dosage was not increased that week if there were any episodes of documented hypoglycemia (<72 mg/dL) during the preceding week.
From Riddle et al.5

Desired blood glucose levels and the dosage of LANTUS® should be individualized and determined based on the physician's advice in accordance with the needs of the patient.


IMPORTANT SAFETY INFORMATION FOR LANTUS®

LANTUS® is indicated for once-daily subcutaneous administration, at the same time each day, for the treatment of adult and pediatric patients (6 years and older) with type 1 diabetes mellitus or adult patients with type 2 diabetes mellitus who require basal (long-acting) insulin for the control of hyperglycemia.

LANTUS® SoloSTAR® is a disposable prefilled insulin pen. Needles and the Lantus® SoloSTAR® pen must not be shared.

LANTUS® MUST NOT BE DILUTED OR MIXED WITH ANY OTHER INSULIN OR SOLUTION. If mixed or diluted, the solution may become cloudy, and the onset of action/time to peak effect may be altered in an unpredictable manner.

LANTUS® is contraindicated in patients hypersensitive to insulin glargine or the excipients.

Hypoglycemia is the most common adverse effect of insulin, including LANTUS®. As with all insulins, the timing of hypoglycemia may differ among various insulin formulations. Glucose monitoring is recommended for all patients with diabetes. Any change of insulin type and/or regimen should be made cautiously and only under medical supervision. Concomitant oral antidiabetes treatment may need to be adjusted.

Other adverse events commonly associated with LANTUS® include the following: lipodystrophy, skin reactions (such as injection-site reaction, pruritus, rash), and allergic reactions.

In clinical studies in adult patients there was a higher incidence of treatment-emergent injection-site pain (2.7% LANTUS® vs 0.7% NPH). The reports of pain at the injection site were usually mild and did not result in discontinuation of therapy.

Please click here for full prescribing information.

Next: Hyperglycemia Management Hyperglycemia Management

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US.GLA.08.07.024     Last Update: August 2008

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