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LANTUS® Plus Orals: Glycemic Control Compared to Premix Insulin

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Adding LANTUS® to oral diabetes medications (OADs) produced predictable glycemic control.8

Male Patient

Not an actual patient.

For type 2 diabetes patients with characteristics similar to the patients studied 9:

  • Mean duration of diabetes: 9.9 (± 6.8) years
  • Mean BMI: 29.5 (± 3.6)
  • A1C
    • Mean: 8.84% (± 0.92%)
    • Entry criteria: 7.5%-10.5%
Study design

From Janka et al.8

Once-daily LANTUS® + OADs lowered fasting, prandial, and postprandial blood glucose

A 24-week, multicenter trial of patients with type 2 diabetes (N=364) compared the efficacy and safety of adding once-daily LANTUS® basal insulin to prestudy OADs (sulfonylurea and metformin) vs switching to twice-daily premixed insulin (human insulin 70/30) in patients insufficiently controlled on OADs. Baseline A1C: premix = 8.83 (± 0.87).

From Janka et al.8

LANTUS®, a basal insulin, + oral diabetes medications (OADs) effectively reduced A1C8

Reductions in A1C values

From Janka et al.8

  • In two additional studies, patients poorly controlled with a premix insulin regimen experienced mean A1C reductions of 1.1% and 1.2% and mean FBG reductions of 57 to 62 mg/dL and 54 mg/dL with LANTUS® + OADs10,11
Once-daily LANTUS® + OADs produced a low rate of hypoglycemia per patient9

Confirmed symptomatic hypoglycemia (<60 mg/dL)

From Janka et al.8

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: Switching from Premix to LANTUS® Switching from Premix to LANTUS®

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US.GLA.08.07.023     Last Update: August 2008

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