Printed From:

How to Use Long-Acting Lantus® Insulin

There are 2 ways to inject Lantus®

Starting a new routine can take some getting used to. Now that you and your doctor have decided Lantus® is right for you, watch these step-by-step videos to learn how to use either the Lantus® SoloSTAR® pen or the Lantus® vial
and syringe.

Super:
Indications and Usage for Lantus® (insulin glargine [rDNA origin] injection)

Prescription Lantus is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric patients (children 6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.

Do not use Lantus to treat diabetic ketoacidosis.

Please see Important Safety Information for Lantus® and full prescribing information at the links below.

Narrator VO:

[Narrator’s voice and music.]

Prescription Lantus is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric patients (children 6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.

Do not use Lantus to treat diabetic ketoacidosis.

SUPER:

(ISI scrolls as it is being read)

Prescription Lantus is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric patients (children 6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.

Do not use Lantus to treat diabetic ketoacidosis.

Important Safety Information For Lantus® (insulin glargine [rDNA origin] injection)

Do not take Lantus® if you are allergic to insulin or any of the inactive ingredients in Lantus®.

Do not share needles, insulin pens or syringes with others. Do NOT reuse needles.

You must test your blood sugar levels while using insulin, such as Lantus®. Do not make any changes to your dose or type of insulin without talking to your healthcare provider. Any change of insulin should be made cautiously and only under medical supervision.

Do NOT dilute or mix Lantus® with any other insulin or solution.

It will not work as intended and you may lose blood sugar control, which could be serious. Lantus® must only be used if the solution is clear and colorless with no particles visible.

Tell your doctor about other medicines, especially ones commonly called TZDs (thiazolidinediones), and supplements you are taking because they can change the way insulin works. Before starting Lantus®, tell your doctor about all your medical conditions including if you have heart failure or other heart problems, liver or kidney problems, are pregnant or planning to become pregnant, or are breast-feeding or planning to breast-feed. If you have heart failure, it may get worse while you take TZDs with Lantus®.

The most common side effect of insulin, including Lantus®, is low blood sugar (hypoglycemia), which may be serious. Some people may experience symptoms such as shaking, sweating, fast heartbeat, and blurred vision. Severe hypoglycemia may be serious and life threatening. It may cause harm to your heart or brain. Other possible side effects may include swelling, weight gain, injection site reactions, including changes in fat tissue at the injection site, and allergic reactions, including itching and rash. In rare cases, some allergic reactions may be life threatening.

Lantus® SoloSTAR® is a disposable prefilled insulin pen. Please talk to your healthcare provider about proper injection technique and follow instructions in the Instruction Leaflet that accompanies the pen.

Please see Full Prescribing Information for Lantus® in the link below.

Narrator VO:

[Narrator’s voice, music fades out.]

Prescription Lantus is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric patients (children 6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.

Do not use Lantus to treat diabetic ketoacidosis.

Important Safety Information For Lantus® (insulin glargine [rDNA origin] injection)

Do not take Lantus® if you are allergic to insulin or any of the inactive ingredients in Lantus®.

Do not share needles, insulin pens or syringes with others. Do NOT reuse needles.

You must test your blood sugar levels while using insulin, such as Lantus®. Do not make any changes to your dose or type of insulin without talking to your healthcare provider. Any change of insulin should be made cautiously and only under medical supervision.

Do NOT dilute or mix Lantus® with any other insulin or solution. It will not work as intended and you may lose blood sugar control, which could be serious. Lantus® must only be used if the solution is clear and colorless with no particles visible.

Tell your doctor about other medicines, especially ones commonly called TZDs (thiazolidinediones), and supplements you are taking because they can change the way insulin works. Before starting Lantus®, tell your doctor about all your medical conditions including if you have heart failure or other heart problems, liver or kidney problems, are pregnant or planning to become pregnant, or are breast-feeding or planning to breast-feed. If you have heart failure, it may get worse while you take TZDs with Lantus®.

The most common side effect of insulin, including Lantus®, is low blood sugar (hypoglycemia), which may be serious. Some people may experience symptoms such as shaking, sweating, fast heartbeat, and blurred vision. Severe hypoglycemia may be serious and life threatening. It may cause harm to your heart or brain. Other possible side effects may include swelling, weight gain, injection site reactions, including changes in fat tissue at the injection site, and allergic reactions, including itching and rash. In rare cases, some allergic reactions may be life threatening.

Lantus® SoloSTAR® is a disposable prefilled insulin pen. Please talk to your healthcare provider about proper injection technique and follow instructions in the Instruction Leaflet that accompanies the pen.

Please see Full Prescribing Information for Lantus® in the link below.

Narrator VO: Before we start the steps, let's take a look at the different parts of the pen and the needle.

The Lantus® SoloSTAR® pen is grey, has a flat, smooth injection button, and is filled with 300 Units of Lantus®, a long-acting insulin.

This is the pen cap. The pen cap protects the pen when you're not using it. When you remove the cap, you can see the rubber seal, which protects the insulin in the pen reservoir.

The dose window has large, easy-to-read numbers, so that you can clearly see the dose you're dialing.

Narrator VO: The pen needle has an outer cap, an inner needle cap that covers the actual needle, and a protective seal.

Pen needles are not included with the pen. Lantus® SoloSTAR® is compatible with Becton Dickinson Ultra-Fine pen needles.

Super: Important reminders

Narrator VO: Before we start with step 1, here are some important reminders about using the pen:

Narrator VO:

  • Store unopened Lantus® SoloSTAR® pens in the refrigerator until expiration date
  • You can also store unopened pens at room temperature, but only for 28 days 
  • Before injecting, wait until the pen has been out of the refrigerator and warms up to room temperature, so the insulin in the pen will feel more comfortable when you inject it 
  • After opening the pen, you should not refrigerate it, and you can use it for up to 28 days
  • Always attach the needle first before dialing the dose selector, and always use a new needle
  • Always wash your hands with soap and water before an injection, and remember to clean the injection site with alcohol

Super 1:

Getting ready for an injection

Narrator VO: Now let's go to Step 1: Getting ready for an injection.

Narrator VO: Remove the pen cap.

Super: Use

Narrator VO: Before beginning, check to see that the insulin in the pen is clear and colorless. The insulin in this pen is clear, so it's OK to use it.

Super: Don't use if not clear. Use another pen, or call 1-800-633-1610

Narrator VO: If it is not clear, or if it has particles, do not use that Lantus® SoloSTAR® pen. Use another pen, or call the 24-hour helpline at 1-800-633-1610.

Super 2: Attaching a needle

Narrator VO: OK! Now you've completed the first step. So let's go on to Step 2: Attaching a needle.

Super: Right

Narrator VO: First, remove the protective seal. Then, holding the needle straight, screw it on snugly, but don't make it too tight. If you have a push-on needle, keep it straight as you push it on.

Super: Wrong

Narrator VO: Never hold the needle at an angle when screwing it onto the pen.

Narrator VO: After you've attached the needle, take off the outer needle cap. Save the outer needle cap, because you will need it later to safely remove the needle after your injection.

Narrator VO: Now, take off the inner needle cap and throw it away.

Super 3: Doing a safety test. Always perform the safety test before each injection.

Narrator VO: Now let's move on to Step 3: Doing a safety test.

Narrator VO: First, dial a test dose of 2 Units.

Narrator VO: Now, holding the pen with the needle pointing up, gently tap the reservoir so the air bubbles rise up to the needle.

Narrator VO: Then, press the injection button all the way in...

Narrator VO: ...and check to see that insulin comes out of the needle. The dial will automatically go back to zero after you perform the test.

Super: If no insulin comes out after the fourth test, do not use the pen. Use another pen.

Narrator VO: If no insulin comes out, repeat the test 2 more times. If that doesn't work, then use a new needle. If no insulin comes out after you've changed the needle, do not use the pen. Use another pen.

Narrator VO: All right! We're already halfway through.

Super 4: Selecting the dose

Narrator VO: So let's go on to Step 4: Selecting the dose.

Narrator VO: Dial the dose your doctor has prescribed for you. For this demonstration, we're dialing a dose of 10 Units.

A great feature of the Lantus® SoloSTAR® pen is that if you dial too little or too much, you can dial back up or down until you reach your dose. But the dose can't be dialed past the number of insulin units that are still in the pen.

The pen has an automatic safety stop at 80 Units. If you need a dose of more than 80 Units, then you must give yourself another injection.

Use a new pen needle if you need to give yourself another injection.

You must always attach a new needle and discard the one you just used.

Super 5: Injecting your dose

Narrator VO: Now let's go on to Step 5: Injecting your dose.

Super: upper arms abdomen thighs

Narrator VO: The Lantus® SoloSTAR® pen uses a very thin needle that you can inject in the upper arms, the abdomen, or the thighs.

Narrator VO: Keeping the pen straight, insert the needle into your skin.

Narrator VO: Using your thumb, press the injection button all the way down.

Super: 10 sec

Narrator VO: Then, slowly count to 10 to make sure that you get your full insulin dose. After counting a full 10 seconds, release the button and remove the needle from your skin.

Super 6:Removing the needle

Narrator VO: Congratulations! You've learned how to inject yourself with the Lantus SoloSTAR pen. Now let's go to the last step, Step 6: Removing the needle

Narrator VO: Put the outer needle cap back on the needle...

Super www.safeneedledisposal.org

Narrator VO: ...and use it to unscrew the needle from the pen. If you have a push-on needle, then pull the outer needle cap from the pen. Discard the needle and the needle cap the way your healthcare provider told you to do it. You can use a sharps container or visit www.safeneedledisposal.org for other safe ways to dispose of used needles. Put the pen cap back on the pen and store it in a safe place.

Narrator VO: With practice, you can do this. But if you forget a step or two, just play the video again. You can also read these injection instructions in the full Prescribing Information.

Super:

Please click below for additional Important Safety Information for Lantus®

Please click below for Full Prescribing Information

How to use your SoloSTAR® Pen in 6 steps.

Please see full Important Safety Information and full Prescribing Information for Lantus®.

GET READY

  • Remove the pen cap with clean hands
  • Check the reservoir to make sure the insulin is clear and colorless and has no particles—if not,
    use another pen
Lantus SoloSTAR Pen

 
  • Always store UNOPENED Lantus® SoloSTAR® pens in the refrigerator
  • Always wash your hands with soap and water before an injection
  • Always check the expiration date of the pen
  • Never inject cold insulin. Wait until pen warms up to room temperature

ATTACH THE NEEDLE

  • Wipe the pen tip (rubber seal) with an alcohol swab
  • Remove the protective seal from the new needle, line the needle up straight with the pen, and screw the needle on
  • Do not make the needle too tight. If you have a push-on needle, keep it straight as you push it on
Attach the needle

  • After you have attached the needle, take off the outer needle cap and save it (you will need it to remove the needle after your injection)
  • Remove the inner needle cap and throw it away

 
  • Always use a new needle
  • Never refrigerate the pen after opening it
  • Never play with the dial before using it; this may prevent jamming

PERFORM A SAFETY TEST

  • Dial a test dose of 2 units
  • Hold pen with the needle pointing up and lightly tap the insulin reservoir so the air bubbles rise to the top of the needle. This will help you get the most accurate dose
  • Press the injection button all the way in and check to see that insulin comes out of the needle. The dial will automatically go back to zero after you perform the test
  • If no insulin comes out, repeat the test 2 more times. If there is still no insulin coming out, use a new needle and do the safety test again
SoloSTAR Pen Safety Test

 
  • Always perform the safety test before each injection
  • Never use the pen if no insulin comes out after using a second needle

SELECT THE DOSE

  • Make sure the window shows “0” and then select the dose. Otherwise you will inject more insulin than you need and that can affect your blood sugar level
  • Dial back up or down if you dialed the wrong amount
  • Check if you have enough insulin in the reservoir. If you cannot dial the dose you want it may be because you don’t have enough insulin left
  • You cannot dial more than 80 units because the pen has a safety stop. If your dose is more than 80 units, you will need to redial the rest of your dose. If you don’t have enough insulin for the rest of your dose you will need to use a new pen
Select the dose

 
  • Never force the dose selector when dialing your dose
  • Never set the dose selector to half units or the pen may jam

INJECT YOUR DOSE

  • Clean site with an alcohol swab. Please see injection site options
  • Keep the pen straight; insert the needle into your skin

  • Using your thumb, press the injection button all the way down and slowly count to 10 before removing. (Counting to 10 will make sure you get your full insulin dose)
  • Release the button and remove the needle from your skin
Inject your dose

 
  • Choose a new injection spot each time
  • Take the needle from your skin if you dial another dose

REMOVE THE NEEDLE

  • After injecting, always remove the needle to prevent contamination and leaking
  • Put the outer needle cap back on the needle and unscrew (or pull) the needle from the pen
  • Throw needle away in a sharps container. For more information on disposing needles please see disposal information
  • Put the pen cap back on the pen and store in a safe place at room temperature
Remove the needle

 
  • Never share your needle or pen with another person

Lantus® (insulin glargine [rDNA origin] injection) Injection Instructions Video

Prescription Lantus® is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric patients (children 6 years and older) with type 1 diabetes for the control of high blood sugar. It should be taken once a day at the same time each day to lower blood glucose.

Do not use Lantus® to treat diabetic ketoacidosis.

Please see Important Safety Information from Lantus® and full prescribing information in the links below.

Important Safety Information for Lantus® (insulin glargine [rDNA origin] injection)

Do not take Lantus® if you are allergic to insulin or any of the inactive ingredients in Lantus®.

Do not share needles, insulin pens or syringes with others. Do NOT reuse needles.

You must test your blood sugar levels while using insulin, such as Lantus®. Do not make any changes to your dose or type of insulin without talking to your healthcare provider. Any change of insulin should be made cautiously and only under medical supervision.

Do NOT dilute or mix Lantus® with any other insulin or solution. It will not work as intended and you may lose blood sugar control, which could be serious. Lantus® must only be used if the solution is clear and colorless with no particles visible.

Tell your doctor about other medicines, especially ones commonly called TZDs (thiazolidinediones), and supplements you are taking because they can change the way insulin works. Before starting Lantus®, tell your doctor about all your medical conditions including if you have heart failure or other heart problems, liver or kidney problems, are pregnant or planning to become pregnant, or are breast-feeding or planning to breast-feed. If you have heart failure, it may get worse while you take TZDs with Lantus®.

The most common side effect of insulin, including Lantus®, is low blood sugar (hypoglycemia), which may be serious. Some people may experience symptoms such as shaking, sweating, fast heartbeat, and blurred vision. Severe hypoglycemia may be serious and life threatening. It may cause harm to your heart or brain. Other possible side effects may include swelling, weight gain, injection site reactions, including changes in fat tissue at the injection site, and allergic reactions, including itching and rash. In rare cases, some allergic reactions may be life threatening.

Please see Full Prescribing Information for Lantus® in the link below.

Always check the label on your vial to be sure you have the proper insulin. Do not use a vial if it is past its expiration date. Make sure the liquid in the Lantus® vial is clear and colorless. If not, throw it away. Do not mix Lantus® with any other insulin. Always use a new needle and syringe.

First get a new vial of Lantus®. Take off the cap and leave the stopper in place. Wipe off the top of the vial with a clean swab dipped in rubbing alcohol. Now take the syringe and draw air into it equal to the dose of Lantus® you will be giving yourself.

Then push the syringe through the stopper and inject the air into the vial. That makes it easier to pull out the full amount of Lantus®. Keep the syringe in the vial and turn both upside down, making sure the tip of the needle is well within the Lantus®.

Then pull the plunger until you have the right dose. Take a look inside the syringe, if you see any air bubbles, pull the syringe straight up and tap it gently until they rise to the top. Then gently push the air bubbles and insulin all the way out with the plunger, then draw the correct dose back into the syringe.

Then pull the needle out of the vial and don't let it touch anything. Pick an area of your skin to be injected, like your upper arm, thigh, or stomach area. Clean the area with rubbing alcohol. Alcohol can sometimes sting if it is not completely dry when you inject, so wait a few seconds for it to evaporate, or pat the area dry with a sterile cotton ball.

Then lightly pinch a fold of skin, and insert the needle straight into the pinched skin the way your healthcare provider, nurse, or diabetes educator showed you.

Push the plunger slowly to inject the full dose of Lantus®, then wait ten seconds before pulling the needle straight out. Press down lightly on the area with a cotton ball or gauze, don't rub it, and that's it!

Then follow your healthcare team's instructions for throwing away the needle.

Please see the Full Prescribing Information for Lantus® (insulin glargine [rDNA origin] injection) by clicking the link below. Talk to your healthcare professional about any questions regarding administering Lantus®.

How to inject Lantus® with a vial and syringe

Please see full Important Safety Information and full Prescribing Information for Lantus®.

BEFORE YOU GET STARTED
  • Wash your hands
  • Make sure the insulin is clear and colorless. Do not use it if it is cloudy or if you see particles; throw it away
  • Do not mix or dilute Lantus® with any other insulin or solution. It will not work as intended, and you may lose blood sugar control
  • Do not share needles, insulin pens, or syringes with others. Do NOT reuse needles. Always use a new syringe
  • Relax
Lantus (insulin glargine [rDNA origin] injection)

PREPARE THE DOSE

  • Remove the cap—If you are using a new vial, remove the protective cap. Do not remove the stopper
  • Sterilize the top—Wipe the top of the vial with an alcohol swab
  • Inject air into the vial—Draw air into the syringe that is equal to your insulin dose
  • Put the needle through the rubber top of the vial and push the plunger to inject the air into the vial
  • Draw up the dose—Leave the syringe in the vial and turn both upside down. Hold the syringe and vial firmly in one hand. Make sure the tip of the needle is in the insulin. With your free hand, pull the plunger to withdraw the correct dose into the syringe
Remove the cap

Sterilize the top

Draw up the dose

REMOVE AIR BUBBLES

  • Check for bubbles—Before you take the needle out of the vial, check the syringe for air bubbles
  • Tap to release—If bubbles are in the medicine, hold the syringe straight up and tap the side of the syringe until the bubbles float to the top
  • Eject the air—Push the bubbles out with the plunger and draw insulin back in until you have the correct dose
  • Remove the needle—Remove the needle from the vial. Do not let the needle touch anything. You’re now ready to inject
Check for bubbles

Tap to release

CHOOSE AN INJECTION AREA

  • Pick your spot—Decide on an injection area: either upper arm, thigh, or abdomen. Injection sites within an injection area must be different from one injection to the next
  • Clean your skin—Use rubbing alcohol to clean the skin where you are going to inject. Alcohol can sometimes sting if it’s not completely dry when you inject, so wait a few seconds for it to evaporate or pat the area dry with a sterile cotton ball
  • Pinch a fold of skin—Pinch the skin and hold it. Insert the needle the way your healthcare professional showed you
Choose an injection area

Choose an injection area

Pinch a fold of skin

COMPLETE INJECTION

  • Administer insulin—Slowly push in the plunger of the syringe all the way, making sure you have injected all the insulin. Leave the needle in the skin for 10 seconds
  • Apply light pressure—Pull the needle straight out and gently press on the spot where you injected yourself for several seconds. Don’t rub the area
  • Discard materials safely—Follow your healthcare professional’s instructions for throwing away the needle and syringe
Administer insulin

Discard materials safely

For instructions on how to inject Lantus®, please talk to your treating healthcare provider and refer to the instruction leaflet that came with your vial.

BE SYRINGE SAVVY

To make sure you get the right dose of insulin, always use a U-100 insulin syringe. (Your pharmacist can help you make sure you have the right syringe.) If you have trouble seeing the volume lines on a syringe, ask your healthcare team or pharmacist for a magnifying device that can help.

I like Lantus® because I only have to take it once a day.”
― Bill, taking Lantus® SoloSTAR® since 2008

Individual results may vary.

Lantus Patient

Sign up for your Lantus® Savings CardPAY NO MORE THAN $25*per Lantus® SoloSTAR® pen prescription for the program duration

*Certain restrictions apply. See Savings Card for details when you enroll.

See the features of theSoloSTAR® PEN
PREFILLED WITH THE
#1 PRESCRIBED
INSULIN*

*Based on TRx data from IMS Health, NPA™ monthly database, time period from May 2003 to November 2011.

Utilize the Lantus®DOCTOR DISCUSSION/
Q&A GUIDE
to talk with your doctor about reasons your
blood sugar levels can change