People who are obese tend to have less blood flow in their fat tissue, which can cause a delay in insulin onset, peak, and duration following the injection. Physical factors such as exercise, heat exposure, and local massage can speed up absorption of insulin by increasing the blood flow. For instance, exercise increases the blood flow and the cardiac output increases the heart rate. In one study published in the Journal of Pharmaceutical Sciences , doing fewer exercises increased the absorption of insulin by 12 percent.
How insulin works varies from one individual to another. Therefore, it is important to know what physical and lifestyle factors will affect how insulin acts in your body and how it works to lower your blood sugar level. Long-acting insulin is a form of diabetes treatment.
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Health Conditions Discover Plan Connect. Type 2 Diabetes. Medically reviewed by Peggy Pletcher, M. It should not be mixed with other insulins. Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
It is very important to use this medication exactly as prescribed by your doctor. The timing of insulin with respect to your meals is crucial to keeping blood sugar under control and preventing unwanted side effects. Keep unopened bottles of insulin in the refrigerator until needed. They may be used until the expiry date on the label. Never allow insulin to freeze.
Insulin that is currently in use may be kept at room temperature for no more than 28 days and then discarded. Do not expose insulin to extremely hot temperatures or to sunlight. Keep insulin out of the reach of children.
Do not dispose of medications in wastewater e. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication.
If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.
Stop taking the medication and seek immediate medical attention if any of the following occur:. Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication. Allergic reactions: If you notice signs of a serious allergic reaction swelling of the face or throat, difficulty breathing, wheezing, or itchy skin rash , stop using the medication and seek immediate medical attention.
Appearance of insulin: The contents of the vial of insulin glargine should be clear and colourless. Do not use this medication if you notice anything unusual about its appearance, such as cloudiness, discoloration, or clumping.
Blood glucose monitoring: It is important for anyone using insulin to monitor their blood glucose levels regularly, as recommended by their doctor or diabetes educator.
It is especially important to test blood glucose more often when your insulin dose or schedule changes, or when you are ill or under stress.
If blood tests consistently show high or low blood glucose levels, contact your doctor or diabetes educator. Changes at injection site: Fatty tissue under the skin at the injection site may shrink or thicken if you inject yourself too often at the same site. To help avoid this effect, change the site with each injection. Talk to your doctor or diabetes educator if you notice your skin pitting or thickening at the injection site.
Changes in insulin requirements: Many things can affect blood glucose levels and insulin requirements. These include:. It is important your doctor know your current health situation and any changes that may affect the amount of insulin you need. Blood glucose should be monitored regularly as recommended by your doctor or diabetes educator. Diabetes identification: It is important to either wear a bracelet or necklace or carry a card indicating you have diabetes and are taking insulin.
Laura: Hi, my name is Laura. Important Safety Information. It features small, thin needles, a large print dosing window, dial-in dose, and push-button injection. Laura: Do not share needles, insulin pens, or syringes with others. Do not reuse needles. It is important that you go over these instructions carefully before you using your SoloStar pen. Cold insulin may be painful to inject. Check the expiration date on the label of your pen. Laura: Take off the pen cap.
Check the appearance of the insulin. Do not use the pen if the insulin is cloudy, colored, or has particles. Laura: Do not reuse needles. Always use a new sterile needle for each injection. This helps prevent contamination and potential needle blocks. Laura: Line up the needle with the pen, and keep it straight as you attach it. Depending on the needle type, it may be pushed on or screwed on.
If the needle is not kept straight while you attach it, it can damage the rubber seal and cause leakage, or break the needle. Performing the safety test ensures you get an accurate dose. It ensures that the pen and needle work properly, and it also removes air bubbles in the insulin. Laura: Take off the outer needle cap and keep it to remove the used needle after injection.
Hold the pen with the needle pointing upwards. Then tap the insulin reservoir so that any air bubbles rise up towards the needle. Laura: Press the button all the way in. Check if insulin comes out of the needle tip. You may have to perform the safety test several times before insulin is seen. If no insulin comes out, check for air bubbles and repeat the safety test two more times to remove them.
Change the needle and try again. Do not use it. Laura: If insulin still does not come out, the needle may be blocked. Laura: You can set the dose in steps of 1 unit, from a minimum of 1 unit to a maximum of 80 units. If you need a dose greater than 80 units, you should give it as two or more doses. Ask for help if you have problems handling the pen, for example, if you have problems with your eyesight. Laura: Select your required dose.
If you turn past your dose, you can turn the dial back down. Do not push the injection button while turning, as insulin will come out. You cannot turn the dosage selector past the number of units left in the pen. Do not force the dosage selector to turn.
DO NOT use the exact spot for each injection. Laura: Deliver the dose by pressing the injection button in all the way. Laura: Keep the button pressed all the way in. Slowly count to 10 before you withdraw the needle from the skin. This ensures that the full dose will be delivered.
Laura: Put the outer needle cap back on the needle, and use it to unscrew the needle from the pen. To reduce the risk of accidental needle injury, never replace the inner needle cap. If your injection is given by another person, special caution should be taken by this person when removing and disposing of the needle.
Be sure to follow recommended safety measures for removal and disposal of needles in order to reduce the risk of accidental needle injury and transmission of infectious diseases.
Laura: Used needles should be placed in sharps containers such as red biohazard containers , hard plastic containers such as detergent bottles , or metal containers such as an empty coffee can. Such containers should be sealed and disposed of properly.
If you are giving an injection to a third person, you should remove the needle in an approved manner to avoid needle-stick injuries. Laura: Always put the pen cap back on the pen before storing the pen until your next injection.
Cool storage is between 36 and 46 degrees Fahrenheit, or 2 and 8 degrees Celsius. Do not allow it to freeze. Do not put it next to the freezer compartment of your refrigerator, or next to a freezer pack. During this time it can be safely kept at room temperature, up to 86 degrees Fahrenheit or 30 degrees Celsius.
Do not use it after this time. Do not soak, wash, or lubricate the pen as this may damage it. It should be handled with care. I hope that you found these instructions helpful. This is called titration. If your doctor told you to take Lantus using a vial and syringe, this presentation can help walk you through it, step by step.
Put the needle through the rubber top of the vial and push the plunger to inject the air into the vial. 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.
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. Remove the needle from the vial. Do not let the needle touch anything. Decide on injection area: either upper arm, thigh, or abdomen. Injection sites within an injection area must be different from one injection to the next.
Using rubbing alcohol to clean the skin where you are going to inject. 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.
Pull the needle straight out and gently press on the spot where you injected yourself for several seconds. 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. To make sure you get the right dose of insulin, always use a U 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. 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. Ask your doctor about the symptoms and signs of hypoglycemia, how to track your blood sugar, and what to do if you suffer a hypoglycemic event. These are not all the possible side effects of Lantus. Speak with your doctor about possible side effects.
Lantus is an injection administered under the skin. Weight gain can occur with any insulin therapy, including Lantus. Following a healthy diet and exercise program can help with weight control.
Try some of our healthy recipes to help you stay on track. It may cause harm to your heart and brain. Symptoms of serious low blood sugar may include shaking, sweating, fast heartbeat, and blurred vision. Lantus may cause serious side effects that can lead to death, such as severe allergic reactions. Get medical help right away if you have:. Do not 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.
Your doctor will guide you on any adjustments that need to be made.
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