Some studies have failed to demonstrate any difference between in Lantus and NPH with regard to evenness of absorption. Other studies have shown that compared to Lantus and Levemir, NPH has a variable absorption rate and a more pronounced peak.
At night especially, hypoglycemia can occur if low glucose from exercise or alcohol consumption coincides with the NPH peak. In some studies, Levemir has demonstrated less variable, steadier blood glucose-lowering effects compared to both NPH insulin and Lantus. Comparing Levemir with Lantus when used with a fast-acting insulin in patients with type 1 diabetes, Levemir had a lower risk of major hypoglycemia and nocturnal hypoglycemia, but the risk of hypoglycemia overall was comparable.
The blood sugar control provided by the two insulins was similar as well. What do you mean you have a ball? Did the injection site swell up? Can you send AskNadia diabeteshealth. She will look into it for you and respond. That is normal but I wonder how much you are injecting? No big deal. It would be ok to go back to lantus. I have tried both Lantus and Levemir. Lantus by far works better with controlling my sugar but I have a mild headache and almost flu like symptoms when I take it.
Levemir is almost like injecting water much thinner no headache no flu like symptoms but by far is not controlling my sugar as well as lantus. I am doing it once a day I have heard it works better to inject twice a day so I will try it any thoughts experiences with Levemir vs.
My friend takes Lantus. She was sent home from the hospital with a pen of Levemir. Can she use it with the same units as ordered for the Lantus?
I ran out of Lantus 3 days ago due to lack of funds but i will be going to get it today however i do have Levemir and Humolog available can i use 1 of those until i get my Lantus refilled later on today.
Other drug interactions may occur. Consult your healthcare provider for a full list of drug interactions. Levemir is a long-acting insulin that improves blood sugar control in adults and children with diabetes. It contains the ingredient insulin detemir. Lantus is a long-acting insulin that contains the ingredient insulin glargine. Lantus improves blood sugar control in adults and children with diabetes. Both medications are long-acting insulins that are injected under the skin subcutaneously.
However, they do have some differences, which are outlined above. A review of clinical trials concluded that Levemir and Lantus are similar in terms of safety and efficacy. Your healthcare provider can determine if Levemir or Lantus is better for you, based on your individual medical conditions and history.
Tell your healthcare provider if you are pregnant or planning to become pregnant. There is a risk to the mother and baby if diabetes is poorly controlled during pregnancy. Levemir and Lantus have not been associated with congenital disabilities, miscarriage, or any adverse effects on the mother or baby. However, the studies have been small and did not study a lot of people. Your healthcare provider will decide if you need insulin during pregnancy, and if so, which insulin is most appropriate.
However, too much alcohol can cause low blood sugar, which can be dangerous. Check with your healthcare provider about drinking alcohol with Levemir or Lantus. Toujeo comes in a higher dosage. Regardless of the ingredient, only your healthcare provider can decide which product is right for you. If you are having problems with Lantus, contact your healthcare provider about an alternative. If you take Levemir once a day, the best time is at bedtime or with the evening meal.
If you take Levemir twice a day, the best time to take it is in the morning and then 12 hours later. Inject Levemir subcutaneously under the skin at one of the following injection sites: the thigh, upper arm, or abdomen. Use a new needle with each injection. Brand-name medications usually cost more than generics. There is a biosimilar version of Lantus called Basaglar , which is less expensive than Lantus.
A generic medication is an exact copy of a brand-name drug. According to estimates on GoodRx. Levemir can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Levemir.
These lists do not include all possible side effects. For more information on the possible side effects of Levemir, talk with your doctor or pharmacist. They can give you tips on how to deal with any side effects that may be bothersome. Call your doctor right away if you have serious side effects.
You may wonder how often certain side effects occur with Levemir. As with most drugs that lower blood sugar, you may experience severe hypoglycemia low blood sugar while taking Levemir. Symptoms of severe hypoglycemia can include:.
Call your doctor right away if you experience severe hypoglycemia. As with most drugs, some people can have an allergic reaction after taking Levemir. Symptoms of a mild allergic reaction can include:. A more severe allergic reaction is rare but possible.
Symptoms of a severe allergic reaction can include:. Call your doctor right away if you have a severe allergic reaction to Levemir. As with most insulin , you may experience weight gain while taking Levemir. In clinical studies , adults with type 1 diabetes who took Levemir gained an average of 0. In comparison, people who took insulin NPH gained 0. Those who took insulin glargine Lantus gained an average of 2.
Patients with type 2 diabetes who took Levemir gained an average of 1. In general, people who take insulin detemir the drug in Levemir tend to gain less weight than people who take other long-acting insulins. Typically, your doctor will start you on a low dosage. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect.
The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to fit your needs.
Levemir can be taken either once or twice a day. If you have type 2 diabetes , you may or may not take Levemir along with a mealtime insulin. If your doctor prescribes Levemir to be taken once a day, take it with dinner or at bedtime.
If they prescribe Levemir to be taken twice a day, take the first dose in the morning. Take the second dose either with dinner, at bedtime, or 12 hours after your morning dose. Levemir comes in a mL vial. For every 1 mL of Levemir, there are units of insulin.
Each vial of Levemir contains 1, units or 10 mL of insulin. If your doctor prescribes you 50 units of insulin, for example, you would draw 0. Levemir vials are used with insulin needles, which are sold separately and may require a prescription in certain states. Levemir also comes in a 3-mL FlexTouch pen. Each FlexTouch pen contains units of insulin. The maximum dose that can be given by the Levemir FlexTouch pen is 80 units per injection. If you need to take more than 80 units in one dose, you can give yourself two injections, one right after the other.
These can be given in the same area of your body but not in the exact same spot. The Levemir FlexTouch pen is used with NovoFine or NovoTwist pen needles, which are sold separately and may require a prescription in certain states.
The rest of your insulin requirement should come from mealtime insulin. However, you may need to take more Levemir than insulin NPH. Your doctor or pharmacist will then adjust your dose based on your blood sugar measurements over time. If your child is just starting to take insulin, their Levemir dose should be about one-third of their total daily insulin requirement. The rest of their insulin requirement should come from mealtime insulin.
If your child is switching from another long-acting insulin such as Lantus insulin glargine to Levemir, they can probably take the same dosage with Levemir as they did with Lantus. However, they may need to take more Levemir than insulin NPH. If you miss your dose of Levemir, take it as soon as you remember.
If you remember close to the time of your next dose, just skip the missed dose and take your next dose at the normal time. Never take a double dose to make up for a missed dose. A medication timer may be useful, too. Levemir is meant to be used as a long-term treatment. Your dose of Levemir may change over time. Your insurance plan may require a prior authorization before approving coverage for Levemir.
This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug. The insurance company will review the information and let you and your doctor know if your plan will cover Levemir. If you need financial support to pay for Levemir, or if you need help understanding your insurance coverage, help is available.
Novo Nordisk, the manufacturer of Levemir, offers a prescription drug savings card that may help lower the cost of Levemir. Some people qualify to receive diabetes treatments without cost.
Other drugs are available that can treat your condition. Some may be a better fit for you than others. They can tell you about other medications that may work well for you. Examples of other drugs that may be used to lower blood sugar levels in people with type 1 or type 2 diabetes include these long-acting insulins :.
Here we look at how Levemir and Toujeo are alike and different. Levemir comes as a solution liquid mixture in a vial. It also comes as a FlexTouch pen. The needles used with Levemir are sold separately. Both types of pens require pen needles, which are sold separately.
Levemir and Toujeo can be injected under the skin subcutaneous injection in the thigh, abdomen, or upper arm. You should rotate where you give yourself the injection to lower your risk of your skin scarring or thickening. Levemir and Toujeo both contain long-acting insulin. Therefore, they can cause very similar side effects. This list contains examples of more common side effects that can occur with both Levemir and Toujeo when taken individually.
These lists contain examples of serious side effects that can occur with Toujeo or with both Levemir and Toujeo when taken individually. Levemir and Toujeo are both brand-name drugs.
There are currently no generic forms of either drug. According to estimates from GoodRx. Tresiba has uses similar to those of Levemir.
Levemir and Tresiba both come as a solution liquid mixture in a vial. They both also come as a FlexTouch pen. The needles used with Levemir and Tresiba are sold separately. Levemir and Tresiba can both be injected under the skin subcutaneous injection in the thigh, abdomen, or upper arm. Levemir and Tresiba both contain long-acting insulins. This list contains examples of more common side effects that can occur with both Levemir and Tresiba when taken individually.
These lists contain examples of serious side effects that can occur with Tresiba and with both Levemir and Tresiba when taken individually. A clinical study compared Levemir and Tresiba, each used alongside Novolog insulin aspart , to treat type 1 diabetes in adults. After 26 weeks, people taking Levemir had their hemoglobin A1c HbA1c lowered by an average of 0. People taking Tresiba had their HbA1c lowered by an average of 0.
In the study, people taking Levemir had their fasting blood sugar lowered by an average of Those taking Tresiba had their fasting blood sugar lowered by an average of A clinical study also compared Levemir and Tresiba, each used alongside Novolog insulin aspart , to treat type 1 diabetes in children ages 1 to 17 years old.
After 26 weeks, children taking Levemir had their HbA1c lowered by an average of 0. Those taking Tresiba had their HbA1c lowered by an average of 0. In the study, children taking Levemir had their fasting blood sugar lowered by an average of Levemir and Tresiba are both brand-name drugs.
Levemir and Basaglar are prescribed for similar uses. Basaglar is a biosimilar of Lantus insulin glargine. Levemir and Basaglar both come as a solution liquid mixture in a vial. The needles used with these vials are sold separately. Levemir and Basaglar can both be injected under the skin subcutaneous injection in the thigh, abdomen, or upper arm. Levemir and Basaglar can cause very similar side effects.
This list contains examples of more common side effects that can occur with both Levemir or Basaglar when taken individually. These lists contain examples of serious side effects that can occur with Basaglar or with both Levemir and Basaglar when taken individually :. Levemir is a brand name drug, while Basaglar is a biosimilar drug of the long-acting insulin Lantus. You can use Levemir with mealtime insulins if you need help lowering your blood sugar quickly after each meal.
Mealtime insulins currently available include Novolog insulin aspart , Fiasp faster acting insulin aspart , and Humalog insulin lispro.
If you have type 2 diabetes , you can use Levemir along with metformin to help improve your blood sugar levels. These include Victoza liraglutide , Ozempic semaglutide , Trulicity dulaglutide , or Bydureon exenatide.
There is no known interaction between Levemir and alcohol. However, drinking too much alcohol while taking Levemir can increase your risk for hypoglycemia low blood sugar. This is because both alcohol and Levemir can lower your blood sugar levels on their own.
Levemir can interact with several other medications. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make them more severe.
Below is a list of medications that can interact with Levemir. This list does not contain all drugs that may interact with Levemir. Before taking Levemir, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Taking Levemir with a thiazolidinedione a class of diabetes drugs may cause fluid retention and heart failure. If you already have heart failure, taking the two drugs together can make your condition worse. Before you start using Levemir, tell your doctor if you take a thiazolidinedione.
Examples of thiazolidinedione drugs include pioglitazone hydrochloride Actos and rosiglitazone maleate Avandia.
If you take Levemir with a thiazolidinedione, your doctor will monitor you closely for symptoms of heart failure due to fluid retention. Taking Levemir with certain other diabetes medications may cause hypoglycemia low blood sugar. To avoid this interaction, you and your doctor will need to carefully monitor your blood sugar when you take Levemir with these diabetes medications.
Taking Levemir with certain heart or blood pressure drugs may increase the effects of Levemir. This could cause low blood sugar.
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