The
most popular search keys finding our website,
aside from diabetes, diabetic, and insulin, are
Lantus, Glargine, and Aventis or Hoechst (ok, I
am excluding Lilly and Novo and Humulin,
Novolin, Humalog and Novolog). However, I
thought it might be helpful for many of you to
see how they claim this "basal"
Insulin acts.
It
doesn't look basal to me, and we'd love to have
the "gold standard" Beef UL back, but
in our continuing effort to help our fellow
diabetics, I am hoping that you may find this
activity curve of use for you and your MD to
build a regimen, if you are forced to use it.
HOE901 is also called Glargine and Lantus, and
Hoechst is now called Aventis. We hope that this
activity curve will help you and your medical
team use it.
Basal
insulin should be no more than 40% of your daily
total insulin dose. Your basal insulin should
not reduce your BG, but simply hold it constant
as your liver tries to increase it.
The
"push" on Lantus may be a problem for
some of us, and I encourage you to read the
related articles here.
Clearly
this is not a true basal insulin but it is
likely better than Human NPH or even Human UL
for almost all diabetics.
Lantus
is too new for much to have been published about
it, we can only note that it did cause cancer in
the lab animals in the clinical trials <click here>
to read their publication of this fact
Like
Humalog and Novolog (Novorapid) or Lyspro and
Insulin Aspart, it appears that it may have
IGF-1 (Insulin-like Growth Factor 1) issues and
we've received some negative reports and few
positives regarding it, but it may be the only
choice you have given that the human insulins
don't work for so many of us. One of our
correspondents reports problems expressed by her
Diabetologist <click here>
to read.
We
need your help in evaluating this new drug, so
please Email me at David
Groves and give us your comments, or better
yet, participate in our Forum <click
here> and share your experiences with the
rest of our motley crew.
Hopefully
this activity curve will help you to deal with
using Lantus and controlling your blood sugars.
Note
that Lantus is not an insulin but an
insulin-like hormone that does not occur in
nature, it has 53 amino acids, instead of the
usual 51. <click
here> to see how it differs from insulins
of all of the vertebrate animals known to
science.
Perhaps
a more realistic way to look at Lantus, based on
their data is to take the highest point of
"activity" as 100% and observe its
secondary peak:
Clearly this is NOT a true basal insulin,
regardless of how much "better" than
Human NPH it may be.