rave tae Iran epee tc, sage Us an ore Insulin Glargine, Injectable Solution @ Medically reviewed by University of Winais Updeted on February 4, 2018 About Side effects Interactions Dosage Other warnings ‘Witten by Uswersty of mina Use as directed Important considerations Alternatives Highlights for insulin glargine 1. Insulin glargine injectable solution Is available as brand-name drugs. It's not available as a generic drug. Brand names: Lantus, Basaglar, Toujeo. 2. Insulin glargine comes only as an injectable solution. 3, Insulin glargine injectable solution is used to control high blood sugar (hyperglycemia) in people with type 1 and type 2 diabetes. estes coriestrgsinlrslpresiecsolechon merave tae Iran epee tc, sage Us an oe What is insulin glargine? Insulin glargine is a prescription drug. It comes as a self-injectable solution, Insulin glargine is available as the brand-name drugs Lantus, Basagiar, ‘and Toujeo. I's not available in a generic version. Insulin glargine is a long-acting insulin, f you have type 1 diabetes, It must be used in combination with short- or rapi¢-acting insulin. if you have type 2 diabetes, this drug may be used alone or with other medications. Why it’s used. Insulin glargine is used to reduce blood sugar levels in adults and children with type 1 diabetes. I's also used to reduce blood sugar levels in adults with type 2 diabetes. How it works Insulin glargine belongs to a drug class called long-acting insulins. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions, oesteati.coriestrugsinrslpresiecolechton ateIran epee tc, sage Us an oe sugar in fat, and stops your liver from making sugar. It also stops fat and protein from being broken down, and helps your body make protein, Ifyou have type 1 diabetes, your pancreas cannot make insulin. I you have type 2 diabetes, your pancreas may not make enough insulin, or your body can't use the insulin that your body makes. Insulin glargine replaces part of the insulin your body needs. Insulin glargine side effects Insulin glargine injectable solution may cause drowsiness. t can also cause other side effects. More common side effects The more common side effects that can occur with insulin glargine Include: + Low blood sugar. Symptoms may include: © hunger © shakiness © sweating © chills © clamminess x oesteati.coriestrugsinrslpresiecolechton werave tae Iran epee tc, sage Us an oe fast heart rate lightheadedness sleepiness © contusion © blurted vision © headache © feeling confused or not like yourself, and iertabilty + Unexplained weight gain + ‘Swelling in your arms, legs, feet, oF ankles (edema) + Reactions at the injection site. Symptoms may include: © a small indent in your skin fipoatrophy) © increase or decrease in fatty tissue under the skin from using the injection site too much © red, swollen, burning, or itchy skin Those side effects may go away within a few days or a couple of weeks. If theyre more severe or don't go away, talk to your doctor or pharmacist, Serious side effects Call your doctor right away if you have serious side effects. Call 911 if your symptoms fee| life-threatening or if you think you're having a medical lemernency. Serious side effects and their symotoms ean include the x oesteati.coriestrugsinrslpresiecolechton aeIran epee tc, sage Us an oe + Breathing problems + Allergic reactions. Symptoms can include: skin rash itching or hives swelling of your face, lips, or tongue + Very low blood sugar (hypoglycemia). Symptoms can include: anxiety confusion dizziness increased hunger unusual weakness or tiredness sweating shakiness low body temperature inability headache blurred vision fastheart rate loss of consciousness Disclaimer: Our goal s to provide you with the most relevant and current oesteati.coriestrugsinrslpresiecolechtonrave tae Iran epee tc, sage Us an oe This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare provider who knows your medical history. Insulin glargine may interact with other medications Insulin glargine injectable solution can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well To help avoid interactions, your doctor should manage all of your ‘medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you're taking. To find out how this drug might interact, oesteati.coriestrugsinrslpresiecolechton oweIrate lee Se ects, Dnage, Us an re Examples of drugs that can cause interactions with insulin glargine are listed below. Drugs that increase the risk of hypoglycemia These medications should be used with caution with insulin glargine. Using them together may increase your risk of very low blood sugar. Examples of these drugs include: + other medications for diabetes + pentamidine + pramiintide + somatostatin analogs Oral medications for diabetes These medications should be used with caution with insulin glargine. Using them together may increase your risk of water retention and heart problems, such as heart failure, Examples of these drugs include: + pioglitazone + rosigtazone Injectable medication for diabetes oesteati.coriestrugsinrslpresiecolechton maaIran epee tc, sage Us an oe your dosage of insulin glargine, Blood pressure and heart drugs Different types of blood pressure drugs can affect you differently while you use insulin glargine. Beta blockers These drugs change how your body manages blood suger. Taking them with insulin glargine can cause high or low blood suger. They may also mask your symptoms of low blood sugar. Your doctor will watch you closely if you use these drugs with insulin glargine. Examples of these drugs include! + acebutolol + atenolol + bisoprolol + esmolol + metoprolol + nadolol + nebivolol + propranolol oesteati.coriestrugsinrslpresiecolechton aIrate lee Se ects, Dnage, Us an re These drugs may make you more sensitive to insulin glargine, This may raise your risk of low blood sugar. I you're taking these drugs with insulin largine, you should be monitored closely for blood sugar control Examples of these drugs include: + benazepril captopril enalapril fosinopril lisinopril quinapril ramipril candesartan eprosertan irbesartan losartan telmisartan valsartan Other types of blood pressure drugs These drugs may mask the signs and symptoms of low blood sugar. If you're takina these druas with insulin alaraine, your doctor should oesteati.coriestrugsinrslpresiecolechtonIran epee tc, sage Us an oe + clonidine + guanethidine + reserpine Irregular heart rate medication Taking disopyramide with insulin glargine may increase the blood sugar- lowering effect of insulin glargine, This may raise your risk of low blood sugar. If you need to use these drugs together, your doctor may decrease: your dosage of insulin glargine. Medications that lower your cholesterol Taking fibrates with insulin glargine may inerease the blood sugar- lowering effect of insulin glargine. This may raise your risk of low blood sugar. If you need to take these drugs with insulin glargine, your doctor may decrease your dosage of insulin glargine. Taking niacin with insulin glargine may decrease the blood sugar- lowering effect of insulin glargine. This may raise your tisk of high blood sugar. If you need to take this drug with insulin glargine, your doctor may Increase your insulin glargine dosage. Drugs to treat depres: n Taina thasa rnin with nein lnenina may inrrance tha had einar x oesteati.coriestrugsinrslpresiecolechton toioesteati.coriestrugsinrslpresiecolechton Iran epee tc, sage Us an oe may decrease your dosage of insulin glargine, Examples of these drugs include: + fluoxetine + monoamine oxidase inhibitors (MAOIs) Pain medications Taking pain drugs called salleylates with insulin glargine may increase the blood sugar-lowering effect of insulin glargine. This may raise your risk of low blood sugar. If you need to take these drugs with insulin glargine, your doctor may decrease your dosage of insulin glargine. Examples of these drugs include: * aspirin + bismuth subsalicylate Taking these drugs with insulin glargine may increase the blood sugar- lowering effect of insulin glargine. This may raise your tisk of low blood sugar. If you need to take these drugs with insulin glargine, your doctor may decrease your dosage of insulin glargine. Examples of these drugs include: + sulfamethoxazole overseen” xrave tae Iran epee tc, sage Us an oe Taking pentoxifylline with insulin glargine may increase the blood sugar- lowering effect of insulin glargine. This may raise your tisk of low blood sugar. If you need to take this drug with insulin glargine, your doctor may decrease your dosage of insulin glargine. Drugs used to treat inflammation Taking corticosteroids with insulin glargine may decrease the blood sugar-lowering effect of insulin glargine. This may raise your risk of high blood sugar. Ifyou need to take this drug with insulin glargine, your doctor may inerease your insulin glargine dosage. Asthma drugs Taking these drugs with insulin glargine may decrease the blood sugar- lowering effect of insulin glargine. This may raise your tisk of high blood sugar. If you need to take these drugs with insulin glargine, your doctor ‘may increase your insulin glargine dosage. Examples of these drugs Include: + epinephrine * albuterol + terbutaline Medications used to treat infections oesteati.coriestrugsinrslpresiecolechton saiIran epee tc, sage Us an oe sugar. If you need to take these drugs with insulin glargine, your doctor ‘may increase your insulin glargine dosage. Examples of these drugs Include: + isoniazid + pentamidine Thyroid hormones Taking these drugs with insulin glargine may decrease the blood sugar- lowering effect of insulin glargine. This may raise your tisk of high blood sugar. I you need to take these drugs with insulin glargine, your doctor may increase your insulin glargine dosage. Female hormones Taking insulin glargine with hormones commonly used In bith control may decrease the blood sugar-lowering effect of insulin glargine. This ‘may raise your risk of high blood sugar. f you need to take these drugs with insulin glargine, your doctor may increase your insulin glargine dosage. Examples of these drugs include: + estrogen + progestogens rune ta trast HIV x oesteati.coriestrugsinrslpresiecolechton saiIran epee tc, sage Us an oe Taking protease inhibitors with insulin glargine may decrease the blood sugar-lowering effect of insulin glargine. This may raise your risk of high blood sugar. If you need to take these drugs with insulin glargine, your doctor may increase your dosage of insulin glargine. Examples of these rugs include: + atazanavir * darunavir + fosamprenavir + indinavir + lopinaviriritonavir + nelfinavir + ritonavir Drugs to treat psychotic disorders Taking these drugs with insulin glargine may decrease the blood sugar- lowering effect of insulin glargine. This may raise your tisk of high blood sugar. If you need to take these drugs with insulin glargine, your doctor may increase your dosage of insulin glargine. Examples of these drugs Include: + olanzapine + clozapine oesteati.coriestrugsinrslpresiecolechton toerave tae Irate lee Se ects, Dnage, Us an re Disclaimer: Our goal s to provide you with the most relevant and current Information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice, Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over- the-counter drugs that you are taking How to use insulin glargine All possible dosages and forms may not be included here. Your dose, form, and how often you use it will depend on: + yourage + the condition being treated + how severe your condition Is + other medical conditions you have + how you react tothe first dose Dosage forms and strengths Brand: Basagler + For jectable solution + Strenaths: 100 uinits ner mL. in a 3-ml.orefilled pen x oesteati.coriestrugsinrslpresiecolechton ‘sirave tae Iran epee tc, sage Us an oe + Form: injectable solution + Strengths: © 100 units per mL in a 10-ml vial © 100 units per mL in a 3-mL prefilled pen Brand: Toujeo + For ble solution ie + Strengths: © 300 units per mL in a 1.5-ml. prefilled pen (450 units/.5 ml) © 300 units per mL in a 3-mL prefilled pen (900 units/3 mL) Dosage to improve glucose control in people with type 1 diabetes Lantus and Basaglar dosage recommendations Adult dosage (ages 16~64 years) + Inject insulin glargine once per day, at the same time every day, + Your doctor wil calculate your starting dosage and any dosage changes based on your needs, blood glucose monitoring results, and treatment goals. + Ifyou have type 1 diabetes, the recommended initial dose is about one-third of your total dally insulin requirements. Short: of rapic- oesteati.coriestrugsinrslpresiecolechton tsirave tae Iran epee tc, sage Us an oe + Ifyou're changing from an intermediate- or long-acting insulin to insulin glargine, the amount and timing of your doses of insulin and antidiabetic drugs may need to be adjusted by your doctor. Child dosage (ages 6-15 years) ‘Your child should inject insulin glargine once per day, at the same: time every day. + Your doctor will calculate your child's starting dosage based on your chilc's needs, blood glucose monitoring resus, and treatment goals. I your child has type 1 diabetes, the recommended intial dose is about one-third of your child's total dally insulin requirements. Short- acting, pre-meal insulin should be used to satisty the remainder of Yyour child's daily insulin requirements, + If your child is changing from an intermediate- or long-acting insulin to insulin glargine, your doctor may need to adjust the amount and timing of their doses of insulin and antidiabetic drugs. Child dosage (ages 0-5 years) This drug hasn't been established as safe and effective for use in children younger than 6 years for the treatment of type 1 diabetes, Senior dosage (ages 65 years and older) oesteati.coriestrugsinrslpresiecolechton sierave tae Iran epee tc, sage Us an oe blood sugar. You may also be more sensitive to the effects of insulin * Your doctor may start you with a lower first dosage and increase your dosage more slowly. Toujeo dosage recommendations Adult dosage (ages 18-64 years) + Inject insulin glargine once per day, at the sam ie every day, + Your doctor will calculate your starting dosage and any dosage changes based on your needs, blood glucose monitoring results, and treatment goals, + If you have type 1 diabetes, the recommended intial dose is about one-third to one-half of your total daily insulin requirements, You should use short-acting insulin to satisfy the remainder of your dally insulin requirements. + Ifyou have never received insulin before, in general, your doctor can use a dose of 0.2 to 0.4 units of insulin/kg to calculate your initial total daily insulin dose. + Ifyou're changing from an intermediate- or long-acting insulin to Insulin glargine, your doctor may need to adjust the amount and ‘timing of your doses of insulin and antidiabetic drugs. Child dosage (ages 0-17 years) oesteati.coriestrugsinrslpresiecolechton sierave tae Iran epee tc, sage Us an oe Senior dosage (ages 65 years and older) *+ You should use insulin glargine with caution if you're over 65 years old, because it may be more difficult to spot the signs of low blood sugar. You may also be more sensitive to the effects of insulin + Your doctor may start you with a lower frst dosage and increase your dosage more slowly. Dosage to improve glucose control in people with type 2 diabetes Lantus and Basaglar dosage recommendations Adult dosage (ages 18-64 years) * Inject insulin glargine once per day, at the same time every day. + Your doctor will calculate your starting dosage and any dosage changes based on your needs, blood glucose monitoring results, and treatment goals. + If you have type 2 diabetes, the recommended initial dose is 0.2 Unitsfkg or up to 10 units once dally. Your doctor may need to adjust the amount and timing of your short- or rapid-acting insulins and dosages of any oral antidiabetic drugs you're taking. + Ifyou're changing from an intermediate- or long-acting insulin to insulin glargine, your doctor may need to adjust the amount and oesteati.coriestrugsinrslpresiecolechton sairave tae Iran epee tc, sage Us an oe This drug hasn't been established as safe and effective for use in children younger than 18 years who have type 2 diabetes, Senior dosage (ages 65 years and older) + You should use insulin glargine with caution if you're over 65 years old, because it may be more difficult to spot the signs of low blood sugar. You may also be more sensitive to the effects of insulin + Your doctor may start you with a lower first dosage and increase your dosage more slowly. Toujeo dosing recommendations Adult dosage (ages 18~64 years) + Inject insulin glargine once per day, at the same time every day, * Your doctor wil calculate your starting dosage and any dosage changes based on your needs, blood glucose monitoring results, ‘and treatment goals. + Ifyou have type 2 diabetes, the recommended initial dose is 0.2 Unitskg once dally + If you're changing from an intermediate- or long-acting insulin to nd Insulin glargine, your doctor may need to adjust the amou timing of your doses of insulin and antidiabetic drugs. Child dosage (ages 0-17 years) oesteati.coriestrugsinrslpresiecolechton awarave tae Iran epee tc, sage Us an oe This drug hasn't been established as safe and effective in people younger than 18 years who have type 2 diabetes, Senior dosage (ages 65 years and older) + You should use insulin glargine with caution if you're over 65 years old, because it may be more difficult to spot the signs of low blood sugar. You may also be more sensitive to the effects of insulin + Your doctor may start you with a lower first dosage and increase your dosage more slowly. Special dosage considerations For people with liver disease: Your liver may not be able to make glucose and break down insulin glargine as well as it should. Your doctor may prescribe you a lower dosage of this medication, For people with kidney disease: Your kidneys may not be able to break down insulin glargine as well as they should. Your doctor may prescribe youa lower dosage of this medication, Disclaimer: Our goal s to provide you with the most relevant and current Information. However, because drugs affect each person differently, we cannot guarantee that ths lst includes all possible dosages. This Information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you. oesteati.coriestrugsinrslpresiecolechton awaIrate lee Se ects, Dnage, Us an re Tell your doctor if you're sick, throwing up, or have changed your eating or exercise habits, Your doctor may adjust your insulin glargine dosage or check you for complications of diabetes. Tell your doctor before you start any new prescription or over- the-counter medications, herbal products, or supplements, Insulin glargine warnings This drug comes with several warnings. Low blood sugar warning You may have mild or severe low blood sugar (hysoglycemia) while you're taking insulin glargine, Severe low blood sugar can be dangerous. It.can harm your heart or brain, and cause unconsciousness, seizures, oF even be fatal Low blood sugar can happen very quickly and come on without symptoms. I's important to check your blood sugar as often as your doctor says to, Symptoms can include: + anxiety, iritability, restlessness, trouble concentrating, feeling confused or not like yourself oesteati.coriestrugsinrslpresiecolechton aaIran epee tc, sage Us an oe + nightmares or trouble sleeping + headache + blurred vision + slurred speech + fast heart rate + sweating + shaking + unsteady walking Thiazolidinediones warning Taking diabetes pills called thiazolidinediones (TZDs) with insulin glargine may cause heart failure Tell your doctor if you have any new or worsening symptoms of heart failure, including shortness of breath, swelling of your ankles or feet, and sudden weight gain. Your doctor may adjust your TZD dosage if you have these symptoms. Infection warning You should never share insulin vials, syringes, or preflled pens with other people. Sharing or reusing needles or syringes with another person puts you and others at risk of various infections. oesteati.coriestrugsinrslpresiecolechton avaIran epee tc, sage Us an oe Al insulin products can decrease the amount of potassium in the blood. Low potassium blood levels may increase your risk of irregular heartbeat while taking this drug. To prevent this, your doctor will check your potassium blood levels before you start taking this drug, Allergy warning ‘Sometimes severe, ife-threatening allergic reactions can happen with insulin glargine. Symptoms of an allergic reaction to insulin glargine can Include: + rash all over your body * shortness of bre + trouble breathing + fast pulse + sweating + low blood pressure Ifyou develop these symptoms, call S11 or g the nearest emergency Don't use this drug again if you've ever had an allergic reaction to it. Taking it again could be fatal (cause death), Food interaction warning x oesteati.coriestrugsinrslpresiecolechton awaIran epee tc, sage Us an oe The type and amount of food you eat can affect how much insulin glargine you need. Tell your doctor if you change your diet. They may need to adjust your dosage of insulin glargine. Alcohol interaction warning Alcohol may make it more difficult to control your blood sugar while you're taking insulin glargine. Limit alcohol while taking this drug. Usage warning Don't share insulin glargine with others even if they have the same ‘medical condition. t could harm them. Wari 195 for people with certain health conditions For people with liver disease: Your liver may not be able to make glucose and break down insulin glargine as well as it should. Your doctor may give you a lower dosage of this medication. For people with kidney diseas Your kidneys may not be able to break down insulin glargine as well as they should. Your doctor may give you a lower dosage of this medication. For people with low blood sugar (hypoglycemia): You need to use Insulin glargine with caution if you get low blood sugar often. It stays in oesteati.coriestrugsinrslpresiecolechton taIran epee tc, sage Us an oe For people with edema: Insulin glargine can make your edema worse. This drug can cause your body to retain sodium. This can trap fluid in your body tissue, which in turn causes swelling (edema) of your hands, feet, arms, and legs. For people with heart failure: Taking oral diabetes pills called thiazolidinediones (TZDs) with insulin glargine can trap fluid in the tissues of your body and cause or worsen heart fallure. Warnings for other groups For pregnant women: Its not known If insulin glargine is safe to use in pregnant women, Tell your doctor if you're pregnant or plan to become pregnant. You should only use insulin glargine during pregnancy if the potential benefit justifies the potential risk. For women who are breastfeedint n't known if insulin glargine passes into breast milk. You and your doctor may need to decide if you'll Use insulin glargine or breastfeed, If you do both, your insulin glargine dosage may need to be adjusted, and your blood sugar level may be closely monitored. For seniors: People aged 65 years or older may be more sensitive to Insulin glargine. This may raise your risk of a low blood sugar reaction, You doctor may start you on a lower dosage, and increase vour dosaae x oesteati.coriestrugsinrslpresiecolechton arave tae Iran epee tc, sage Us an oe For children: Talk to your child's doctor about the use of insulin glargine In children. Special care may be needed. Use as directed Insulin glargine injectable solution is used for long-term treatment. It ‘comes with serious risks if you don't use it as prescribed. Ifyou don't use it at all or skip or miss doses: You may have high blood sugar, which may lead to serious health effects, If you use too much: If you use too much insulin glargine, you may have mild oF life-threatening low blood sugar (hypoglycemia. Carry a quick source of sugar with you in case you have symptoms of mild low blood sugar. Follow your low blood sugar treatment plan as prescribed by your oesteati.coriestrugsinrslpresiecolechton amaIran epee tc, sage Us an oe + seizures + nerve problems Ifyou think you've taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at - 800-222-1222 or through their online tool, But if your symptoms are severe, call 911 oF go to the n jest emergency room right away What to do if you miss a dose: I's important not to miss a dose, Your doctor should discuss a plan for missed doses with you. If you do miss a dose, follow that plan, How to tell ifthe drug is working: Your blood sugar level should be tower Important considerations for using insulin glargine Keep these considerations in mind i your doctor prescribes insulin Glargine for you General * Insulin glargine can be used with or without food. + Insulin glargine can be used at any time during the day, but should be used at the same time every day. oesteati.coriestrugsinrslpresiecolechton aarave tae Iran epee tc, sage Us an oe Its important to store insulin glargine correctly for it to work as it should. Unopened vial: + Store new (unopened) insulin glargine vials in the refrigerator at a temperature between 36°F and 46°F (2°C and 8°C), + This drug can be stored in the refrigerator until the expiration date fon the box or val. + Don't freeze this medication + Keep insulin glargine out of direct heat and light. + Ifa vial has been frozen, let out at high temperatures, or is expired, throw it away even if there is insulin left in it Open (in use) viat: + Once a vial is opened, you can keep it in the refrigerator or at room temperature below 86°F (30°C) + Keep this drug away from direct heat and light, + An opened vial should be thrown away 28 days after the first use even ifit stil has insulin left init Travel When traveling with your medication: oesteati.coriestrugsinrslpresiecolechton awarave tae Irate lee Se ects, Dnage, Us an re + Don’t worry about airport X-ray machines. They can't harm your ‘medication, + You may need to show airport staff the pharmacy label for your ‘medication. Always carry the original prescription-labeled container with you. + Unopened vials of this medication need to be refrigerated. Use an insulated bag with a cold pack to maintain the temperature when traveling. Opened vials can be refrigerated or kept at room temperature below 86°F (30°C), However, be sure to keep them away from direct heat and light. Follow the storage instructions mentioned on the medication. + Don’t put this mecication in your car’s glove compartment of leave it In the car. Be sure to avold doing this when the weather is very hot or very cole + Needles and sytinges need to be used to use this medication, Check for special rules about traveling with drugs, needies, anc syringes, Self-management Your doctor, pharmacist, nurse, or diabetes educator will show you how + withdraw insulin from the vial Fateh nt oe sen x oesteati.coriestrugsinrslpresiecolechton saaIrate lee Se ects, Dnage, Us an re adjust your dosage for activities and illness check your blood sugar spot and treat the symptoms of low and high blood sugar In addition to insulin glargine, you'll need: needles syringes a safe needle disposal container alcohol swabs lancets to prick your finger to test your blood sugar blood sugar test strips blood glucose monitor Taking your medication: Inject insulin glargine at the same time each day. Use it exactly as prescribed by your doctor. Never mix itn the same syringe with other insulins before injection, ‘Always check the appearance of insulin glargine before using it. It should be clear and colorless like water. Don't use it ifs cloudy, thickened, colored, or has particles init Don't reuse or share needles or syringes used to inject this oesteati.coriestrugsinrslpresiecolechton twarave tae Iran epee tc, sage Us an oe Disposing of used needles: + Don’t throw out individual needles in trashcans or recycling bins, ‘and never flush them down the tollet, + Ask your pharmacist for a safe container for disposing of used needles and syringes, + Your community may have a program for disposing used needles ‘and syringes, + If disposing the container in the trash, label it "do not recycle.” -al monitoring Your doctor may do blood tests before and during treatment with insulin glargine to make sure it's stil safe for you to use, These tests may Include: + blood sugar levels * glycosylated hemoglobin (AIC) levels, This test measures your blood sugar contral over the last 2-3 months. * liver function test + kidney funetion test + blood potassium levels Your doctor may also do other tests to check for complications of oesteati.coriestrugsinrslpresiecolechton arave tae Iran epee tc, sage Us an oe + foot exam * dental exam + tests for nerve damage + blood test for cholesterol levels + checks of blood pressure and heart rate Your doctor may need to adjust your dosage of insulin glargine based on the following + blood sugar levels + kidney function + liver funetion + other medications you're taking + your exercise habits + your eating habits Your diet During treatment with insulin glargine: + Don’t skip meals. + Ask your doctor if you should avoid alcohol. + Be careful with over-the-counter (OTC) cough and cold medications. oesteati.coriestrugsinrslpresiecolechton avarave tae Iran epee tc, sage Us an oe Hidden costs In addition to the medication, you'll need to purchase: + needles + syringes + a safe needle disposal container + alcohol swabs + lancets to prick your finger to test your blood sugar + blood sugar te trips + blood glucose monitor Are there any alternatives? There are other drugs available to treat your conkition. Some may be better suited for you than others. Talk to your doctor about other drug options that may work for you Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healtheare professional. You should always /our doctor or other healthcare professional before taking any ‘medication. The crug information contained herein is subject to change and inant ntandnd teem all anesthln vent aimetinne memantine x oesteati.coriestrugsinrslpresiecolechton uaIndicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. 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Heakhine Media joes not provige medical advice, iagnasis or estment Sa ‘addtional information, oesteati.coriestrugsinrslpresiecolechton Anout | Careers | Advertise with us Hesthine Payen Centraloesteati.coriestrugsinrslpresiecolechton Iran epee tc, sage Us an oe