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insulin glargine (IN suh lin GLAR jean)

What is the most important information I should know about Lantus?
• Know the signs and symptoms of low blood sugar (hypoglycemia), whichinclude shaking; nausea; headache; drowsiness; weakness; dizziness; fast heartbeat;sweating; pale, cool skin; anxiety; and difficulty concentrating full prescribing information lanoxin digoxin. Carry a pieceof candy or glucose tablets with you to treat episodes of low blood sugar full prescribing information lanoxin digoxin.
• Follow any diet and exercise plan that you have developed with your doctoror nurse full prescribing information lanoxin digoxin. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control blood sugar levels full prescribing information lanoxin digoxin.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever full prescribing information lanoxin digoxin. These illnesses may change your insulin requirements full prescribing information lanoxin digoxin.
• Do not change the brand of insulin glargine or syringe that you are usingwithout first talking to your doctor or pharmacist full prescribing information lanoxin digoxin. Some brands of insulin glargineand syringes are interchangeable, while others are not full prescribing information lanoxin digoxin. Your doctor and/or pharmacistknow which brands can be substituted for one another full prescribing information lanoxin digoxin.
• Do not mix or dilute Lantus with any other insulin or solution full prescribing information lanoxin digoxin.


What is Lantus?
• Insulin is a hormone naturally produced by the pancreas full prescribing information lanoxin digoxin. Insulin enablesthe body to use the sugar in food as a source of energy full prescribing information lanoxin digoxin. When the body doesnot produce enough insulin, or when the insulin produced by the body is noteffective enough, the condition is called diabetes mellitus full prescribing information lanoxin digoxin. This conditionallows sugar levels in the blood to become very high full prescribing information lanoxin digoxin. Diabetics must use man-madeinsulin or insulin that comes from pigs (which is very similar to human insulin)to lower these high blood sugar levels full prescribing information lanoxin digoxin.
• Lantus is used in the treatment of diabetes mellitus full prescribing information lanoxin digoxin.
• Lantus may also be used for purposes other than those listed in thismedication guide full prescribing information lanoxin digoxin.


What should I discuss with my healthcare provider before using Lantus?
• Do not use Lantus if you are allergic to insulin or if you have intoleranceto a certain Lantus product full prescribing information lanoxin digoxin.
• Before using insulin, tell your doctor if you have any other medicalconditions or if you take other prescription or over-the-counter medications,including vitamins, minerals, and herbal supplements full prescribing information lanoxin digoxin.
• Before using Lantus, tell your doctor if you have kidney or liver disease full prescribing information lanoxin digoxin. You may require a dosage adjustment or special monitoring during treatment full prescribing information lanoxin digoxin.
• Lantus is in the FDA pregnancy category C full prescribing information lanoxin digoxin. This means that it is notknown whether it will be harmful to an unborn baby full prescribing information lanoxin digoxin. Do not use this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment full prescribing information lanoxin digoxin.
• It is not known whether Lantus passes into breast milk full prescribing information lanoxin digoxin. Do not use thismedication without first talking to your doctor if you are breast-feeding ababy full prescribing information lanoxin digoxin.


How should I use Lantus?
• Use Lantus exactly as directed by your doctor full prescribing information lanoxin digoxin. If you do not understandthese instructions, ask your doctor, nurse, or pharmacist to explain them toyou full prescribing information lanoxin digoxin.
• If the insulin has been stored in the refrigerator, it can be warmedto room temperature before use full prescribing information lanoxin digoxin.
• Lantus is usually used once a day full prescribing information lanoxin digoxin. Follow your doctor's instructions full prescribing information lanoxin digoxin.
• Do not mix or dilute Lantus with any other insulin or solution full prescribing information lanoxin digoxin.
• Do not use any insulin that is discolored, looks thick, has particlesin it, or looks different from previous bottles, cartridges, or pens of Lantus full prescribing information lanoxin digoxin.
• Change injection sites as directed by your doctor full prescribing information lanoxin digoxin. Usually, you shouldnot inject within 1 inch of the same site within 1 month full prescribing information lanoxin digoxin.
• Never reuse a needle or syringe full prescribing information lanoxin digoxin. Dispose of all needles and syringesin an appropriate, puncture-resistant disposal container full prescribing information lanoxin digoxin.
• Do not change the insulin strength (e.g., U-100) or insulin type (e.g.,glargine, lispro, regular, etc.) unless your doctor recommends a change foryou full prescribing information lanoxin digoxin.
• Do not change the brand of insulin glargine or syringe that you are usingwithout first talking to your doctor or pharmacist full prescribing information lanoxin digoxin. Some brands of insulin andsyringes are interchangeable, while others are not full prescribing information lanoxin digoxin. Your doctor and/or pharmacistknow which brands can be substituted for one another full prescribing information lanoxin digoxin.
• Follow any diet and exercise plan that you have developed with your doctoror nurse full prescribing information lanoxin digoxin. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control your blood sugar levels full prescribing information lanoxin digoxin.
• Ask your doctor or nurse what to do if you are sick with a cold, flu,or fever full prescribing information lanoxin digoxin. These illnesses may change your insulin requirements full prescribing information lanoxin digoxin.
• Your healthcare provider may recommend regular monitoring of blood sugarlevels with blood or urine tests full prescribing information lanoxin digoxin.
• Wear some type of medical identification bracelet, necklace, or otheralert tag to inform others that you have diabetes and that you require insulinin the case of an emergency full prescribing information lanoxin digoxin.
• Proper foot care, eye care, dental care, and overall proper health careare important for people with diabetes full prescribing information lanoxin digoxin. Visit your doctor, dentist, eye doctor,and other heath care practitioners as recommended by your doctor full prescribing information lanoxin digoxin.
• Store unopened vials Lantus in the refrigerator between 36 and 46 degreesFahrenheit (2 and 8 degrees Celsius), in the original carton full prescribing information lanoxin digoxin. Do not store Lantusin the freezer and do not allow it to freeze full prescribing information lanoxin digoxin. Do not use Lantus if it has beenfrozen full prescribing information lanoxin digoxin. Throw away any expired Lantus full prescribing information lanoxin digoxin.
• Vials of Lantus insulin can be kept unrefrigerated for up to 28 days,but should not be exposed to excessive heat or sunlight full prescribing information lanoxin digoxin.
• Once punctured, the insulin vial in use, whether stored in the refrigeratoror at room temperature, must be used within 28 days full prescribing information lanoxin digoxin. Throw away any unused insulin28 days after the vial is first punctured full prescribing information lanoxin digoxin.


What happens if I miss a dose?
• Follow your doctor's directions if you miss a dose of insulin full prescribing information lanoxin digoxin. To preventmissed doses, be sure to always have enough insulin on hand, especially if youare going on vacation full prescribing information lanoxin digoxin.


What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected full prescribing information lanoxin digoxin.
• Symptoms of an insulin overdose reflect very low blood sugar levels andinclude headache, irregular heartbeat, increased heart rate or pulse, sweating,tremor, nausea, increased hunger, and anxiety full prescribing information lanoxin digoxin.


What should I avoid while using Lantus?
• Do not use alcohol without first talking to your doctor full prescribing information lanoxin digoxin. It lowers bloodsugar, and you may experience dangerously low blood sugar levels full prescribing information lanoxin digoxin.
• Follow any diet and exercise plan that you have developed with your doctoror nurse full prescribing information lanoxin digoxin. Changes in what you eat or how much you exercise can change the amountof insulin that you need to control your blood sugar levels full prescribing information lanoxin digoxin.


What are the possible side effects of Lantus?
• Rarely, people have allergic reactions to insulin full prescribing information lanoxin digoxin. Seek emergency medicalattention if you experience an allergic reaction (difficulty breathing; closingof the throat; swelling of the lips, tongue, or face; or hives) full prescribing information lanoxin digoxin.
• The side effects of insulin therapy result mostly from blood sugar levelsthat are either too high or too low full prescribing information lanoxin digoxin. You should be familiar with the symptomsof both high and low blood sugar levels and know how to treat both conditions full prescribing information lanoxin digoxin. Also, be sure your family and close friends know how to help you in an emergency full prescribing information lanoxin digoxin.
• Low blood sugar may occur when too much insulin is used; when meals aremissed or delayed; if you exercise more than usual; during illness, especiallywith vomiting or diarrhea; if you take other medications; after drinking alcohol;and in other situations full prescribing information lanoxin digoxin.
• Hypoglycemia, or low blood sugar, has the following symptoms: shaking;nausea; headache; drowsiness; weakness; dizziness; fast heartbeat; sweating;pale, cool skin; anxiety; and difficulty concentrating full prescribing information lanoxin digoxin.
• Keep sugary candy, fruit juice, or glucose tablets on hand to treat episodesof low blood sugar full prescribing information lanoxin digoxin.
• Increased blood sugar may occur if not enough insulin is used, if youeat significantly more food than usual, if you exercise less than usual, ifyou take other medications, if you have a fever or other illness, and in othersituations full prescribing information lanoxin digoxin.
• Hyperglycemia, or high blood sugar, has the following symptoms: increasedthirst, increased hunger, and increased urination full prescribing information lanoxin digoxin.
• Monitor your blood sugar levels and ask your doctor how to adjust yourinsulin doses if your blood sugar levels are too high full prescribing information lanoxin digoxin.
• Side effects may also occur at the site of injection full prescribing information lanoxin digoxin. If the area becomesthickened, hard, or pitted, talk to your doctor before injecting at that siteagain full prescribing information lanoxin digoxin.
• Side effects other than those listed here may also occur full prescribing information lanoxin digoxin. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome full prescribing information lanoxin digoxin.


What other drugs will affect Lantus?
• Many drugs can interact with insulin or affect your blood sugar levels full prescribing information lanoxin digoxin. Do not take any other prescription or over-the-counter medicines, includingvitamins, minerals, and herbal products, without first talking to your doctoror pharmacist during treatment with insulin full prescribing information lanoxin digoxin.


Where can I get more information?
• Your pharmacist has additional information about Lantus written for healthprofessionals that you may read full prescribing information lanoxin digoxin.


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