Lantus And Metformin

Lantus And Metformin Facts

Lantus And Metformin Facts in Q&A

What's the difference if I take metformin 500mg w/insulin (lantus) or take metformin 850 mg w/out insulin? Is it better or safer to take the 500mg and the insulin shot then taking the 850mg alone? What's the difference and are there any effects between the two different mg?

Robert M replied: "Only your doctor can answer this question. As a general rule, patients who require insulin in addition to the oral medications have poor diabetic control that is not managed adequately by the pills, and the insulin is given to get the control that the pills cannot, no matter what their dose."

huggz replied: "Insulin will have a far more potent effect than the tablets, but please do not muck around with the prescribed regime. Any changes should be discussed with either your diabetes care nurse or endocrinologist."

BAR replied: "Only your doctor can answer this. The treatment differs from person to person and the treatment may and will change over time."

Has anyone taken lantus, humalog insulin and then been prescribed metformin hydrochloride tablets? This is usually for type 2 diabetics, I was wondering how the combination worked together?

shirley s replied: "i have taken LANTUS for over two years now, started out with 10, then went to 20 and then 30 now for the past 5 months back to 20, i have had no side effects with it, i also take 10M OF GLUITROL , TWICE DAILY"

carolesuzanne replied: "I don`t take the humalog, but do thake the rest and have had no problems. Only stomach upset if I don`t take them with food."

sue replied: "Hi, I've been on Metformin of one formulation or another for 10 years. Then about 4 years ago the doc added Lantus, and just recently we added the humalog. I wish to get rid of the Metformin HCL, but don't think it would work well. It gives me nasty gas problem no matter what I do, but it also helps keep the liver from dumping stored glucose on the system. As for the other way round, on one forum I read of a lady who has recently become insulin resistant and had Metformin added to her type 1 insulin regimen. that is called by some Endos "double diabetes". And yes, she is able to control her glucose levels much better that way."

Leland replied: "I take lantus and novolog but i don't take any meds."

Lesley B replied: "My partner takes all three and has had no problems at all."

steffi replied: "I don't take Lantus, but take Metformin 850 x 3 per day, and inject 50 units of Humulog 4 times a day, S (short term x 3) and I (long term) at night. No problems with that."

Angie F replied: "I was 1st put on the metformin 500mgx2 daily. 2weeks later I was put on Glipizide as well.5mgx1 daily. my sugar was still staying very high & the Glipizide was making me VERY sick on my stomach. My sugar was STLL reading high. So they took the Glipizide away & put me on Lantus 10 units @bedtime. I seem to be doing better and withOUT the sickness now"

I'm trying to find out how long an individual has taken metformin without serious side effects? I'm a fairly new type II diabetic. I have to use 2000mg of metformin daily plus 30units of Lantus insulin. I am just curious to know how long someone has used metformin without serious side effects. It just seems like an awful lot of medicine to take the rest of my life. It just seems like it would do some kind of harm to the human body. Thanks

fenwaydav replied: "I have been on metformin for over a year and I have had no problems...."

bryce k replied: "i have patients that have been on Metformin for over a decade. it is a great drug as it usually will not cause hypoglycemia. it can however cause liver damage in higher doses and can cause bloating and intestinal discomfort. patients with lowered kidney functioning because ti can cause lactic acidosis which can be fatal. talk to your doctor about splitting your dose into 2 portions like 1000mg after breakfast and 1000mg 30 mins before dinner. it has worked well with the patients i have seen. also, i would suggest that you go to a site like and read as much as possible on your medications. lantus quite ofen has to be adjusted for body changes that ocur over a lifetime. there are other options for glucose control if metformin turns out not to be a long term option for you. watch your weight, drink lots of water, regular exercise, and watch what you eat and things should be just fine."

Mr. Peachy® replied: "I took Metformin (1,000mg) for five years with only occasional diarrhea.. no long term ill effects. I quit on Dec. 13th after learning that I could control my type 2 with the right diet and exercise and my energy level increased quite a bit. If you're interested in cutting back on the medication, you might want to study up. I've posted a lot of useful stuff on my diabetes info page:"

Chris replied: "It is good that you are looking at the long term effect of any medication you take. But, realistically with the doses you are taking, focus on reducing the damage that diabetes is causing major organs in your body. Get control first and as quickly as is medically prudent for you to do so. Build a strong team with your doctor, a dietitian, an eye doctor and another team member you need to monitor the effect of diabetes on your body. Develop a strong discipline to renew your health "today". Hopefully that shouldn't take more than a year. Then worry about long term side affects. Maybe by then you will have been able to reduce your doses and you concerns will also be reduce with your doses. Best Wishes."

i have type 2 diabetes and my dr put me on lantus insulin and i take metformin she keep telling me to increase my lantis 5 units and it still staying 250 450 is it not baqd to have your sugars that long

Pancakes replied: "Say again?"

A Shepherd replied: "Yes it is bad. Your target area should be between 70-140. You should call your Dr. Do you see a family doctor or do you go to an endocrinologist? You might need to see a specialist if your Dr. is not able to control your blood sugar. Are you following a diabetic diet? Eating right can make a big difference! Eat high protein and lots of veggies! Don't eat a lot of bread, fruit, juice or sweets. If you follow the right diet, take your medications and it is still high call or go see the endocrinologist."

c_sakal replied: "Ideally, your sugar should be around 120 in the morning and not higher than 135-150 during the day. Lantus is a long-acting insulin that can help lower fasting glucose especially (which you measure when you take a fingerstick first thing in the morning). As for the level that's appropriate, I would have to know what your fingersticks are at multiple times during the day (preferably 4 times daily) and what meds you're taking to even guess. Talk to your doctor, but having glucose that high is usually a bad thing, unless you have a history of many hypoglycemic episodes, then sometimes doctors choose a less agressive strategy for safety's sake."

Kristin C replied: "It's too high. Lantus is a good baseline insulin, but it does not work well for the highs and lows as you eat throughout the day. Perhaps your doctor should consider putting you on a short acting insulin. What you would then do is check your blood sugar prior to each meal. You would then have a scale to tell you how much insulin to give yourself based on the result you get for your blood sugar. This is called sliding scale insulin. You can have blood vessel and nerve damage if your blood sugar remains elevated for a long period of time. Could lead to kidney failure, infections leading to possible amputation, and blindness."

SEXYTHANG823 replied: "I HAD DIABETES WHEN I WAS WITH CHILD AND I KNOW FOR A FACT THAT 250-450 IS HIGH... U NEED TO SEE A DR.. RIGHT AWAY.... ANYTHING OVER120 IS HIGH....."

♥♥ Peachy ♥♥ replied: "Get the book I recommend below. The sooner you learn all you can, the less you'll have to depend on a doctor. Those numbers are too high. For type I and type II diabetics (and those who are overweight and could potentially become diabetic). Copy and bookmark the webpages I‘ve listed below… they are invaluable for those with diabetes and/or weight problems... I've found a wonderful book that will help you control your diabetes and minimize or even eliminate the complications. Some folks who became diabetic due to poor diet and obesity are effectively cured by following the advice in this book. I'm a type II (inherited), but it helps all types, especially those who became diabetic due to poor eating habits. It's by an author who has really done his homework, Patrick Quillin, Phd. It's called, "The Diabetes Improvement Program". I have tried his suggestions and found them to be very helpful. I have no complications whatsoever and my blood sugar levels are quite stable. Yes, I still have to take Metformin (Glucophage) daily, but it's the minimum dosage (500mg) and I only have to take it twice a day. I have been off Metformin for as much as a week, but this was with vigorous exercise. Many, what I call, non-hereditary type IIs (those that don't have a close relative who had it) have gotten off medication completely, just with diet, exercise, and supplements. So, in some instances, it most certainly can be 'effectively' cured. Read more about it here: The book explains what's going on in our system and what to do about it. It's really easy and inexpensive. It's basically diet, supplements, and exercise. For example, did you know that cinnamon helps blood sugar absorption? It also controls cholesterol and triglycerides. This is according to the USDA: Here are just a few of the things I’ve learned to help my diabetes: Remarkable supplement improves circulation and can help prevent neuropathy and macular degeneration: Great calorie enlightenment: Sugar does not cause diabetes: Lots of information on diabetes: Type 1 diabetes info: Recommended reading for anyone trying to control weight, especially diabetics: Some psychology behind overeating: Insulin and the brain: Why the British are healthier than Americans: Some great health sites with all kinds of general health information: "

BRUCE D replied: "Your doctor is trying to up your insulin a little at a time to keep you from setting your dose to high. Once insulin is injected, it's injected and there's no going back. Since Lantus is a long acting insulin it's in your system approximately 24 hours. You don't want to add to many units and then find you've gone past your effective dose. Although your glucose is high you and your doctor are actively working to get it down. Type 2's are insulin resistant and could take a lot of insulin to get past the threshold where you're getting enough insulin. You might also try using a longer needle or pen needle. Sometimes there's too much fat and the insulin doesn't penetrate deep enough to work well. Medication is a small part of treating type 2 diabetes. You should speak to your doctor about what types of exercise you can do. Exercise will help sensitize your cells to the insulin and cut down on how much insulin and medication you need...many people are able to even to get down to no medication at all. You should also work on losing excess weight and/or losing weight which will also greatly reduce your insulin resistance. Depending on medications and insulin alone to get your blood sugar under control will not work long term. In the meantime, if you're not seeing an endocrinologist you should. Do as your doctor instructs and add the insulin and you will get your numbers down. Many type 2's take a few hundred units a day. I'm sure you're anxious to get it down, don't worry, you'll be fine."

tommybear45 replied: "lantus is a 24 hour release i take 100 units a day it's best to take it all at once(every 24 hours) when you find your dose my sugas ran 300+ for a year ...........limit your bread & potatoes"

Lantus at night or in the morning? I just started on Lantus 10 units once a day. It's been four days. My blood sugar levels are through the roof. Up to 300 never below 200. I am also taking actos and metformin. Yes I am watching my diet, 35 to 45 grams of carbs per meal, low GI foods, plenty of exercise and I work on my feet. I understand it takes awhile to adjust the dose, but geez I have never had levels this high. I don't have very good insurance, these drug costs are killing me. Anyway, I've been taking it in the morning. Is there a difference between taking in the morning or at night?

jayaraman replied: "You can takeLantus any time, but you have to keep up the time i.e. daily the same time. It can be taken in noon, or evening also.But having started in the morning youcontinu like tht onely. You will see the improvement soon. Or else see your doctor again. Now read about Lantus - Insulin glargine, sold under the name Lantus, is a long-acting basal insulin analogue, usually given once or twice daily to help control the blood sugar level of those with diabetes. Its theoretical advantage is that it has a 24 hour duration of action, with a "peakless" profile. Thus, it more closely resembles the basal insulin secretion of the normal pancreatic beta cells. In type 2 diabetes and in combination with a short acting sulphonylurea (drugs which stimulate the pancreas to make more insulin), it can offer moderate control of serum glucose levels. In the absence of endogenous insulin (Type 1 diabetes or depleted type 2), Lantus needs the support of a fast acting insulin taken with food to reduce the effect of prandially derived glucose. It is post-prandial glucose elevation which more significantly affects HbA1c and thus determines the progression of the long-term complications of diabetes mellitus. The peakless profile of Lantus also enables the dose to be relatively higher than standard NPH insulin. Because standard NPH is normally administered at night, its peak of action tends to coincide with the lower serum glucose levels associated with nocturnal metabolism. This can induce nocturnal hypoglycaemia. Lantus offers the benefit of a more consistent pharmacological dynamic without nocturnal hypoglycaemia. The result of this is a patient who feels more confident and more comfortable with a lower pre-bed and pre-breakfast capillary glucose level. Lantus is formulated at pH4, whereby it is completely soluble. Upon injection, it is neutralized leading to the release small precipitates. This ensures that small amount of Lantus is released into the body continuously, giving a peakless profile"

BRUCE D replied: "Are you in contact with your doctor? I know when I was taking Lantus I was told that after three days if my glucose levels didn't improve to increase it a certain amount. It's been too long, don't remember how much. Lantus is a background insulin meaning it's not meant to quickly lower your glucose levels. I'm assuming you're a type 2 which means you have a lot of insulin resistance. From what I've seen, 10 units is a very low dose for a type 2 and it's likely you'll need a LOT more to get any results. Although technically it doesn't matter when you take the Lantus, just take it at the same time every day, some people do have better results taking at one time or the other. Sometimes it doesn't last the full 24 hours, sometimes it lasts longer than 24 hours. Some people find it works better to split the dose. For most, one a day at the same time every day works fine. But you do have to get to the correct dose which you clearly have not achieved. Hang in there, make sure you're talking to your doctor every few days, you shouldn't have to wait until the next doctor appointment for your doctor to make adjustments to your dose. It is expensive...And with insulin resistance you're more than likely going to need more than one bottle a month. :( Hang in there."

jack replied: "You need to let your doctor know that about your blood sugar levels so he/she can make the appropriate adjustments. Also, let your doctor know you are having difficulty with the drug costs as their are programs to help people with this. Sometimes the drug companies give you the drugs free."

c_sakal replied: "Not really, as long as you take it the same time each day. Taking it at night is a bit more common, but you can do it whenever is most convenient for you (as long as it's the same time every day). I'm sorry to hear that you're having trouble controlling your glucose, it can sometimes take some time, but I'll tell you this, if you follow your doctor's recomendations and record your fingersticks as you're supposed to, then if he's even marginally competant you almost certainly will be able to get good control, it just make take a bit to figure out exactly how much of what meds will help you get there."

trishaaa1 replied: "LANTUS WORKS BEST WHEN TAKEN AT NIGHT"

BAR replied: "I am a type 1 and I take lantus and novolog. 3 years ago (at age 29) I was diagnosed (w/type1 diabetes) I was first put on lantus then after 3 days went on R. I noticed results with that first injection. )overnight I went from 550 to 225 in the morning) My BS was in the 400-600 at the time i was diagnoised. I started using 40 units at bed. Then after starting R my indrocholigist split my lantus. my doeses have changed in the past 3 years but now I take 30 units at 10:00 am and before bed at 10:00 pm I take 17 units. Plus at my 3 main meals I take sliding scale novolog. I am doing great now. My a1c is always under 6.2. I have bad insurance too. I pay 500 a month for the insurance (thats just me and a healthly husband ) and I pay 250+ in RX copays a month. We, together only bring home 2300.00 a month. But it could be worse i guess. Hang in there and talk to your doctor about options, sounds like you need more units of lantus and/or a quick acting insulin."

How does everyone afford to treat Diabetes? I'm asking because my boyfriend is recently diagnosed with Diabetes. The past two months, with all the Metformin, Avandia, Lantus, Novalog, needles, gauze, alcohol, meter strips, etc. We are struggling. His health insurance only provides $1200 gross towards prescriptions PER YEAR. We are very quickly coming up on that $1200 and it hasn't even been 6 months. I'm curious to know, are we doing something wrong? Why can't we afford this treatment? It seems like a good many Americans have Diabetes, how does everyone else afford the many prescriptions? We're freaking out, because we don't have the money for rent, gas, food, etc. We feel like the Diabetes treatment has to come first, but all these co-pays for specialists and prescriptions has drained our wallets, we can't buy food, nevermind entertainment. How does everyone else afford this?! What can we do?

Pegasus90 replied: "I am a diabetic. Originally I was treating it with the metformin. I have insurance that only wants a co-pay and has no limit. However, that is not the answer you need. I am currently doing it on diet alone, and that is because of my wonderful health food store lady that gave me a book to read. The Yeast Syndrome by John Parks Trowbridge. If your bf has a yeast syndrome in addition to his diabetes, then it will make his diabetes worse. My blood sugars went down 20 points after getting on the anti-yeast diet - because it is stricter on no sugars than any diabetic diet. In other words, the ultimate answer is to change his diet so that diet alone controls the diabetes. It is do-able."

coconut replied: "My aunt cured herself naturally by drinking a little cup of Goji everyday. It's this juice from the Hilmalayas. You can get it in the States or in 2 cities in Canada. It won't affect his medication but he won't need it anymore. You see results upto 2 weeks of drinking a little cup a day. Good Luck! "

gypsy replied: "I am horrified to hear of your dilemma, I am diabetic too and thank goodness I live in The UK. In the UK diabetics don't pay for any medication ( even if it isn't diabetes related ), neither do we have to pay for eye tests. The stress of all this is going to make your boyfriends sugar levels raise, please make sure he is careful and I am so very sorry that I can't give you any positive answers. Under no circumstances must he stop taking any of his medication without firstly consulting his doctor. Is there a diabetic association in America who may be able to give you some help and advice. This story has really upset me and made me realise how fortunate I am. Very best wishes."

Morphious replied: "I am a diabetic and use much the same meds as you have listed. However, I have CareFirst (bluecross/blueshield) Ins. I have not heard of such a limit on prescriptions. Most of the time is appears to be divided by types/classes of drugs: generic (cost less), name brands (middle cost), and new brands (expensive). My strips are free - Ins pays for it and two boxes at a time. Lantus/Novalog costs are for co-pay as is Metformin and other drugs. There is no limit per year. If that is what your insurance company covers, then can you switch companies for better coverage? And, YES, it's a struggle with both of us - we manage since we both are diabetic! Sara: Please go to and his blog. I read this am that several states mandate insurance companies doing business within their state must cover certain diabetic supplies. Check it out."

ead824 replied: "You should look into medicare coverage. If you are only making so much money medicare should cover you. Note: at the end of the year you can claim your medication on your tax forms. You MAY get the whole thing back, ask your accountant. Also, you should look into other insurance coverage from your job. They may have prescription coverage separate and or flexible spending. Which is like a savings for medical visits, prescriptions & so on. I am sorry that you are having such a hard time. Good Luck."

Laura B replied: "Have you tried Partnership for Perscription Assistance? My insurance recently ended and I had no idea how I was going to get my supplies, but my doctor told me about PPA and now I'm able to get my Lantus, Novolog, and Metformin (don't know about Avandia) for free. They didn't offer anything for my needles so I called BD (who makes my needles) and they said they have an assistance program for 3 boxes (100/box) for $15. You might want to try to call the manufacturers on the other stuff to see if they offer any assistance. Hope this helps and Good luck!!!"

Nicholas K replied: "I know of someone that have diabetes and had an open wound almost 1 feet in size on the leg. Fully recovered on the wound and the sugar level back to normal after taking a product call Colostrum for about 3 months. That is not a medicine for diabetes but the good news is, doctor certify cure!"

Kunwar Singh replied: "In order to keep your boy friend's blood sugar level under control, read the following paragraph to update your knowledge about diabetes: You need not to panic to visit a doctor. There are no Allopathic medicines available in the market that will cure the diabetic conditions of humans but they will control the disorder up to certain levels. The disease is developed due to eating disorders and hereditary. In the first place, I have never accepted diabetes as disease but considered it to be a disorder. The medicine is readily available at home in the form of natural products and you need not to go to market to purchase expensive medicines. To keep the sugar level under control, follow my suggestions and see the difference. Drink the juice of one bitter gourd, one cucumber and one tomato on empty stomach in the morning on a regular basis (drink this juice twice a day if you are insulin dependent) until you start feeling relief and your blood sugar level starts decreasing and continue further for a very long time until your sugar level reaches border line. The sugar level will certainly come down. Eat plenty of cucumber before meal to quench your thrust and to fill your empty stomach. Cucumbers are considered and proved to be very good for diabetic patients. Diabetic patients are always hungry to eat but can not eat all. Avoid banana, mango, custard apple and sweets like ice cream, pastry and cold drinks totally. If you are insulin dependent, even eating rice would be very harmful. You can eat fruits like guava, pineapple, pomegranate, papaya, muskmelon and watermelon. Taking one tea-spoon Fenugreek powder and quarter tea-spoon cinnamon powder on empty stomach, before breakfast daily, would be beneficial to diabetic patients. Regular brisk walking for one hour daily would be the best ideal medicine for diabetic patients. Cut down on non-vegetarian, fast, spicy and oily food, aerated cold drinks and foods rich in calories. Correct constipation. Avoid alcohol and tobacco also. Tea and coffee are also bad for health because they promote calcium excretion from the body and calcium loss from bones. Drink plenty of water daily. Take one tablet of Diabecon (By Himalaya an Herbal Health Care Company in India) twice a day as a maintenance dose. Take care and be in good health."

Guy R replied: "Gauze, alcohol, don't need em. I reuse my needles saves money and not such a hassle disposing. I use those needles for quite a while also, although not many health professionals would recommend this. I got a box of 100 needles in 2000 just ran out last year, and i do about 4 or five shots a day. See an endocrinologist if you aren't already, mine gives me samples of lantus and novolog, so I haven't payed for insulin in about three years. You pay more to see this kind of doctor but the benefits are worth it. I have also seen the diabetic strip for sale on ebay, but they are probably stolen from some wallmart. So 100 strips per month is about 1200 per year....go get em."

Kathie Emmanuelite replied: "Was your boyfriend given a name brand meter like One Touch when he was diagnosed? Ditch it, the strips are grossly overpriced. Target has a meter for less than $15 and the strips cost only half as much as name brands. I buy my meds two weeks at a time because I only have so much money at any given time, I'm a waitress. Alot of pharmacies want to charge more for this, calling it a "dispensing fee" but my pharmacist (also at Target) doesn't do this because he knows I'm on a limited income. It's hard, diabetes has become a big business, and when there's money to be made, the vultures will come out and squeeze every drop of blood from us."

doowopper replied: "you have your priorities backwards. think how to reduce the medicines... i bet that his sugar is out of control, that is the reason for all the medicine....it is so simple a child can solve this problem...stop eating the refined carbs. increase your fruits vegetables beans whole grains for more fiber and walk 45 min a day..i guarantee that the need for medicine will be cut in half"

hhabilis replied: "It is hard at best. My treatments were running about 3600/year. Much depends on your insurance and your financial status. Many drug companies now have programs that provide meds and supplies for free to people in need. So that is one option. See the link below. Depending on where you live, you can go to clinics: example: NY Presbytarian Hospital has a free clinic for those in need. As I understand it, they also provide supplies. The MD's are the same as in the private practice, the only difference is that there iis no choice of whom you see when you go. The also have all of the MD's on site. They are good. See if you have options to your current insurance. Do you have better/more complete coverage if you use an HMO? DO you get better coverage if you use generic or insurance carrier approved products? Can you get a discouunt if you buy in bulk (like 3 mos at a time)? You can use cheaper alternatives to equipment/see if you can get supplies from the company you use. Discuss some alternatives with your endocrinologist. See if there is any way to reduce the amounts of carbs and sugars he intakes. Also exercise will reduce his insulin intake. Finally resist the temptation to ruse needles and other penetrating equipment. It does'nt save as much as you'd think, it gets more painful each time you reuse a needle (each injection dulls the tip a little more). It also can lead to contamination of insulin and infection. This isn't much but I hope it helps. good luck"

thewordofgodisjesus replied: "THANKS COCONUT!!!!!!! I LOVE NATURALS!!!!!!!!!!!!!!!"

poison_ivy_sam replied: "hi i agree its difficult being a doctor i know its tough sometimes on patients budget i suggest you look at and ask your doctor about para diabetic controls like exercise and dietary control and self regular blood sugar checkup i hope it will help and get your costs down"

lrad1952 replied: "Find out if there's a hospital in your area that is doing some sort of study of diabetes and diabetics. They might be studying foods, medicines or lifestyle changes. If so, you might be able to get supplies and medical tests done for free. Look for a large teaching hospital."

john n replied: "First of all i'd go see the doctor and ask him to change the medications while keeping the budget restrictions in mind. I know for example that Avandia is very expensive. Secondly most drug manufacturers have programs to help those who can't afford their medications.You may well be eligible for these programs."

Alec O replied: "dnno"

browneyedgirl replied: "I am a BSN/RN and I cannot believe some of these answers. You have quite a few good ones from intelligent, helpful people. Then you have Guy R (please see this website about reusing needles. I can't tell you how many ulcers I have treated on diabetics for this very reason.) telling people it's ok to reuse your needles. IT ISN'T! But the most idiotic has to be "doowopper" with an IQ of about 12. Pull your head out of your bottom and educate yourself about diabetes. It is a DISEASE. You can't just change your diet and make it go away. "i bet that his sugar is out of control". Do you really know so little about a disease that affects 230 million people worldwide? Please don't answer any more questions that require your brain to function."

brittanys789 replied: "i know you have had lots of answers but read this one....... My mom is one but it is really expensive. It is just a part of life. but my mom bought some of her things on ebay and they were more than half the cost! Also my mom just went to the diabetic doctor and got a new humoluage " pen " and your boyfriend will probobly know about it. But with this pen she doesnt have to take "shots" any more she just uses the pen and it works like one but all she has to buy for it is insulin and the needles. but i hope everything goes good for you guys and remember take good care of your self and make sure he gets all the vitamins he needs and reserch all that he can use get cook book and cook things they make tasty things sugar free, and use splenda as an alternative for sugar and my mom just found oatmeal and cereal bars.... keep your eyes open and good luck to you all. Also im sure it is harder for you but we have a family of 5 and we are OK but also my mom has a condition in her feet and she can hardly walk ( nerve damage) but this is really expensive. also search insurance and refer back to your doctor. humm try not let himeat bread only occasionally becuase of the high amout of sugar! and my mom got these sharp pains in her feet ( heels mainly) and we think that our 7 mile walk up hill in colorado. but please let him klnow that if he has any symptoms of something unusaul tell him to check with a doctor.... you dont want to wait and have more than 50 thousand dollars in hospital bills. but my mom has had this conition for about a year and now she can walk but has to wear supports on her heels. so dont wait even if it is simple. i hope no-one has to go through what she did she had pills and lots of dedication to things. once again good luck"

Allison D replied: "I am vrey goo just ask me anything!"

For those who are taking Metformin? Does it increase your appetite? I am currently taking Metformin 500mg, which my insulin shot has decreased from 35cc to 25cc (once a day) I have noticed that I feel more hunger, while I was only taking my insulin shots (taking Lantus) and wasn't feeling much hunger(or I would say increased appetite.) Is this normal? Answers are appreciated. I'm sorry. I meant to say decreased appetite on the insulin shot. I wasn't that hungry constantly

mrgumpy replied: "Metformin is traditionally thought NOT to increase appetite. Indeed, many studies suggest that it decreases appetite and assists with avoiding weight gain (which can be a problem associated with type II diabetes)."

♥Peachy♥™ replied: "I've been taking it for years and have had no noticeable increase in appetite. Maybe even a little decrease, possibly. If you're a type two, I'd like to share some of the things that have helped me... a lot:"

terry g replied: "I was taking 3000 mg of it daily before I started using insulin and I noticed no change in my appetite."

KenSavage replied: "I am on Metformin and I actually have the opposite effect. I usually don't feel as hungry and sometimes it gives me some pretty severe stomach cramping. I talk about this kind of stuff on my website you should check it out sometime."

Does garlic help control diabetes? I am a diabetic and i need ways to help control it. I am currently on Byeta, Lantus, Metformin and Glipizide.

jandy replied: "No, exercise and diet does. not excessive doses or supplements of garlic will. no one food or vitamin can change anything that serious."

Stephen replied: "I think this article might give you the answer"

Diabetics or healthcare workers, I need your help! Lantus users? I have some questions about Lantus (Glargine) insulin use with other blood glucose lowering agents. I read through the Lantus website, and through their FDA information that dosage can range from 2-100 IU per day. Starting with 10 IU once daily, then raising the dosage once per week according to a sliding scale by glucose level (+8 IU >180 mg/dL; +6 IU >140 mg/dL and so on...). In this case, the insulin was prescribed for use with Avandia, which we are stopping now bc the Avandia drug info says NOT to mix the two. So, back to the Metformin. And just FYI so nobody freaks out... this IS being supervised by a physician with my help. I am an RN trying to help a friend learn about her diabetes and how to control it. Her glucose levels are consistenely above 300 right now! Yesterday she was taking 10 IU Lantus and 8 mg Avandia. Today she started taking 18 IU Lantus once daily and 1000 mg Metformin twice daily. Now for the questions... How much Lantus do you use? How did you titrate it and how often? What other diabetic meds are you taking and how much? How were your glucose levels affected by the Lantus and meds? Other than diet and exercise, is there any uselfull advice you would like to offer? Have you ever used Byetta? What happened? Your help will be GREATLY appreciated! THANK YOU THANK YOU THANK YOU TTC!!!!! That really helps! I have given Lantus before, but just in 10-20 IU doese. I was worried about going really high. But with your reassurance I will feel better!

TTC#1 replied: "I am type 1 diabetic for 23 years. I have been on Lantus for about 8 years and LOVE IT.. I take 86 units at Bedtime and then I use Humalog S.S. from 18 to 22 units with meals. My current A1C is 6.8 (avg BS 132). That is really good for me. My A1C before Lantus was 11(avg BS 360). I have never used Byetta. I hope this help and Good Luck."

passionatelypurple56 replied: "A couple of years ago, I had glucose levels consistently in the 300s and sometimes 400s. Working with my dr. to find a way to lower while I refused to resort to insulin. The thought of being "insulin dependent" was psychologically unacceptable to me at the time. We tried metformin and actos in varying dosage amounts for nearly a year. My a1c was at 12 when I finally gave in. I started at 10 IU Lantus once daily and and continued with 1000mg metformin twice daily to not much change. We increased the Lantus by 2 IU weekly as long as my glucose levels (fasting) remained higher than 150. I got as high as 126 IU Lantus once daily, 1000 mg metformin twice daily and added back in the 30 mg Actos once daily. A1C began to come down gradually over the course of 9 months. We began reducing the Lantus by 2 IU weekly as long as fasting glucose level remains below 120. My most current labs were an A1c of 6.2, fasting glucose level at 60, eliminated the actos, lowered metformin to 500 mg twice daily, Lantus at 90 IU once daily and still decreasing on a regular basis weekly. What has helped me the most is a very consistent time of taking all the medications and having meals from day to day. Diet and exercise are key as we all know, but it was truly amazing how the timing was so important for me. If I alter the time of any of the medication and/or meals by just one hour...glucose level begins to elevate. Never used Byetta. Hope this helps with your friend. Good luck!"

How often should a diabetic on insulin expect to have a hypoglycemic episode? I have Type 2 and I take metformin (Glucophage) and glimepiride (Amaryl), in addition to 30 IU of 24-hour insulin (Lantus) and about 100 IU of rapid acting insulin (Humalog 2-3 hr) each day. My blood glucose is not controlled really well. It skates along in the 150-200 mg/dL range. If I am to get my blood glucose under control, how often can I expect to have a hypoglycemic episode?

mlgable replied: "If you eat a protein snack mid morning, mid afternoon and before bed you should expect very few Hypoglycemic episodes. The protein snacks help to keep your blood sugar more level giving you better control."

TweetyBird replied: "If you get your glucose under control, you won't have hypoglycemic episodes. That would not define control. As far adding as protein snacks, don't do anything without your doctor's knowledge and advice. Make sure your doctor is aware of your daily levels. Dosage adjusments may be in order."

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