Have Medical Questions? Ask a Doctor Online!
The reason you lost weight likely is that your blood sugars became uncontrolled when you switched.
Switching from lantus to levemir is tricky.
Can I ask if you are a type 1 or type 2 diabetic and also what dose of lantus you were on and what levemir you now take?
Yes, that is a valid point and I think you are right. The key point is that we need to find out WHY the levemir is to blame. Can I ask if you were taking lantus 20 units at night and now you are on levemir 20 units at night? do you take any other meds or insulin? What have your blood sugars been running and how many times per day do you check?
ok and how many times per day have you been checking and what are your sugars running? have you had excessive thirst or urination?
Also, to clarify you were a controlled type 2 diabetic on JUST lantus? Why the switch to levemir? insurance?
Doctors are not against lantus. I actually prefer lantus to levemir. I see a couple issues here. 1)levemir should ALWAYS be dose twice a day. So if you are switching from lantus to levemir then you would need 10 units twice a day. That is why I don't like levemir. It is twice daily dosing. That being said, it would be highly unusual to be able to control a 20 year diabetic on JUST a long acting insulin. You absolutely need better coverage. I'm guessing you need meal time coverage as well. My favorite regimen is lantus at night or in the morning with apidra for meal time coverage. It is possible to be controlled on either. I prefer lantus but I'm quite sure I could control you with levemir as long as we dosed twice a day
I would advise you ask your doctor to perform a prior authorization then. This is where the doctor asks the insurance company to pay for a drug that isn't covered because the recommended drug didn't work. I do these all the time. Your doctor will know what to do. Just ask him/her to do a "PA".
Please don't forget a positive rating for me. I appreciate it
of course. absolutely
please don't forget a positive rating for me. I receive no credit for my time unless you do