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Insulin – Long Acting (Lantus)

Insulin – Long Acting (Lantus)

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Generic Name

Insulin detemir, Insulin glargine

Trade Name

Levemir, Lantus

Indication

hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis

Action

stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver,
prevents breakdown of fat and protein

RouteOnsetPeakDurationDetemir3-4 hr3-14 hr24 hrGlargine3-4 hrnone24 hr

Therapeutic Class

antidiabetics, hormones

Pharmacologic Class

pancreatics

Nursing Considerations

• assess for symptoms of hypoglycemia or hyperglycemia
• monitor body weight over time
• may cause decreased inorganic phosphates, potassium, and magnesium
• monitor blood sugars every 6 hours, monitor A1C every 3-6 months

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