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[IPp] Re: NPH instead of Lantus

>>Could the reason your endo perscribed NPH instead of Lantus be because NPH
kicks in much faster than Lantus would? Lantus would take around 12 hours to
  start providing a basal and unless you were doing supplement Humalog 
or Novolog
every couple of hours until then he wouldn't have any basal insulin.
Mom to Sam (9) Jack (8) and Tressa Angelina (3)
Jack diagnosed 12/2000 & Pumping since  3/2002<<


Lantus kicks in just as quickly as NPH but doesn't peak like NPH; it 
has a flat action profile.  It's a no-brainer to me in choosing a 
long-acting insulin.  Lantus is the ONLY one that closely resembles a 
pump's basal action.

NPH start time - 2-4 hours
Lantus start time - 2-3 hours

NPH Insulin or Lente
A.Onset: 60 to 90 minutes
B.Peak: 6 to 8 hours
C.Duration: 12 to 15 hours

Glargine (Lantus)
A.Onset: 1.5 hours
B.Duration: 20.5 hours (Long-acting Insulin)
C.Peak: Flat action profile throughout duration
1.Mimics continuous insulin infusion

Cindy, mom to 16 y/o Noah, dx age 9, pumping since 6/99
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