hi today we are going to talk about
Lantis welcome to sugar remedies I am
doctor arrogant a founder of sugar
remedies accom we are a virtual diabetes
company its remote diabetes monitoring
telemedicine 24/7 care concierge care
you name it so now basically we help you
from the comfort of your home and we
definitely are a great resource
regardless of you being our patient or
not you will have to be our patient of
course for us to give you specific
advice but for these type of videos we
try to help everyone who are on
medications for diabetes or who have
questions about diabetes and I hope this
video will be very helpful to you
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our goal is to keep your fasting blood
sugars relatively controlled because
that's one of the important factors that
you have to pay attention when you have
diabetes you have to control your
fasting blood sugars and you have to
control your blood Sugar's after meals
now lantus does not really help the
blood sugar control after you eat so it
helps to keep your blood sugar at bay
especially when you're sleeping or in
between meals to prevent excessive blood
sugar coming from your liver so let's
say you're on 20 units of Lantis and you
go to bed with a hundred and fifty blood
sugar we expect you to wake up anywhere
from 120 265 or so blood sugars veneer
on lantus so what happens when you're
not on Lantis and how do you know that
you need Lantis is based on a simple
fact if your blood sugars are rising
overnight even without eating anything
you probably will need basal insulin
such as lantus recibe 2jo or Lev Amir
and lattes is most commonly prescribed
medication still it's not the best
definitely true Seba and 2ji work better
however if your insurance covers llantas
don't say no because you will need it
although there are better medications
they Atlanta's will still get the job
done so let's say you're going to bed
with 150 and you're waking up with 200
blood sugar and that is repetitive
that's generally like you wake up and
you're like what happened you know I I
went to bed with relatively fair blood
sugars and my sugars like super high in
the morning you would expect that your
blood sugar would go down because you
don't eat anything right but in diabetes
due to relative insulin deficiency and
excessive insulin resistance your body
by mistake make a lot of sugar so when
you start taking lantus our goal is to
keep your blood sugar at bedtime and the
morning the same now one misconception
about lantus or any other basal
insolence is that people take so much
insulin to try to bring their blood
sugar in the morning fasting down to
below 120 or hundred now why is it a
mistake
so the problem is you know you try to
bring your blood sugar overnight from
300 down to 120 that is a risky behavior
because if your blood sugar is coming
down like steep decline every night what
happens if you go to bed with a blood
sugar of 150 you know if your blood
sugar is coming from 300 down to 150 one
day the next day if you go to bed with
150 you may not even wake up because you
are giving yourself too much insulin
just to get the numbers right but again
you have to get the numbers right you
know right away in a correct way so if
your blood sugar is 300 before you go to
bed you need to understand what is
really causing the 300 blood sugar by
the time you're in bed so if you're
starting your day with 120 130 140
numbers but you end up with 200 250 300
numbers that means that the diet that
you're on during the day or the
medications you're on during the day is
not right so we have to work on that so
wet sugar md's we basically monitor you
with your blood sugars with your
medications and we identify the problem
immediately and then fix it immediately
so we get you the right medications on
the right time without waiting too long
because early control of diabetes and
timely control of your diabetes is the
most important thing now now you
understand that the purpose of volantis
is to keep your blood sugar stable
because if you are not on a medication
that keeps your blood sugar stable
overnight
lantus is one of medications that will
help you do that it's not the only
medication there are a lot of other
medications that are not insulin such as
oz empik rebels trulicity definitely can
help you with these as well but with the
right choice of the medication on the
right patient you can get to your goal
definitely a lot faster now the side
effects of lont is like any other
insulin it can cause low blood sugar so
if you are taking excessively like I
said if you're not taking it right if
you're not titrated correctly to keep
your blood sugar stable
you may develop low blood sugars another
thing that can cause low blood sugars is
if you are doing something extraordinary
or unusually different such as excessive
exercise or not eating well at all you
do too low appetite or due to sickness
or anything like that that can
definitely increase your risk of low
blood sugars with lantus so these are
the times and you can just text your
coach at Hsu gram these tell them what
is different and tell them how to adjust
your medication and get an immediate
answer with that I think we will move on
to the next side effect which is the the
weight gain and excessive swelling and
water gain can happen with Elan toes as
well especially if you are excessively
or aggressively treated with any insulin
agent and there are a lot of ways to
avoid weight gain and excessive swelling
do you chew on tests and there are a lot
of things we have to consider before we
put you on this medication finally we
are going to actually explain to you how
to take Lantis correctly and that's
another important feature that you
should be paying attention to again I'm
doctor arrogant sugar and be calm and we
will move on to the practical aspect
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put that on top of your pan screw that
on take the first cap and then you will
have another kid now before you do that
if you didn't clean your skin you can
your doctor shower it's okay
it doesn't have to be sterile and the
next thing is we're not concerned as as
your abdomen or your tie as you can see
in this model you can inject your tie
right here or in your abdomen sparing
your umbilicus area and you can do it
develop a couple your buttocks and at
the back of the arm so having said that
you're gonna close your abdomen I mean I
gotta take the second cap off now we
have to do priming so priming means that
you are taking to get out of the pen
needle since you are using a pen needle
and new one every time each time so you
can do that one or two units and then
you see the little tiny insulin drop
coming out it means that you are primed
and then you can go ahead and dial up to
the insulin that you are prescribed
let's say in this case is 16 units dial
it hop and now your routine correct and
then you go driving through the skin
especially for a four millimeter needle
yes life is very small you don't need
anything over you can directly go into
the skin just like this and then push
the plunger and then give at least 5 to
10 seconds or accompany delivery of the
medication
and then you can pull that back once
you're done then you can remove the
needle and put that needle back into a
safe container with a lid and now you're
back to zero as you can see and you're
ready for the next action next day again
this is a daily medication walk acting
insulin if you use only once a day in
very high doses
sometimes your physician
Advisors day twice a day but the
kalidahs patent is used only once a day
thank you very much again
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