This is a discussion on Alternative to Lantus within the Type 1 Diabetes forums, part of the Diabetes category; Hi! I've been diagnosed as a T1 since Sept 07. The dr prescribed me Lantus (12u per day) as basal ...
I've been diagnosed as a T1 since Sept 07. The dr prescribed me Lantus (12u per day) as basal insulin and Apidra (4u per meal = 12u per day) as bolus insulin. My BGs have worked fine with my vasting count rarely (once a month maybe) above 5.5 and post meal checks below 8. My HbA1c at diagnosis in Sept was 12,4 and the most recent one (31 Dec) was 6.1. So everyhting seems to be under control.
My medical insurance don't cover the Lantus (Even though they do cover the Apidra). I'm concerned that when the honeymoon is over that I'll need more Lantus, since it's quite expensive to purchase.
What other basal insulin might do the same trick as Lantus?
Thanks for all the great info!
There's as said, Levemir from Novo Nordisk... I'm on Levemir for basal and Novorapid with meals, it works great. I've used Lantus aswell, just after diagnosed, but changed over to Levemir later because the Lantus pens are c.r.a.p. I prefer Novopens Levemir doesn't sting like Lantus when injecting, so i also feel it's more "comfortable" to use.
Type1 since october 2004.
MDI: Novorapid and Levemir with Novopen4
Main BG meter: Accu-Chek Compact Plus
Are you using lantus vials or cartridges? Just checking because my insuance covers the regular vials just fine, but will not cover cartidges for pens. Silly silly regulation... but it doesn't bother me because it covers my novolog penfills in any case.
although I've never tried it, i've heard that levimer works as others have said... or you could try a pump.
That would be a good thing for them to cut on my tombstone: Wherever she went, including here, it was against her better judgment.
- Dorothy Parker
T1 19 years
Minimed Paradigm 522... yay!
I think the generic brand is NHP, right?
You could go on a pump in which you would use the Apidra as your basal insulin.
Whatever you choose, good luck!
Type 1 (MODY - maybe) April 2007
Mimi Med pump w/Apidra 10/24/07
CGMS - I would be lost with out it
Byetta 10mc - not typical for a type 1, but it's working!!!!
Metformin 1000 mg at night
Newly Wed 5/3/08
As others have said, Levemir or a pump are your best options out there if Lantus isn't covered, though I personally think it's a shame that it isn't. I had much worse control on Levemir than on Lantus.
I'm surprised Lantus isn't covered.
Dx June 21st 2007
-June 22, 07 - 12.8 - _ -Jan 23, 09- 5.8 - _ - _ - May 16, 2011 - 7.8
-Sep 27, 07 - 6.6- _ - _ -Aug 4, 09 - 6.2 - _ - _ - Nov 2, 2011 - 7.4
-Jan 3, 08 - 6.0 - _ - _ - Nov 3, 09 - 6.5
-April 16, 08 - 6.1 - _ -_Mar 8, 10 - 6.8
-July 21, 08 - 5.5 - _ - _ July 23, 10 - 6.8
-Oct 8, 08 - 6.1 - _ - _ - Nov 29, 10 - 6.9
MDI - NovaRapid & Levemir
"Diabetes is for the intelligent and disciplined."
It is a little stupid that it's not covered but I'll see. I'm willing to pay the few extra bucks and I know everything is under control since Lantus works quite good for me.
Does anybody know something about Humulog or Humulin? Will that be a suitable alternative?
It is a fast acting insulin, a little slower and longer acting than your Apidra but not by much. An alternative is Novolog or Novorapid.
Some people here in a similar insurance situation as you still inject regular and NPH insulins. They are tough to manage though. The regular is too slow for a fast acting and the NPH is too fast and spikey for a basal.
What country are you in?
Michelle Oberg "yep....stop trying to make vegetables taste like meat.....you made your choice, now live with it hippies"
Back on MDI and doing well. A1C 6.3, no major hypos; a few highs; lots of shots. Diagnosed Oct 19th, 1975.
HDL-101; LDL-64; TG-36; TOT-172
I tried Levemir, it didn't work at all well for me. The action curve is very dose-dependent. I found that it only lasted about 10-11 hours, so my BG's would start to rise alarmingly in the last hour before my shot and for the following hour.
With Lantus I get more even coverage by taking it twice a day, at 10.00 pm and 8.00 am. Whether Lantus or Levemir works best seems to be very much dependent on the individual.
The Lantus SoloStar disposable pens are slightly cheaper than the cartridges if thats any use to you. The price difference is around 10 dollars per box of five pens.
How are you getting on with the Apidra? Hope you got your supply of SoloStars.
The more I use it the more I like it - you couldn't pay me to go back to Novorapid. Apidra is just sooo predictable - makes corrections a cinch.
hi ant hill novorapid here yes levemir is clear and work with the novolin pen 4, great new pen by the way although takes a little getting used to as when you inject it's so quick that you think something is wrong but it's not, i take levemir 2x a day 25units and novorapid 3x a day levemir comes in the penfills just right for the new novolin 4 pen.