Lantus Dosing and Titration

Initial Dosing and Titration Recommendations

• Adjust Lantus dosage based on fasting blood glucose levels, targeting a normal range for most patients 1
• The American Diabetes Association recommends equipping patients with an algorithm for self-titration of insulin doses based on self-monitoring of blood glucose to improve glycemic control 2

Prandial Insulin Considerations

• For type 2 diabetes patients, assess whether additional prandial insulin coverage is needed based on postprandial glucose readings 3
• If postprandial glucose remains elevated, consider adding rapid-acting insulin before meals or continuing a reduced dose of a premixed insulin 3

Special Considerations

• Lantus has no peak action time, reducing the risk of hypoglycemia compared to intermediate-acting insulins 4