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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Levemir Better Than Lantus?

I can t seem to bring my diabetes type 2 down from 300 s on glipize 20 mg metformin 1000 mg. I would like to go back on insulin but NPH Humulin N was making me gain so much weight. I weigh around 330 lbs. I have inhereted bad swelling and circulation in legs from mother. I wanted to try Levemir because it seems like the weight gain is less than Lantus. But it says the side effects are swelling in hands and legs. I can t have that. What is better Lantus or Levemir? that won t produce such weight gain.
Thu, 13 Apr 2017
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Diabetologist,  's  Response
Hello, Thanks for the query.
I have gone through the details given. By shifting to insulin injections you will be able to bring down blood glucose levels more effectively, there is no doubt about it. As mentioned, Levemir (Detemir) a long acting analog it will give a good action spread over 24 hours, plus it has shown to be having a weight sparing effect. Which is an advantage. Blood glucose control however is almost similar.
There is anothe option available for weight reduction as well as better blood glucose control, that is comparatively recently introduced compounds called as SGLT-@ Inhibitors, like Campagliflozin, Dapagliflozin & Canagliflozin. These compounds increase blood glucose excretion from the kidney and reduce blood glucose, plus also help about 6 kgs weight reduction in a year. They have also been found to be quite safe. This is another option that can be considered. Thanks.
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Is Levemir Better Than Lantus?

Hello, Thanks for the query. I have gone through the details given. By shifting to insulin injections you will be able to bring down blood glucose levels more effectively, there is no doubt about it. As mentioned, Levemir (Detemir) a long acting analog it will give a good action spread over 24 hours, plus it has shown to be having a weight sparing effect. Which is an advantage. Blood glucose control however is almost similar. There is anothe option available for weight reduction as well as better blood glucose control, that is comparatively recently introduced compounds called as SGLT-@ Inhibitors, like Campagliflozin, Dapagliflozin & Canagliflozin. These compounds increase blood glucose excretion from the kidney and reduce blood glucose, plus also help about 6 kgs weight reduction in a year. They have also been found to be quite safe. This is another option that can be considered. Thanks.