Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/Insulin–LongActingLantusNursingConsiderations Generic Name Insulin detemir, Insulin glargine

Trade Name Levemir, Lantus

Indication hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis

Action stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver,
prevents breakdown of fat and protein

| Route | Onset | Peak | Duration | | Detemir | 3-4 hr | 3-14 hr | 24 hr | | Glargine | 3-4 hr | none | 24 hr |

Therapeutic Class antidiabetics, hormones

Pharmacologic Class pancreatics

Nursing Considerations • assess for symptoms of hypoglycemia or hyperglycemia
• monitor body weight over time
• may cause decreased inorganic phosphates, potassium, and magnesium
• monitor blood sugars every 6 hours, monitor A1C every 3-6 months