Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For High Blood Sugar Levels After Overdosed Intake Of Lantus
Question: I accidentally gave a pancreatic cancer patient 100 units of lantus instead of the ordered 15 units. Her blood sugars were very high, over 600 and 574, 4 hours apart. What can I expect to see?
Brief Answer:
Need Observation and Frequent glucose monitoring
Detailed Answer:
Good day,
Noted your concern.
. I would like to know if the patient is using any other diabetes medicine ?
Lantus is a basal insulin and the manufactures claim it doesn't cause hypoglycemia. However, in clinical practice, I have seen many patients developing hypoglycemia. The risk is more if they are taking other type of insulins or oral diabetes medicines along with Lantus.
In any case, 100 units is a huge dose. You need to monitor the patient's blood glucose frequently and start sugary food or IV glucose if there are signs or symptoms of hypoglycemia.
The best thing to do would be to take her to an ER and keep under observation for few hours to one day.
Regards
Binu
Need Observation and Frequent glucose monitoring
Detailed Answer:
Good day,
Noted your concern.
. I would like to know if the patient is using any other diabetes medicine ?
Lantus is a basal insulin and the manufactures claim it doesn't cause hypoglycemia. However, in clinical practice, I have seen many patients developing hypoglycemia. The risk is more if they are taking other type of insulins or oral diabetes medicines along with Lantus.
In any case, 100 units is a huge dose. You need to monitor the patient's blood glucose frequently and start sugary food or IV glucose if there are signs or symptoms of hypoglycemia.
The best thing to do would be to take her to an ER and keep under observation for few hours to one day.
Regards
Binu
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
