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In this patient, treatment attempts of specific immunotherapy with subcutaneous insulin injections, with continuous subcutaneous injection of insulin analogue lispro, and with oral anti-allergic agents did not prevent frequent life-threatening allergic symptoms.

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Like Humalog, Lantus is structurally different from human insulin, but it appears to rarely cause an immune or allergic response.

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Other options such as ACI and OATS are reserved for patients who fail to improve after microfracture surgery.

They also found that only 25 percent of those who did not have diabetic nephropathy at the time of surgery eventually developed the condition.

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Thus, having a patient successfully taper creates an opening for an individual provider to take on new patients who need treatment.

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When doctors intially start a person with Type 2 diabetes on a slow acting insulin they start out with a very low dose, usually 10 units.

Hypoglycemia (low blood sugar) is a side effect with Lantus.

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Actually I think that Lantus is providing a more stable foundation than the fluctuating pump rates I was previously using.

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Although studies have not been performed in patients with diabetes and renal impairment, a reduction in the LANTUS dose may be required in patients with renal impairment because of reduced insulin metabolism, similar to observations found with other insulins.

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Assume, as in scenario 2 for eastward travel above, that the patient taking this flight is on a once-daily regimen of glargine (24 units at bedtime) with premeal rapid-acting insulin analog (10 units lispro before each meal).

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