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Insulin Detemir
Levemir FlexTouch
Levemir FlexTouch is an FDA-approved prescription medication used to treat diabetes mellitus. It contains the active ingredient Insulin detemir, a long-acting insulin that effectively controls blood sugar levels in adults and children with type 1 or type 2 diabetes. Flexpen is available in a 3-ml pen with a strength of 100U/ml. The dosage varies based on the individual’s needs and is typically taken once or twice daily. Levemir works by mimicking natural insulin, regulating glucose metabolism, and controlling blood sugar levels. It is administered subcutaneously in the abdomen, thigh, or upper arm. Common side effects include weight gain, skin reactions, and low blood sugar. Following the prescribed regimen and consulting your doctor for personalized advice is crucial.
Product Overview
Levemir FlexTouch is a long-acting insulin used to manage type 1 and type 2 diabetes in adults and children. It helps maintain consistent insulin levels in the body over a day, aiding blood sugar control and reducing diabetes complications. This insulin comes in a 3-ml FlexTouch pen in liquid form, with a concentration of 100 units per ml (U100).
For type 1 diabetes patients, the starting dosage of Levemir usually ranges from one-third to one-half of total daily insulin needs, complemented by insulin at meals. The exact dose is determined based on body weight, typically between 0.2 to 0.4 units per kg. Type 2 diabetes patients might start with a dose of 10 units once daily in the evening, adjusted based on individual response. Levemir functions by replicating the actions of natural insulin, enabling muscle and fat cells to absorb glucose from the bloodstream and preventing the liver from producing too much glucose. Consistent use as prescribed is crucial for optimal benefits. Abrupt discontinuation can lead to dangerously high blood sugar levels and a risk of severe complications.
A key to effective treatment includes maintaining a healthy diet, regular physical activity, and weight control, as recommended by a healthcare provider. Levemir is not for people with diabetic ketoacidosis (increased ketones in the blood or urine) and should not be mixed with other solutions or insulins. It should be injected subcutaneously. The most common side effect is hypoglycemia, or low blood sugar levels, which emphasizes the importance of correct dosing, regular meals, and blood sugar monitoring. Other possible side effects are injection site reactions and weight gain. It’s deemed safe for use during pregnancy and breastfeeding under medical advice. Given the high cost of insulin in the U.S., many individuals choose to buy Levemir FlexTouch pen online from Canada through trusted platforms like Polar Bear Meds, where it is majorly available at affordable prices. Always consult your doctor regarding any existing health conditions like kidney, liver, or heart issues before starting Levemir FlexTouch.
What is Levemir FlexTouch Used For?
- Type 1 diabetes
- Type 2 diabetes
What Are the Forms & Strengths of Levemir FlexTouch?
- Form: 3 mL single-patient-use prefilled pen
- Strength: 100 units/mL (U-100)
What Is the Recommended Dosage for Levemir FlexTouch?
The dosage of Levemir FlexTouch Pen prescribed by your healthcare provider depends on several factors, including the type and severity of your condition, your age, weight, and any other medical conditions. Below is an explanation of the dosage your doctor may recommend:
For Adults with Type 1 Diabetes
- Initial dose: Approximately one-third to one-half of the total daily insulin requirement.
- The remaining insulin needs should be met with rapid-acting or short-acting insulin at mealtimes.
For Adults with Type 2 Diabetes
- Starting dose: 10 units once daily in the evening or divided into two doses.
- Alternatively, 0.1 to 0.2 units per kilogram of body weight once daily.
For Pediatric Patients (Ages 2 and Above) with Type 1 Diabetes
- Initial dose: Similar to adults, approximately one-third to one-half of the total daily insulin requirement.
- Adjustments should be made based on blood glucose monitoring and individual response.
[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]
How to Take Levemir FlexTouch?
Here are the steps you can follow for the safe and effective use of Levemir FlexTouch:
Step:1 Prepare Your Pen
Gather your Levemir FlexPen, NovoFine disposable needles, alcohol swabs, and sharps disposal container. Wash your hands thoroughly. Check the insulin label for correctness. Ensure the insulin is clear and colorless. Clean the rubber stopper with an alcohol swab.
Step:2 Attach the Needle
Remove the protective tab from the needle. Screw the needle onto the FlexPen securely, ensuring it’s straight. Use a new needle for each injection. Remove the outer and inner needle caps, discarding the inner cap.
Step:3 Prime Your Pen
Prime the pen by selecting 2 units and performing an airshot. With the needle pointing up, tap the cartridge to remove air bubbles. Press the green push button and check for a drop of insulin at the needle tip.
Step:4 Select Your Dose
Turn the dose selector to your required units. Adjust the dose if necessary by turning the selector without pressing the green push button.
Step:5 Inject Your Dose
Choose an injection site on your stomach, upper legs, or upper arms. Rotate sites with each injection. Clean the site with an alcohol swab. Insert the needle and press the green push button until the dose is delivered. Hold the needle in place for at least 6 seconds before removing it.
Step:6 Dispose of the Needle
Remove the needle without recapping and place it in a sharps container. Replace the pen cap and store the pen without the needle attached.
Important Guidelines Regarding Using Levemir
- Levemir FlexTouch is administered as a subcutaneous injection under the skin in areas like the abdomen, thigh, or upper arm.
- Keep in mind that factors such as exercise, stress, illness, changes in medication, and meal patterns can influence its absorption and effectiveness, as is the case with all insulins.
- For those using this medication once a day, it’s recommended to take the dose with your evening meal or at bedtime.
- If you need to take Levemir twice a day, you can do so in the evening with your meal, at bedtime, or 12 hours after your morning dose.
- Do not dilute Levemir FlexTouch or mix it with any other insulin or solution, and avoid injecting it into a vein or muscle.
[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]
How Does Levemir FlexTouch Work?
Insulin detemir in Levemir FlexTouch pens works by mimicking the natural hormone that regulates glucose metabolism in your body. It binds to the insulin receptors on your muscle and fat cells and allows them to take up glucose from your blood. It also prevents your liver from releasing too much glucose into your blood. The Levemir insulin pen offers remarkable convenience in insulin administration as it comes with an adjustable dial to set the dosage for injection. Once opened, the Levemir pen can be safely used for up to 42 days without refrigeration, enhancing its practicality in day-to-day management.
Important Safety Information For Taking Levemir FlexTouch
What Are the Side Effects of Levemir FlexTouch?
Common side effects of Levemir FlexTouch
This medication can cause common or serious side effects. The list given below contains some important side effects that may potentially occur while taking Levemir:
- Hypoglycemia (Low Blood Sugar): Levemir FlexTouch can cause blood sugar levels to drop too low, leading to symptoms like dizziness, sweating, shakiness, and confusion. If untreated, severe cases can result in fainting or seizures.
- Hyperglycemia (High Blood Sugar): Occasionally, Levemir may not effectively lower blood sugar, leading to symptoms like increased thirst, frequent urination, and fatigue. If left unmanaged, hyperglycemia can cause serious complications.
- Allergic Reaction: Some individuals may experience allergic reactions, such as rash, itching, swelling, or severe symptoms like trouble breathing. Seek immediate medical attention if an allergic reaction occurs.
- Peripheral Edema (Swelling in the Arms, Hands, Legs, or Feet): Levemir can cause fluid retention, leading to swelling in extremities. This side effect is usually mild but should be monitored, especially in individuals with heart or kidney conditions.
- Injection Site Reactions: Reactions like redness, itching, or swelling can occur at the injection site. These are typically mild and resolve on their own but can sometimes indicate irritation or sensitivity.
- Lipodystrophy (Changes in Skin Thickness Near Injection Sites): Frequent injections in the same area can lead to lumps (lipohypertrophy) or thinning (lipoatrophy) of the skin. Rotating injection sites can help prevent this condition.
- Upper Respiratory Infections: Some users may develop common colds or other respiratory infections as a side effect. Symptoms might include a runny nose, sore throat, or congestion.
- Weight Gain: Levemir can cause weight gain due to improved glucose utilization and possible fluid retention. Maintaining a balanced diet and regular exercise can help manage this side effect.
Serious side effects of Levemir FlexTouch
- Severe Hypoglycemia (Dangerously Low Blood Sugar): Symptoms include shakiness, nervousness, rapid heartbeat, sweating, chills, confusion, drowsiness, weakness, or intense hunger. Immediate treatment is crucial to prevent serious complications.
- Serious Allergic Reactions: Signs may include hives, itching, facial or tongue swelling, and difficulty breathing. These reactions require urgent medical attention as they can be life-threatening.
- Hypokalemia (Dangerously Low Potassium Levels): Low potassium can cause muscle twitches, cramps, fatigue, or abnormal heart rhythms. This condition needs prompt treatment to avoid further complications.
[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
What Are the Warnings for Levemir FlexTouch?
Levemir (insulin detemir) may lead to serious health complications, with certain groups being at higher risk. Consult your doctor or pharmacist to explore alternative options if you have concerns. If you have concerns Rest, below is a list of warnings mentioned:
- Low Blood Sugar: Insulin detemir can cause low blood sugar (hypoglycemia), which can be dangerous. Severe low blood sugar can lead to heart or brain damage, unconsciousness, seizures, and even death. It can happen quickly and sometimes without warning. Check your blood sugar levels regularly as advised by your doctor. Symptoms of low blood sugar are more common when your blood sugar level is below 70 mg/dL.
- Allergic Reaction: Do not take insulin if you have had an allergic reaction to it or any of its ingredients in the past. A second allergic reaction could be fatal. Symptoms and signs of allergy can include:
- Itching
- Swelling of your throat or tongue
- Feeling faint
- Fast heart rate
- Trouble breathing
- Rash all over your body
- Sweating
- Proper Usage: Insulin detemir should not be used to treat diabetic ketoacidosis, a serious condition in people with type 1 diabetes. If you have type 1 diabetes and high blood sugar levels, your body may produce ketones, which can lead to diabetic ketoacidosis. Seek medical help immediately if you have symptoms of this condition.
- Heart Failure: Taking diabetes medications called thiazolidinediones (TZDs) with insulin can cause heart failure. Inform your doctor if you experience new or worsening symptoms of heart failure, such as:
- Shortness of breath
- Swelling in your ankles or feet
- Sudden weight gain
Your doctor may need to adjust your TZD dosage.
- Infection: Never share insulin vials, syringes, or prefilled pens between patients. Sharing or reusing needles or syringes can put you at risk for various infections.
What Are the Precautions of Levemir FlexTouch?
It’s important to review your health history with your doctor before using Levemir FlexTouch. Some medical conditions or other factors could mean that Levemir may not be the best option for you:
- Pregnant Women: Insulin detemir is classified as pregnancy category B. This means:
- Animal studies have not shown any harm to the unborn baby.
- There are limited studies in pregnant women, so the risk to the unborn baby is not clear.
If you are pregnant or planning to become pregnant, discuss it with your doctor. Use insulin detemir during pregnancy only if the benefits outweigh the potential risks.
- Breastfeeding Women: It is not known if insulin detemir passes into breast milk. If you are breastfeeding, you and your doctor should decide whether to use insulin detemir or breastfeed.
- Seniors: Older adults may be more sensitive to insulin detemir and may have a higher risk of low blood sugar. Your doctor may start you on a lower dose and adjust it carefully.
- Kidney Problems: If you have a history of kidney issues, such as reduced kidney function, you may be more sensitive to Levemir. Your doctor will monitor your blood sugar levels closely and adjust your Levemir dosage if necessary to ensure safety and effectiveness.
- Liver Problems: Individuals with liver conditions, like decreased liver function, may experience reduced sensitivity to Levemir. Your doctor will track your blood sugar levels and make adjustments to your Levemir dosage if needed to optimize treatment.
- Risk of Hyperglycemia or Hypoglycemia: As with all insulin treatments, using Levemir may lead to hyperglycemia (high blood sugar) or hypoglycemia (low blood sugar). These risks are higher when starting a new insulin or adjusting your dosage. Proper blood sugar monitoring is crucial, especially if using a new injection site or injecting into damaged skin. Always follow your doctor’s instructions to manage these risks effectively.
What Are the Contraindications of Levemir FlexTouch?
- Severe hypoglycemia
- Systemic allergic reactions
What If I Miss a Dose of Levemir FlexTouch?
When you miss a dose of Levemir FlexTouch, you can take it whenever you remember it (as soon as you possibly can). But If it’s time for your next scheduled dose, skip the one you missed and take your next dose at the regular time. Don’t take two doses at once to make up for the missed dose, as this could lead to side effects like low blood sugar. To help remember your doses, consider using a medication reminder. This could be an alarm, a timer, or a reminder app on your phone.
[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]
What Happens If I Take Too Much of Levemir FlexTouch?
Taking an excessive dose of Levemir FlexTouch can lead to severe hypoglycemia (low blood sugar), a potentially life-threatening condition. Symptoms of hypoglycemia include:
- Drowsiness
- Confusion
- Blurred vision
- Numbness or tingling in the mouth
- Trouble speaking
- Muscle weakness
- Clumsy or jerky movements
- Seizures
- Loss of consciousness
[Note: If you consumed more than the recommended dose, get medical help right away, or call the Poison Help line at 1-800-222-1222.]
How to Store Levemir FlexTouch?
Proper Levemir FlexTouch storage is essential to maintain its effectiveness. Here are the recommended guidelines:
Before First Use:
- Unused Levemir FlexTouch pens should be stored in the refrigerator at temperatures between 36°F and 46°F (2°C and 8°C).
- Do not freeze the pens. If they have been frozen, they should not be used.
- Keep the pens in their original carton to shield them from light exposure.
After First Use:
- Once in use, Levemir FlexTouch pens can be stored at room temperature, up to 86°F (30°C), for a maximum of 42 days.
- Do not expose the pens to direct heat or light.
- After the first use, do not return the pen to the refrigerator.
- Always remove the needle after each injection to prevent contamination and leakage.
Disposal:
- Dispose of the pen 42 days after its first use, even if insulin remains.
- If an unopened pen has been stored at room temperature for more than 42 days, it should be discarded.
[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding Levemir FlexTouch storage.]
Levemir FlexTouch Interactions
Certain medications may alter your insulin requirements, potentially increasing the risk of low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia). Combining Levemir with drugs known as thiazolidinediones (TZDs) can lead to fluid retention (edema) and potentially trigger heart failure. It’s essential to monitor for any signs and symptoms of heart failure. If such signs appear, your healthcare provider may need to adjust your dose or discontinue TZD use. Levemir should not be taken alongside these drugs:
- ACE inhibitors: These medications may enhance the blood sugar-lowering effect of Levemir, increasing the risk of hypoglycemia.
- GLP-1 receptor agonists: When combined with Levemir, they can further lower blood sugar levels, necessitating careful monitoring to avoid hypoglycemia.
- Disopyramide: This antiarrhythmic drug can potentiate the hypoglycemic effect of Levemir, increasing the risk of low blood sugar episodes.
- Angiotensin II receptor blocking agents: ARBs may enhance insulin sensitivity, potentially leading to lower blood sugar levels when used with Levemir.
- Somatostatin analogs (such as octreotide): These can either increase or decrease blood sugar levels, requiring close monitoring when used with Levemir.
- Fibrates: Primarily used to lower cholesterol, fibrates can enhance the glucose-lowering effect of Levemir, increasing the risk of hypoglycemia.
- Fluoxetine: This antidepressant may amplify the hypoglycemic effect of Levemir, necessitating blood sugar monitoring.
- DPP-4 inhibitors: When combined with Levemir, they can further reduce blood sugar levels, increasing the risk of hypoglycemia.
- Monoamine oxidase inhibitors: These antidepressants can potentiate the hypoglycemic effect of Levemir, requiring careful blood sugar monitoring.
- Pentoxifylline: Used to improve blood flow, it may enhance the glucose-lowering effect of Levemir, increasing the risk of hypoglycemia.
- SGLT-2 inhibitors: These medications, when used with Levemir, can further lower blood sugar levels, necessitating monitoring to avoid hypoglycemia.
- Pramlintide: An injectable diabetes medication that, when combined with Levemir, can increase the risk of severe hypoglycemia.
- Salicylates: High doses of salicylates (e.g., aspirin) can enhance the hypoglycemic effect of Levemir, requiring dose adjustments.
- Antidiabetic agents: Other antidiabetic medications can have additive effects with Levemir, increasing the risk of hypoglycemia.
[Note: This isn’t a complete list, and there could be other drugs that interact with Levemir FlexTouch. Make sure to tell your doctor any prescription, over-the-counter medicines, and herbal products you’re taking.]
Levemir FlexTouch Alternatives
Levemir FlexTouch is one option for treating type 1 and type 2 diabetes, but it may not always be the best option for everyone. In such situations, people often explore alternatives to this medication. Based on your health condition and other necessary factors, your medical expert will recommend the most suitable treatment. Some of the most commonly used alternatives to Levemir FlexTouch include:
- Afrezza (rapid-acting insulin inhaler)
- Admelog (insulin lispro)
- Apidra (insulin glulisine)
- Basaglar (insulin glargine)
- Fiasp (insulin aspart)
- Humalog (insulin lispro)
- Humalog 50/50 (insulin lispro protamine)
- Humalog 75/25 (insulin lispro)
- Humulin N (insulin NPH)
- Humulin 50/50 (insulin NPH)
- Humulin 70/30 (insulin regular)
- Humulin R (insulin regular)
- Lantus (insulin glargine)
- Lyumjev (insulin lispro)
- Myxredlin (insulin regular)
- Novolin R (insulin regular)
- Novolin N (insulin NPH)
- Novolin 70/30 (insulin NPH/insulin regular)
- Novolog (insulin aspart)
- Novolog 70/30
- Semglee (insulin glargine)
- Soliqua 100/33 (insulin glargine/lixisenatide)
- Toujeo (insulin glargine)
- Tresiba (insulin degludec)
- Xultophy 100/3.6 (insulin degludec/liraglutide)
[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]
Levemir FlexTouch Cost & Coupons
Levemir FlexTouch is an essential medication for managing diabetes, but its cost can vary depending on factors like health insurance coverage, the prescription, and the pharmacy you choose. Many Americans find that their insurance does not fully cover the cost of insulin, including Levemir FlexTouch, leading to significant out-of-pocket expenses. As a result, many people turn to buy Levemir FlexTouch Pen online from Canada through platforms like Polar Bear Meds. These platforms often provide lower prices and additional savings, such as a Levemir FlexTouch coupon. First-time buyers can also enjoy a 10% discount using the code WELCOMEPB10, making it more affordable to manage their condition.
Frequently Asked Questions
Can Levemir FlexTouch be used with rapid-acting insulins?
Yes, Levemir FlexTouch (insulin detemir) can be used alongside rapid-acting insulins. For individuals with Type 1 diabetes, it’s common to use Levemir FlexTouch for long-acting, basal coverage and add rapid-acting insulin, like NovoLog or Humalog, at meal times to manage blood sugar spikes effectively. Always consult your healthcare provider to create a treatment plan tailored to your needs.
Does Levemir’s dosage need to be adjusted during pregnancy?
Your body’s insulin needs will likely increase as you gain weight during pregnancy. Your healthcare provider will guide how frequently to monitor your blood sugar while using Levemir. You and your healthcare provider can use this data to make necessary dosage adjustments throughout pregnancy and you can buy Levemir online.
Is Levemir a long-term treatment?
Indeed, Levemir is recommended as a long-term treatment. It is intended for ongoing, continuous management of diabetes to help regulate blood sugar levels effectively and maintain your overall health. If you and your healthcare provider agree that Levemir is safe and effective for your needs, it will likely be used over an extended period.
How quickly does Levemir FlexTouch begin to work?
Levemir FlexTouch (insulin detemir) typically starts lowering blood sugar about two hours after injection and provides long-lasting effects for up to 24 hours, helping maintain stable glucose levels throughout the day.
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