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Basaglar Tempo Pen
Basaglar Tempo Pen is a long-acting insulin used to improve blood sugar control in adults and children with type 1 or type 2 diabetes. The active ingredient in Basaglar is insulin glargine, which is a synthetic form of human insulin. It is designed to provide a steady level of insulin in the blood over a 24-hour period, helping to manage blood glucose levels throughout the day and night. The Basaglar Tempo Pen is an easy-to-use, prefilled insulin pen that allows for accurate dosing and convenient administration of insulin.
Drug Availability and Controlled Substance Status
Basaglar Tempo Pen is available by prescription only and is not classified as a controlled substance. It comes as a prefilled pen containing 3 mL of insulin glargine, which is equivalent to 100 units/mL. The pen is designed for single-patient use and should not be shared, even if the needle is changed.
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Frequently Asked Questions
How long does it take for Basaglar to start working?
Basaglar begins to work within a few hours after injection, with its effects lasting up to 24 hours. It provides a steady level of insulin to help maintain blood glucose control throughout the day and night.
Can Basaglar Tempo Pen be used with other insulins?
Yes, Basaglar can be used in combination with other insulins, such as rapid-acting insulins, to provide both basal and prandial (mealtime) insulin coverage. Always follow your healthcare provider's instructions regarding insulin therapy.
What should I do if I miss a dose of Basaglar?
If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once. Contact your healthcare provider for further guidance.
Is Basaglar safe to use during pregnancy?
Insulin therapy, including Basaglar, is generally considered safe during pregnancy for managing diabetes. Pregnant women should work closely with their healthcare provider to monitor and adjust insulin dosing as needed.
How should I store my Basaglar Tempo Pen?
Before the first use, store the Basaglar Tempo Pen in the refrigerator. After starting to use it, the pen can be kept at room temperature for up to 28 days. Do not freeze the pen, and protect it from direct heat and light. Always check the expiration date and discard the pen if it has expired.
Comprehensive Drug Guide
How Does Basaglar Tempo Pen Work?
Insulin glargine, the active ingredient in Basaglar, works by regulating glucose metabolism. It promotes the uptake of glucose into muscle and fat cells and inhibits the liver from producing more glucose. The insulin glargine in Basaglar is designed to be released slowly and steadily over 24 hours, mimicking the body’s natural basal insulin secretion. This helps to keep blood glucose levels stable between meals and during periods of fasting.
Common Dosages
The dosage of Basaglar varies depending on the individual’s needs, blood glucose levels, and other factors. The typical starting dose is individualized based on the patient's prior insulin use and glucose monitoring. Commonly, it is administered once daily at the same time each day, either in the evening or morning. The dose may be adjusted by the healthcare provider based on regular blood glucose monitoring.
Typical Dosing
Basaglar Tempo Pen is typically injected once daily, at the same time each day. It can be administered in the evening or morning, depending on the patient’s treatment plan. The pen allows for dosing in 1-unit increments, with a maximum dose of 80 units per injection. The dose should be adjusted according to the patient's blood glucose readings, and the healthcare provider's instructions should be followed carefully.
Typical Dosing
FDA Approved Indications
Basaglar Tempo Pen is FDA-approved for:
- Type 1 Diabetes: As a basal insulin for adults and children who require long-acting insulin for glucose control.
- Type 2 Diabetes: For adults who require insulin to manage blood glucose levels when oral medications, diet, and exercise are not sufficient.
Who Shouldn't Take Basaglar Tempo Pen?
Basaglar Tempo Pen is contraindicated in patients with:
- A history of hypersensitivity to insulin glargine or any of the components in the formulation.
- Hypoglycemia (low blood sugar) that is uncontrolled or unmonitored.
Advice From The Pharmacist
Patients using Basaglar Tempo Pen should be instructed on the proper use and storage of the pen. It should be injected subcutaneously (under the skin) in areas such as the abdomen, thigh, or upper arm. Patients should rotate injection sites to reduce the risk of lipodystrophy (abnormal fat distribution). The pen should be stored in the refrigerator before use but can be kept at room temperature for up to 28 days after the first use. It is important to check blood sugar levels regularly and to be aware of the signs of hypoglycemia, such as shakiness, sweating, confusion, or dizziness. Patients should carry a source of fast-acting sugar, like glucose tablets, to treat low blood sugar if it occurs.
Side Effects of Basaglar Tempo Pen
Common Side Effects
Common side effects of Basaglar Tempo Pen may include:
- Hypoglycemia (low blood sugar)
- Injection site reactions (redness, swelling, or itching)
- Weight gain
- Swelling in the hands or feet
Uncommon/Severe Side Effects
Serious side effects, though rare, can include:
- Severe hypoglycemia, which can lead to unconsciousness or seizures.
- Allergic reactions, such as rash, itching, or trouble breathing.
- Lipodystrophy, which is abnormal fat distribution at the injection site.
Patients should seek immediate medical attention if they experience signs of a severe allergic reaction or severe hypoglycemia.
Risks and Warnings of Basaglar Tempo Pen
- Hypoglycemia: The most common risk associated with insulin therapy is hypoglycemia. Patients must monitor their blood sugar levels regularly and be aware of the symptoms of low blood sugar.
- Hypokalemia: Insulin can cause a shift of potassium from the blood into cells, potentially leading to hypokalemia (low potassium levels), which can be dangerous.
- Weight Gain: Insulin therapy may be associated with weight gain, so patients should work with their healthcare provider to manage their weight.
- Allergic Reactions: Some patients may experience allergic reactions to insulin or the components of the pen.
Interactions with Basaglar Tempo Pen
Common Drug Interactions
Basaglar Tempo Pen may interact with other medications, including:
- Oral Antidiabetics: Such as metformin, sulfonylureas, or SGLT2 inhibitors, which may increase the risk of hypoglycemia.
- Beta-Blockers: These can mask the symptoms of hypoglycemia, making it harder to recognize low blood sugar levels.
- Corticosteroids: These can increase blood sugar levels, requiring adjustments in insulin dosing.
- ACE Inhibitors: These may enhance insulin sensitivity, potentially leading to hypoglycemia.
Patients should inform their healthcare provider of all medications, supplements, and herbal products they are taking to avoid potential interactions.
Alternatives to Basaglar Tempo Pen
Alternative treatments for managing diabetes include:
- Other long-acting insulins: Such as insulin detemir (Levemir) or insulin degludec (Tresiba).
- Intermediate-acting insulins: Such as NPH insulin.
- Rapid-acting and short-acting insulins: Such as insulin lispro (Humalog), insulin aspart (Novolog), or regular insulin.
- Oral antidiabetic medications: For type 2 diabetes, such as metformin, sulfonylureas, or DPP-4 inhibitors.
The choice of treatment depends on the patient's type of diabetes, lifestyle, and other health considerations.