Insulin glargine
LantusRCSB PDB 6K59 · 3D model
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A lab-made insulin that attaches to insulin receptors on muscle and fat cells so they pull sugar out of the blood, while also telling the liver to stop releasing extra sugar, with its slow-dissolving formula keeping this effect steady for about a full day.
How it works
Insulin glargine attaches to insulin receptors on the surface of muscle, fat, and liver cells, switching on a signal inside those cells. That signal tells muscle and fat cells to pull sugar out of the bloodstream, and it tells the liver to stop making and releasing extra sugar. What makes this insulin different from regular insulin is how it's made: it starts out dissolved in a slightly acidic liquid, but once injected under the skin it meets the body's normal, less acidic environment and forms tiny clumps that dissolve very slowly and steadily. Because of this slow dissolving, the insulin trickles into the bloodstream gradually over about a full day instead of arriving in a quick burst, giving steady round-the-clock blood sugar control from one daily shot instead of the sharper ups and downs seen with faster insulins.
What it’s used for
Used as a once-a-day background insulin shot for adults and children with type 1 diabetes and for adults with type 2 diabetes, to help keep blood sugar steady throughout the day; it is not used for a diabetic emergency like ketoacidosis, which needs a fast-acting insulin given through an IV instead.
- Mechanism
- Insulin receptor agonist (long-acting analog)
- Drug class
- Peptide analog
- Therapeutic area
- Metabolic / Diabetes