Air bubbles in Lantus cartridge

[Myrtlesmum]

So yesterday when Myrtle had her dental, the vet asked me to bring in her insulin from which he gave her a dose. I noticed tonight that the cartridge has heaps of tiny air bubbles - not sure what he did to achieve this but I’m wondering if it matters? Because the cartridge is still almost full, turning it upside down doesn’t seem to make a difference. Also, are you supposed to shake the cartridge before withdrawing insulin? I have only been gently rolling it as I was instructed to do with NPH.....

 

[Tomlin]

So yesterday when Myrtle had her dental, the vet asked me to bring in her insulin from which he gave her a dose. I noticed tonight that the cartridge has heaps of tiny air bubbles - not sure what he did to achieve this but I’m wondering if it matters? Because the cartridge is still almost full, turning it upside down doesn’t seem to make a difference. Also, are you supposed to shake the cartridge before withdrawing insulin? I have only been gently rolling it as I was instructed to do with NPH.....

The Lantus pens do not need to be rolled or shaken. Try holding the pen upright (so rubber where you stick the needle is upright) & tapping/flicking the cartridge with insulin in it to get the air bubbles to the top. I'm attaching the Lantus info & if you scroll down to Page/Slide #5, on the right lower side of the slide, you will see "Perform a Safety Test" & they show a picture with tap to get air bubbles to all go to the top. Hopefully, just doing that will prevent issues for you. I have had occasional issues with drawing a tiny air bubble into my syringe even when there were NO air bubbles in the cartridge so keep an eye out for that as it will effect the dose. Once I draw the insulin, I always tap the syringe & tilt it slightly to make sure theres not an air bubble hiding somewhere!

https://www.lantus.com/-/media/EMS/...sktop/PDF/Lantus-SoloStar-Pen-Guide.pdf?la=en