Missed a Lantus Dose? What to Do Now | Dose Track
[Missed dose · Lantus]

I missed my Lantus dose. What should I do?

insulin glargine · Once daily, any time of day but the same time every day · Label checked

Short answer: The Lantus label has no missed-dose instructions. It says to inject once daily, at any time of day but at the same time every day, and to check blood sugar more often during any change to the insulin routine. Unlike Tresiba, it gives no rule for a late dose, so ask your diabetes team how to handle a missed one.

What does the Lantus label say about missed doses?

From the FDA label on DailyMed. Numbers in brackets are label section numbers.
SituationWhat the label says
ScheduleOnce daily, any time of day but the same time every day (2.2)
Missed-dose ruleNone in the label
During regimen changesCheck blood glucose more often (2.1)
Action profileRelatively constant over 24 hours with no pronounced peak (12.3)
Type 1 diabetesUsed together with short-acting insulin (2.2)

Does the Lantus label say what to do if I miss a dose?

No. We checked the Lantus prescribing information, Patient Information and Instructions for Use on DailyMed. None includes a missed-dose instruction.

Section 2.2 says Lantus is given under the skin once daily at any time of day but at the same time every day. The Patient Information says the same: you may take Lantus at any time during the day, but you must take it at the same time every day.

How long does one Lantus dose last?

Section 12.3 says insulin levels after an injection showed slower, more prolonged absorption and a relatively constant profile over 24 hours, with no pronounced peak compared with NPH insulin. The label also notes that the time course of action can vary between patients and within the same patient.

Should I check my blood sugar after a missed dose?

Section 2.1 says to check blood glucose more often during changes to a patient's insulin regimen, and section 2.2 says dose changes should only be made under medical supervision with glucose monitoring. A missed or shifted dose is a change worth raising with your diabetes team.

How is this different from Tresiba?

The Tresiba label has a written rule: adults who miss a dose inject during waking hours when they notice, with at least 8 hours between doses. The Lantus label has no matching rule, so the Tresiba window does not carry over to Lantus.

This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.

Missed-dose rules for other medicines

Frequently asked questions

How late can I take Lantus?+
The label does not say. It only says to inject once daily at the same time every day. Ask your diabetes team.
Can I take two Lantus doses close together?+
The label does not describe catch-up doses. Ask your prescriber before giving a second dose.
Can I change the time of day I take Lantus?+
The label allows any time of day but the same time every day. A change in timing is a change to the insulin routine, which the label pairs with more frequent glucose checks and medical supervision.