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Tresiba vs. Lantus

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Tresiba (insulin degludec) and Lantus (insulin glargine) are both long-acting insulins used to manage blood sugar levels in people with Type 1 and Type 2 diabetes. Tresiba is only available as a pen-form medication and has unbranded less expensive version is available, while Lantus is available as a vial and prefilled pen forms with biosimilars that are less expensive than brands. Tresiba can last up to 56 days at room temperature once opened, whereas Lantus lasts up to 28 days. Tresiba is approved for use in children as young as 1 year old, while Lantus is also approved for children but does not specify an age limit. Tresiba tends to be more expensive than Lantus. Both medications can cause low blood sugar and weight gain, but Tresiba has a longer duration of action compared to Lantus and less risk of low blood sugar.

Insulin degludec

(Tresiba)

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Lantus

(insulin glargine)

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Summary for Tresiba

Prescription only

Insulin degludec (Tresiba) is an ultra-long-acting insulin. It's used to manage blood sugar levels in adults and children with Type 1 diabetes or Type 2 diabetes. It's injected under the skin once per day. Insulin degludec (Tresiba) comes as a vial and FlexTouch pen. Side effects include common cold symptoms and headache. Tresiba is available as a brand-name medication and an unbranded biologic.

Indications for Tresiba

Pros and Cons for Tresiba

Pros

  • Injected once daily
  • Each dose can help control blood sugar levels for about 42 hours
  • Can be stored at room temperature for up to 2 months

Cons

Common Side Effects for Tresiba

  • Low blood sugar levels (up to 99%)
  • Common cold (up to 24%)
  • Upper respiratory tract infection (up to 12%)
  • Headache (up to 12%)
  • Diarrhea (up to 6%)
  • Sinus infection (up to 5%)
  • Stomach viral infection (up to 5%)

Warnings for Tresiba

  • Risk of infections with pen sharing
  • Risk of high and low blood sugar levels
  • Dangerously low blood sugar levels (hypoglycemia)
  • Low blood potassium levels
  • Swelling and heart failure when used with certain diabetes medications
  • Allergic reactions

Summary for Lantus

Prescription only

Lantus (insulin glargine) is a type of long-acting insulin. It's used to help manage blood sugar levels in people with Type 1 diabetes or Type 2 diabetes. Lantus (insulin glargine) is injected under the skin once daily. Your dose will depend on a few things, such as the type of diabetes you have and your blood sugar levels. This medication comes in a vial (Lantus) as well as in a prefilled insulin pen (Lantus Solostar). Some side effects include upper respiratory tract infections. It can also cause redness and swelling at the injection site.

Indications for Lantus

Pros and Cons for Lantus

Pros

  • Helps keep your blood sugar controlled for about 24 hours
  • Injected once daily
  • Approved for both adults and children
  • Available as a vial and prefilled pen

Cons

  • Given as an injection under the skin
  • Has a risk of causing dangerously low blood sugar
  • Might cause weight gain
  • Can't be mixed with other insulins within the same syringe

Common Side Effects for Lantus

Type 1 diabetes

Type 2 diabetes

  • Upper respiratory tract infection (11%)
  • Other infection (10%)
  • Eye problem (6%)

Warnings for Lantus

  • Risk of infection from sharing pens and needles
  • Risk of changes to blood sugar levels with changes to your insulin routine
  • Low blood sugar (hypoglycemia)
  • Low potassium levels
  • Swelling and risk of heart failure when using with certain diabetes medications
  • Severe allergic reaction

Prices with our coupons for Tresiba vs. Lantus

Price Card Drug Icon
Insulin Degludec1 vial / 10ml of 100 units/ml
$122.89$142.36
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Lantus1 carton / 5 solostar pens of 3ml
$35.00-
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