Long-acting insulinPrescription only

Insulin Glargine

Injection (pen)

Quick Summary

Insulin glargine releases insulin slowly over about 24 hours, providing a steady background level.

Type 1 diabetes
Type 2 diabetes

Medical Uses

Type 1 diabetes: With mealtime insulin.
Type 2 diabetes: When tablets aren't enough.

How it's taken

Injected under the skin once a day at the same time. Rotate injection sites. Your doctor adjusts the amount based on sugar readings.

Your doctor decides the right dose for you and how long to take it.

Your doctor decides the right dose for you. Follow their instructions and the label.

Common Side Effects

Low blood sugar

The most common side effect.

Injection site lumps

Rotate sites.

Weight gain

Sometimes.

Interactions

Alcohol

Increases low sugar risk.

Steroids

Raise blood sugar.

Critical Warnings

Low blood sugar

Black Box Warning: Shaking, sweating, confusion: take sugar straight away. Tell your doctor if it happens.

Storage

Keep unopened pens in the fridge; don't freeze.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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