Compare Lantus vs. Actos

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

Lantus (insulin glargine)

Prescription only

Actos (pioglitazone)

Prescription only
Lowers blood sugar.

Lantus (insulin glargine) is an effective, long-acting insulin that provides all-day blood sugar control, but it can cause low blood sugar levels, so be sure to have a source of sugar nearby.

3.7/ 5 average rating with 584 reviewsforLantus
Lowers blood sugar.

Actos (pioglitazone) can improve blood sugar control but is not a top choice since it has a lot of side effects.

3.1/ 5 average rating with 175 reviewsforActos
Upsides
  • Insulin is one of the most effective blood sugar-lowering medication and can lower your A1c (average blood sugar over time) by up to 2-3%.
  • Lantus (insulin glargine) is a long-lasting insulin that provides consistent, all-day sugar control with just once or twice daily dosing.
  • Dose can be easily adjusted to make a customized regimen that's tailored to your body's needs.
  • Lantus (insulin glargine) can be used with liver or kidney problems.
  • Improves sugar control and lowers A1c levels by around 1%.
  • Easily taken by mouth as a once a day pill.
  • Prevents the harmful effects of high sugar levels on your organs.
  • Rarely causes low blood sugar.
  • Lower the risk of heart attack or stroke.
Downsides
  • You have to take insulin by injection.
  • You have to check your blood sugar regularly to assure your medications are working.
  • You may gain some weight, around 4-6 pounds.
  • You have to maintain a consistent schedule to avoid low blood sugar episodes. Dramatic changes in weight or meal patterns will require dose adjustments.
  • May take several weeks to lower blood sugar.
  • Can cause weight gain.
  • People with heart failure or history of bladder cancer shouldn't use this medicine.
  • Some people might get fluid accumulation (edema), from minor ankle swelling to fluid in lungs that makes it hard to breathe.
  • Raises the risk of bone fractures, especially for people who already have a risk for fractures.
Used for
Dosage forms
  • Injection
  • Pill
Price
Want to save even more money?
Sign up now for a 30-day trial and save up to 95% at CVS, Kroger, Albertsons, and other pharmacies.
Reviews
584 reviews so far
67%
saidit'sworth it
51%
saiditworked well
14%
saidit'sa big hassle

Have you used Lantus (insulin glargine)?

Leave a review
175 reviews so far
42%
saidit'sworth it
30%
saiditworked well
21%
saidit'sa big hassle

Have you used Actos (pioglitazone)?

Leave a review
Side effects
19possible side effects
  • Upper respiratory tract infection
    28%
  • Swelling in the limbs
    20%
  • High blood pressure
    20%
  • Flu
    19%
  • Sinus infection
    19%
  • Cataracts
    18%
  • Inflammation of the airways
    15%
  • Joint pain
    14%
  • Pain in extremity
    13%
  • Back pain
    13%
  • Cough
    12%
  • Urinary tract infection
    11%
  • Diarrhea
    11%
  • Depression
    11%
  • Infection
    10%
  • Headache
    10%
  • Blood vessel disease
    7%
  • Retinal vein disorder
    6%
  • Injection site pain
    3%
See more detailed side effects
11possible side effects
  • Low blood sugar
    27%
  • Swelling
    27%
  • Colds and flu
    13%
  • Headache
    9%
  • Heart failure
    8%
  • Sinus infection
    6%
  • Back pain
    6%
  • Pain in arms and legs
    6%
  • Muscle pain
    5%
  • Sore throat
    5%
  • Chest pain
    5%
See more detailed side effects
Risks and risk factors
  • Life-threatening low blood sugar (Hypoglycemia)
    • Insulin dose too high
    • Use of other blood sugar lowering medicines
    • Poor injection techniques
  • Complications due to low potassium
    • Use of other medicine that lower potassium
    • Current electrolyte imbalance
  • Severe allergic reactions
    • Allergy to insulin
See more detailed risks and warnings
  • Heart failure
    • Heart failure
  • Fluid buildup
  • Liver damage
    • Current liver problems
  • Bladder cancer
    • History of bladder cancer
  • Bone fracture
    • Women
  • Low blood sugar
See more detailed risks and warnings