Insulin glargine
For an informed discussion with your doctor or pharmacist. This information collection is not a clinically validated interaction checker. Missing data do not establish safety. Do not change or stop prescribed medicines on the basis of this information. The findings apply to the specific conditions studied; laboratory and animal studies cannot be directly extrapolated to humans.
Active substance: Insulin glargine
Examples of brand names: Lantus [EU/DE]
ATC code: A10AE04
Main use (for orientation): Diabetes
Documented research summary
The full text of a single uncontrolled cat case describes lower glucose measurements and reduced insulin glargine administration after adding a CBD-rich, THC-containing extract. Veterinary observation without controlled evidence; cannot be extrapolated to humans or pure CBD. Contradictions concerning extract composition and laboratory limits explicitly documented.
Uncertainties and limitations
One animal; repeated measurements are not independent experimental animals. The 24:1 ratio in the text does not match 6.4:0.2 mg/ml in the table. Creatinine/urea exceed the tabulated reference ranges; therefore do not uncritically adopt a safety claim.
Missing data do not establish safety. Research is limited by the documented sources, search terms, languages and accessibility.
Separately recorded findings
1 separately recorded finding. Each statement applies to its documented study context.
CBD-rich cannabis extract (contains THC) – laboratory and animal studies
Finding ID: B0434
Type of result: Uncontrolled veterinary signal
Observation: In one cat, the mean of repeated home glucose measurements fell from 244.47 to 147.88 mg/dl after adding the extract; the glargine dose was reduced from 5 to 4 IU per administration.
Mechanism: Uncontrolled veterinary course with glargine plus additional cannabis extract; mechanism not demonstrated.
Study type: Veterinary single case report
Context studied: 18-year-old cat; n=1 animal, 34 glucose measurements before and 17 afterwards, no control arm. Long-acting glargine plus CBD-rich, THC-containing extract.
Clinical interpretation: Cannot be quantified for humans
Limitations and uncertainties: No human extrapolation or isolated CBD effect. Contradiction between the text's 24:1 ratio and table concentrations of 6.4:0.2 mg/ml; creatinine/urea above stated reference limits. No confirmation of safety from this report. The authors excluded stress-associated high glucose readings from analysis; additional selection uncertainty.
Original sources for this finding: Use of Cannabidiol-Dominant Extract as Co-Adjuvant Therapy for Type 2 Diabetes Mellitus Treatment in Feline: Case Report. [VD_MED_39474238]
References and access status
[VD_LABEL_D0261] LANGLARA (INSULIN GLARGINE-ALDY) INJECTION, SOLUTION [LANEXA BIOLOGICS, LLC] – DailyMed SPL
Original source / bibliographic reference
Authors: Marketing authorisation holder / label provider according to the linked DailyMed product information
Year: 2026
Source type: Regulatory product information (US SPL)
Source access – 23 October 2026: Source destination was accessible when checked.
Bibliographic attribution or source identity cross-checked.
[VD_MED_39474238] Use of Cannabidiol-Dominant Extract as Co-Adjuvant Therapy for Type 2 Diabetes Mellitus Treatment in Feline: Case Report.
Original source / bibliographic reference
Authors: Massabo JI, Puiatti G, Ferrero P.
Year: 2024
Source type: other; Journal Article
DOI: 10.1159/000541034
PMID: 39474238
Source access – 23 October 2026: Automated direct retrieval was restricted; this does not establish that the link is broken.
Bibliographic attribution or source identity cross-checked.
PubMed – bibliographic reference / abstract
PubMed Central – full-text access according to the literature database – Archive attribution confirmed by Europe PMC metadata. Direct retrieval was not fully verified here; access may require a browser check.
Europe PMC – full-text access according to the literature database – Listed as freely available HTML full text in the official Europe PMC metadata. Direct retrieval was not fully verified here.
Research as of 23 October 2026. Not all original full texts could be reviewed in full. Source accessibility and the strength of scientific evidence must be assessed separately. An accessible link does not establish medical approval; a bibliographic record with an abstract does not replace the original full text.
Drug search and explanation of the evidence · Guide: cannabinoids and medicines · Author and responsibility
Insulin glargine and cannabinoids: documented findings, evidence, sources and data gaps. Research information for discussion with your doctor or pharmacist.
