[ Posted on the other newsgroup but did not get any good
replies other than ted's & hence posting here]
I am male T2 diagnosed 10 years ago. My HbA1c usually
runs around 7 - 7.5. I take Metformin (2g per day) & Glimepiride.
I wish to go off the Glimepiride & use insulin & get my numbers
lower. However, my doc doesn't think that insulin is neccessary.
But since it's available without a prescription. I was wondering
if it may be a good idea to buy it on my own & use it.
I have helped train a relative in using a Novopen3, so I know
how to dial a dose & use it.
These are the different Novapen insulins available in my country
(not in the USA)
1) MIXTARD 30 HM PENFILL (Biphasic)
2) MIXTARD 50 HM PENFILL (Biphasic)
3) INSULATARD HM PENFILL (NPH)
4) ACTRAPID HM PENFILL (Insulin Neutral)
Can someone explain me the differences between the different kinds
of insulins?
Can I go on some slow acting basal type of insulin without any
fast acting one? Is there a possibility of hypoglycemia with slow
acting insulin if the doses are low?
Accucheck/Ultra strips are also outrageously expensive where
I am - so taking multiple readings each day is also out of the
question.
Julie Bove - 28 Feb 2008 04:12 GMT
>[ Posted on the other newsgroup but did not get any good
> replies other than ted's & hence posting here]
[quoted text clipped - 26 lines]
> I am - so taking multiple readings each day is also out of the
> question.
I am a type 2 too and my A1c has been in the 7's. My Endo. does not want me
on insulin because he says insulin will make me gain weight. I am still
overweight although I have lost some. He does not want me gaining any more
weight. I can't explain the various insulins since I've never used them,
but I do think there is more to keep in mind than just your BG. I think too
much insulin can also cause heart problems. But I could be wrong.
Terryc - 28 Feb 2008 04:35 GMT
> [ Posted on the other newsgroup but did not get any good
> replies other than ted's & hence posting here]
And I am not going to help you here either.
If you are too silly to do some basic searches about the different types
on insulin, then I'm not stupid enough to help you.
hemyd - 28 Feb 2008 05:05 GMT
>[ Posted on the other newsgroup but did not get any good
> replies other than ted's & hence posting here]
[quoted text clipped - 26 lines]
> I am - so taking multiple readings each day is also out of the
> question.
I am amazed that you can get insulin without a prescription. It can be quite
deadly when used by someone unfamilliar with it, or who hasn't had it
explained to him by a doctor. In Australia even a doctor cannor prescribe
insulin - it has to be a diabetic specialist. I would urge you to see a
diabetic specialist.
the problem with insulin is that there are many factors to consider before
determining the correct dose, such as the food you eat, the exercise you do
and other factors. the consequences of taking an excessive dose versus
exercise versus food, could be a life-threatening hypo (when your blood
glucose goes down to dangerous levels).
My HbA1c was in the high 6s, and I wanted to be put on insulin, having done
a lot of research on it, and obtained some useful advice from folks on mhd
and asd newsgroups. I had to find a diabetic specialist to prescribe it
though.
If you do want to do some researching beforehand, go to the manufacturers'
sites. It's a good starting point. As part of your research, I would
recommend you read up on hypos (hypoglycemia).
Henry Mydlarz.
Tom - 28 Feb 2008 06:57 GMT
> I am amazed that you can get insulin without a prescription. It can be
> quite deadly when used by someone unfamilliar with it, or who hasn't had
> it explained to him by a doctor. In Australia even a doctor cannor
> prescribe insulin - it has to be a diabetic specialist.
I think even in the USA, insulin is available without a prescription in many
states
http://listserv.lehigh.edu/lists/diabetic/html/prescriptions.html
Tiger_Lily - 28 Feb 2008 16:26 GMT
>> I am amazed that you can get insulin without a prescription. It can be
>> quite deadly when used by someone unfamilliar with it, or who hasn't had
[quoted text clipped - 4 lines]
> states
> http://listserv.lehigh.edu/lists/diabetic/html/prescriptions.html
Regular and NPH insulin is available without a prescription, Humalog,
Lantus, Levemir, Apidra and Novolog require a prescription
matt weber - 28 Feb 2008 20:30 GMT
>>> I am amazed that you can get insulin without a prescription. It can be
>>> quite deadly when used by someone unfamilliar with it, or who hasn't had
[quoted text clipped - 7 lines]
>Regular and NPH insulin is available without a prescription, Humalog,
>Lantus, Levemir, Apidra and Novolog require a prescription
In the USA. Novolog, Humalog etc are OTC in Canada.
Màck©® - 28 Feb 2008 21:04 GMT
>> I am amazed that you can get insulin without a prescription. It can be
>> quite deadly when used by someone unfamilliar with it, or who hasn't had
[quoted text clipped - 4 lines]
>states
>http://listserv.lehigh.edu/lists/diabetic/html/prescriptions.html
that does not mean it is okay to simply take it because you think you
can figure it out.

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Alan S - 28 Feb 2008 06:31 GMT
>[ Posted on the other newsgroup but did not get any good
>replies other than ted's & hence posting here]
Goodness.
As one of those who took some time in composing a reply over
there, and having read the other responses, may I suggest
that you are heading for some major difficulties in your
diabetes management.
You have already made up your mind as to what you want to do
and how you want to do it, regardless of several experienced
people taking the time to suggest that your proposed path is
fraught with many dangers and that there may be other
avenues worth exploring either first or in parallel.
Henry's advice here is excellent; but your comment here and
your answers there show a basic misunderstanding of the
relationship between your menu, testing and blood glucose
management and the dangers involved in insulin use.
That was the polite response. I'll defer the impolite one
until you are brave enough to return to asd.
Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest: Motivation, Likes and Dislikes
ray - 28 Feb 2008 16:45 GMT
> [ Posted on the other newsgroup but did not get any good replies other
> than ted's & hence posting here]
[quoted text clipped - 3 lines]
> Glimepiride & use insulin & get my numbers lower. However, my doc
> doesn't think that insulin is neccessary.
Simple solution - change docs.
> But since it's available without a prescription. I was wondering if it
> may be a good idea to buy it on my own & use it. I have helped train a
[quoted text clipped - 16 lines]
> Accucheck/Ultra strips are also outrageously expensive where I am - so
> taking multiple readings each day is also out of the question.
matt weber - 28 Feb 2008 20:28 GMT
>[ Posted on the other newsgroup but did not get any good
>replies other than ted's & hence posting here]
[quoted text clipped - 12 lines]
>(not in the USA)
>1) MIXTARD 30 HM PENFILL (Biphasic)
This is essential 70% Insultard (N for Americans), 30% Actrapid (R for
Americans). It gives a relatively 'flat' effect for about 6-8 hours.
>2) MIXTARD 50 HM PENFILL (Biphasic)
50/50 mix Actrapid/Insultard, about 6-8 hour run time, heavily front
loaded from the large Actrapid
>3) INSULATARD HM PENFILL (NPH
An insulin with a 6-8 hour, perhaps a little longer, run time, with a
pronounced peak in the 4-6 hour range.
>4) ACTRAPID HM PENFILL (Insulin Neutral)
>
[quoted text clipped - 3 lines]
>Can I go on some slow acting basal type of insulin without any
>fast acting one?
None of these products are exactly long lasting. For a long lasting
insulin, you are looking for either Ultra Lente (U), or Lantus.
In general the very long acting insulins will not do a good job of
controlling blood sugars in the 2-3 hours after a meal, so a long
acting insulin for Basal coverage is almost always match up with a
short acting insulin such as Actrapid, or the more recent analog,
Novorapid (Novolog), or Humalog... which are even faster acting than
R, with shorter run times.
> Is there a possibility of hypoglycemia with slow
>acting insulin if the doses are low?
>
>Accucheck/Ultra strips are also outrageously expensive where
>I am - so taking multiple readings each day is also out of the
>question.
Jefferson - 29 Feb 2008 20:07 GMT
Hi matt weber:
A nice summary.
> None of these products are exactly long lasting. For a long lasting
> insulin, you are looking for either Ultra Lente (U), or Lantus.
Ultralente production was discontinued over a year ago. It was a nice
basal insulin that I could buy over the counter at WalMart.
Frank
willbill - 02 Mar 2008 16:19 GMT
> I am male T2 diagnosed 10 years ago. My HbA1c usually
> runs around 7 - 7.5. I take Metformin (2g per day) & Glimepiride.
[quoted text clipped - 23 lines]
> I am - so taking multiple readings each day is also out of the
> question.
i gather you're either in Germany or close?
if you're going to use insulin, you're going
to have to bite the bullet, and do some
additional testing
yes, Accucheck and Ultra strips are expensive
but there are much less alternatives that
imo are just as good. i currently use
Control strips that cost about 1/2 of Ultra
since you read/write English well, check out
www.hocks.com for price comparison, and there
are several web sites for good info of what's
going on with meters
re insulin, and since price seems to be an
issue with you, why don't you simple go with
10 ml vials of Actrapid?
i.e. and not worry about slower "background" insulin
you're a t2 and you appear to still have enough
endogenous insulin of your own, which makes
use of slow insulin an option for you
for what it's worth, i know of several type-1
who only use Actrapid (via syringe shots).
i call it "pseudo pumping"
similarly, there are something like 1-to-2
million type-1 who pump, with fast meal insulin
(either lispro, aspart, or Actrapid)
get some *good* syringes (i suggest BD because
the points are good and the plunger is a tight fit;
either 30 unit size or 50 unit size)
pre-load the syringes half way (so that they'll
fit in your shirt pocket)
if you take a single sheet of 8.5"x11" paper,
fold in half, then 3 ways, you'll be able
to conveniently carry/hide up to 4 syringes
it's ok to use the syringe several times
(until it's empty)
when you carry/use a syringe like this,
do NOT refill the syringe when it's empty
bill t1 since '57
ted rosenberg - 03 Mar 2008 20:55 GMT
>> I am male T2 diagnosed 10 years ago. My HbA1c usually
>> runs around 7 - 7.5. I take Metformin (2g per day) & Glimepiride.
[quoted text clipped - 77 lines]
>
> bill t1 since '57
Sigh, we all tell him about the same thing - but he does NOT want to
hear it.
willbill - 04 Mar 2008 00:31 GMT
>>> I am male T2 diagnosed 10 years ago. My HbA1c usually
>>> runs around 7 - 7.5. I take Metformin (2g per day) & Glimepiride.
[quoted text clipped - 5 lines]
>>> I have helped train a relative in using a Novopen3, so I know
>>> how to dial a dose & use it.
>> since you read/write English well, check out
>> www.hocks.com for price comparison, and there
[quoted text clipped - 35 lines]
>> when you carry/use a syringe like this,
>> do NOT refill the syringe when it's empty
> Sigh, we all tell him about the same thing - but he
> does NOT want to hear it.
i very much doubt that anyone else in the
world has said anything remotely similar
imo, what i said to him (last post) is very
valid for his last post and concerns about
cost out of pocket
you're familiar with pocket cost, right?
bill, t1 since '57, ex 8-yr pumper, beef-L 1x