• Please Remember: Members are only permitted to share their own experiences. Members are not qualified to give medical advice. Additionally, everyone manages their health differently. Please be respectful of other people's opinions about their own diabetes management.
  • We seem to be having technical difficulties with new user accounts. If you are trying to register please check your Spam or Junk folder for your confirmation email. If you still haven't received a confirmation email, please reach out to our support inbox: support.forum@diabetes.org.uk

Apidra to Novarapid

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Marc

Marc

Well-Known Member
Relationship to Diabetes
Type 1
Due to the continuing problem with Apidra cartridges and pens. My DSN has moved me to Novarapid DSN says I shouldn't get any problems but wondered if any of you had done this and anything I should watch for?

Marc
 
Pretty sure I've read that Apidra has a faster onset and shorter duration than novorapid Marc - hopefully others will confirm/refute! Hope it goes well for you, seems a ridiculous situation to end up in :(
 
Tell me but just wait to you hear about my CGMs saga today. Might be a poem for you from it.

Marc
 
I would imagine you'll need to give yourself a bit more time before eating and it will carry on in your body for a couple of hours longer I think. So plenty of testing to see what it does and adjust the timing/doses to suit.🙂

Rob
 
Will do after work but go see Facebook status.

Marc
 
Hi Marc, I was on Novorapid before apidra. I found that it lasts longer than apidra, but a professional recently told me that the profiles are actually the same and it is just the way apidra is marketed. But I did notice a difference so I guess it depends on the individual. Were you OK with swapping? I would have opted for syringes and vials personally.
 
My understanding is apidra is fast and used up in two or three hours, novo on the other-hand is not quite as fast but can be active up to four to five hours. I would test rigorously for the first week or so until you get a pattern developing.
 
According to the sanofi information ( http://products.sanofi.us/apidra/apidra.pdf ), Apidra rapidly peaks at about 60 minutes and then drops away almost as quickly to 3 hours, then a ramp off to about 5 or 6 hours.

So the total time is about the same but it has a vastly different peak profile which would need to be accounted for in most T1s. You may find that you'll need more novorapid and need to inject it earlier but will have lower BGs after about 3 hours.

I would imagine apidra is very good with high GI foods but with healthier, lower GI, novorapid or humalog are a better match for most.

Rob
 
Natalie123 said:
Hi Marc, I was on Novorapid before apidra. I found that it lasts longer than apidra, but a professional recently told me that the profiles are actually the same and it is just the way apidra is marketed. But I did notice a difference so I guess it depends on the individual. Were you OK with swapping? I would have opted for syringes and vials personally.
Click to expand...

I have used needles from when I was diagonesed up to late teens/early 20s part of me ummed and erred on using vials but I do have to eat out a lot on my own and needles would cause more of an issue than pens IMHO.

If Novarapid works slower than Apidra I'm gonna have fun as it takes about two to three hours for Apidra to work for me. Could Nova take longer I'll have to inject hours before.

Marc
 
😱 Apidra's designed to be near instant for the start of the peak. On that link I posted, they show the graphs of apidra injected 15 mins later than novo and the rise is about the same.

So try injecting the novo about 15 mins earlier and see what happens.

Rob
 
Right I'll give you an example today I had me lunch of slow roasted tomato soup and an apple, 3CPs my BM was 5 inject 5units of apidra 2 hours later 8mmol test on train coming home 4.6 have a gold bar 15min later 3.5mmol. Have to wait half an hour to get back up to 5mmol. Oh how I need a CGMs.

Marc
 
5 units sounds a lot for 30g of carbs. But it seems to have done the trick.

The gold bar is not the best thing to treat a hypo or near hypo. It would take a fair while to get into your system so would explain why it took so long for your BG to come up. Something like coke or jeely babies are far more efficient.

What is your basal insulin ?

Rob
 
I'm on lantus 22 units but may need to be played with I have been losing weight I have done from 15'8 to 14'12 or there abouts in just over a month but fear I may have some DP hence the CGM today.

Marc
 
The weight loss is probably why you dropped where you might have stayed level.

As you lose more, your resistance will drop, especially if you're exercising too. You can ask about splitting lantus, if your DSN has experience of it.

There's a couple of us doing it successfully, so it can be done. If your DSN doesn't like it, you can swap to levemir and split that.

Rather than DP, it may be either lantus runnign out early (if you inject in the morning) or if you eat late or have a betime snack, it may hang over to the morning.

Rob
 
Oh, that sounds exactly the same as what I was like on novorapid. I would need lots of insulin to stop myself from spiking after a meal, and then about 1-2 hours later I would either be hypo or need a snack (almost a 2nd lunch!). This was improved with apidra. I really hope that things work out ok for you when you swap.

It sounds to me that a cgm, if only for 3 days like mine would help you and your doctors to see what is happening when you eat. Will they not agree to fund one just for a few days?
 
Robster65 said:
5 units sounds a lot for 30g of carbs. But it seems to have done the trick.

The gold bar is not the best thing to treat a hypo or near hypo. It would take a fair while to get into your system so would explain why it took so long for your BG to come up. Something like coke or jeely babies are far more efficient.

What is your basal insulin ?

Rob
Click to expand...

.......I would take 6 units for 30g carb at lunch and 8.1 for 30g carb at breakfast and dinner......depends what his ratios are 😉
 
Phil65 said:
.......I would take 6 units for 30g carb at lunch and 8.1 for 30g carb at breakfast and dinner......depends what his ratios are 😉
Click to expand...

I take 5 units for a single slice of toast (15g) in the morning! 😱
 
I can beat you there Alan - 1 unit for 1g carbs for breakfast so a 15g slice of toast would be 15 units of insulin 😱 DP is a pain in the bum!
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Back
Top