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Decision handed down

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AlisonM

AlisonM

Much missed Moderator
Relationship to Diabetes
Type 1.5 LADA
I've been told it will be Insulatard and I'm seeing the DSN on the13th to be shown what to do. l don't know what sort of injector it will be yet, a pen of some kind no doubt but it could be prefilled or some kind of cartridge affair. We shall see.
 
Hi Ali, what kind of regime will that mean you're on (after the 13th I mean) ? It seems you've had to wait ages for a final decision on things - good luck to you and, as one of our number used to say, "onward and upwards". Let us know how you get on please.
 
You'll be fine, AlisonM. 🙂

Insulatard is available as pre-filled pens, cartridges for use in pens or vials.

Personally, I would never use a pre-filled pen, mainly because it seems a huge waste of resources, but also because prefilled pens take up a heck of a lot more space in the fridge than cartridges. Of course, if you have hand co-ordination problems, you might find pre-filled pens easier, but in my epxerience, it's no more fiddly to change a cartridge than a needle - and I do both at the same time 🙂

Be prepared to make up a case for your pen, spare cartridge(s) and spare pens, as supplied carriers / cases are never convenient, in my experience - a pencil case is cheap and lots of patterns / sizes are available.
 
Hi Alison.

I used to be on Levemir, but was changed about 6 months ago to Insulatard, mine is cartridges with a pen, the cartridge contents look clear with a white powder in the bottom, you have to shake the pen 20 times before each use to make the liquid cloudy before injecting. I've not had any problems with it.

Good luck

John.
 
AlisonM said:
I've been told it will be Insulatard and I'm seeing the DSN on the13th to be shown what to do. l don't know what sort of injector it will be yet, a pen of some kind no doubt but it could be prefilled or some kind of cartridge affair. We shall see.
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Glad you've got something sorted and you are finally off the T2 palliatives.
But 'Turd ( as it used to be called 😉) is out of the Ark as far as insulins are concerned. It had a terrible reputation a few years ago among some T1s for peaking at night and causing hypos and they were glad to get off it onto modern analogues ( Lantus and Levemir) in the last decade.

Birmingham Diabetes Centre, for example, wouldn't entertain it nowadays, ...see ...
http://medweb.bham.ac.uk/easdec/prevention/insulatardactrapid.html

Seriously I would research Insulatard and Lantus and Levemir and discuss with your "team" why you are going to be using it. There might be good reasons for it of course.
 
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Not sure, I think I'm staying on the Byetta for now and doing the insulin thing at night before bed. They plan a review in 3 and 6 months when they may put me on a fast acting as well and bin the Byetta.
 
I was on insulatard for several years and, as it was the best option available, it did a decent enough job as far as I remember. I didn't have excessive night hypos but lantus or levemir do give a flatter response.

It may be that they want to see how it suits you to start with and will change to lantus/levemir if you have problems.🙂

Rob
 
Feel free to ask your team about why the insulin was chosen Alison - they may well have opted for Insulatard precisely because it *hasn't* got the flatter profiles of Lantus/Levemir (not that those are as flat as the marketing blurb makes out either!). It could be that they have gone for something without the potentially hypo-inducing ebb and flow of a mixed but with a bit more of a gentle 'rise and fall' in activity to help with meals?
 
everydayupsanddowns said:
Feel free to ask your team about why the insulin was chosen Alison - they may well have opted for Insulatard precisely because it *hasn't* got the flatter profiles of Lantus/Levemir (not that those are as flat as the marketing blurb makes out either!). It could be that they have gone for something without the potentially hypo-inducing ebb and flow of a mixed but with a bit more of a gentle 'rise and fall' in activity to help with meals?
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I think that's it exactly Mike. For some unknown reason I seem to go high at night and drop slowly during they day. I'm hoping to get the dose right so I can reduce the highs without going hypo too often.
 
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