Midnight bs

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To be honest, i,m no sure why i took it with my evening meal, i suppose it just makes sense to do basal and bolus together...not sure how long abasaglar lasts for me , can't say i've seen it wearing off.
Anyway, slep through tonight, apart from a 3am alert, but that was probably due to a bedtime correction
 
I don't actually know about Abasaglar as they hadn't invented it when I was last on MDI but, Lantus most definitely has a peak in its activity approx 5 hrs after injecting it in yourself.
Plus Pfft to 'half-unit insulin usage costing more' - if a person needs it, they need it.
 
You'd have thought so, but i've had quite a bit if a blank wall over a half unit basal pen despite only needing 2 units....
 
You'd have thought so, but i've had quite a bit if a blank wall over a half unit basal pen despite only needing 2 units....
I think you need to find a way to defeat that apparent cost saving argument. Firstly can you not find the actual costs - either from the Specialist who told you that or just from your dispensing Pharmacy?

Then armed with the actual additional expense (which I struggle to believe will be great) then challenge the Health Care Person saying no. If it is because your local Integrated Care Board (ICB) simply haven't brought the half-unit pens and associated disposable cartridges onto their dispensing lists then try and find out why. Write (email) the ICBs PALS seeking a clear explanation why half unit pens are not prescribed. Research from Mr Google the names of the actual Board membership and write to the Chemist / Pharmacist on the board seeking explanation; copy that to the Chairman and your local MP. Make the point that you are being denied proper care solely because the appropriate medications are being denied to you as a result of bureaucracy.

Insulin pens have their own cost to the environment from the packaging and volume that needs to be disposed of, much of which goes to landfill. Half-unit pens create a much reduced environmental cost; pens are reused and cartridges create much less volume for disposal.

I suggest you are in this position because the status quo is lazily being perpetuated.
 
@Proud to be erratic The problem in this case is that Abasaglar doesn't have a half unit pen. It would involve a change to Lantus and Lantus is more expensive than Abasaglar but essentially the same... both insulin Glargine.
 
@Proud to be erratic The problem in this case is that Abasaglar doesn't have a half unit pen. It would involve a change to Lantus and Lantus is more expensive than Abasaglar but essentially the same... both insulin Glargine.
Thanks, that explains that.

But the issue is the apparent extra expense - how much extra cost? Would someone only taking a tiny no of units daily really cost so much more? What has happened to the principle that T1s should have the medications they need?
 
Yes, thats it, they specifically said they don't prescibe lantus cos its dearer.
To be honest, i manage and would expect my basal needs to go up eventually, making a half unit pen redundant.
 
Ok, so come to a conclusion....i have the drop 6.5 hours after injecting abasaglar, but only if i have taken a walk to stabalise/bring down my blood sugars that evening. The more the excercise, the more the drop.
So taking abasaglar at 4pm means the drop comes at bedtime rather than waking me up.
I think i may try abasaglar at midnight, where it may help with dawn effect in morning
 
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