Nova and apidra

[bennyg70]

I know I keep going on about this, but I really do value your opnions, far more than I will my DSNs.

Ive looked in my book and spent some time totting up some results between a similar time period of been back on nova, and when i was using apidra.

During 1 day of the apidra period there was some fasting involved so possible unrelated info included. However based on the amount of tests I dont think it really bears a big impact.

I wont name each insulin, Ill just call them X & Y

Which would you choose to be working with from now on if you were in my situation?

Breakfast:
X - 19 results / Average - 6.81mmol/l / 1 High above 10mmol, 2 lo Between 3.5 - 4mmol

Y - 19 results / Average - 7.56mmol/l / 4 High above 10mmol, 2 Lo Between 3 - 4 mmol

After Breakfast
X - 11 results / Average - 7.49mmol/l / 1 High above 10mmol
Y - 11 results / Average - 7.59mmol/l / 1 High above 10mmol, 1 Lo

Lunch
X - 16 results / Average - 6.05mmol/l / 2 low between 3.5 - 4
Y - 16 results / Average - 7.55mmol/l / 3 High above 10mmol, 2 Lo under 3.5

2 Hours after lunch
X - 15 results / Average - 7.2mmol/l / 2 High above 10mmol
Y - 15 results / Average - 7.13mmol/l / 2 High above 10mmol, 7 Lo below 4, 1 lo below 3

Dinner
X - 18 results / Average - 7.41mmol/l / 1 low between 3 - 3.5
Y - 18 results / Average - 6.16mmol/l / 1 high over 10mmol

2 Hours after dinner
X - 14 results / Average - 7.64mmol/l / 1 lo 3 - 3.5, 2 results 4 - 5mmol, 4 high 10 - 12mmol.
Y - 14 results / Average - 6.4 mmol/l / 3 lows below 3.5

Bed readings
X - 14 results / Average - 6.47mmol/l / 1 High @ 10.7mmol, 4 readings 4 - 5mmol
Y - 14 results / Average - 7.65mmol/l / 2 High above 10mmol, 2 readings 4 - 5mmol

During night
X - 2 results @ 4 - 8, 1 low result
Y - 2 results @ 10 + , 1 Low result

Sorry I know its a lot of information and a lot to take in.. Hoping to hear your opinions... Althoguh some of the averages look good, there can be a fair bit of variation in the results to come to the good average, believe me I dont run at 6.5mmol everyday for say lunch through a month, its more like 4 one day, 8 the next, 6 the next, 9 the next, 3 the next, so on and so on....

Thanks

Ben

 

[Northerner]

On that evidence, I would vote for insulin 'X' 🙂

 

[Phil65]

Hi Ben,

Those results look very good...X or Y....not a lot of difference and maybe more results needed to gain a more reliable result? I used to use Humalog on MDI and was then changed to Novo Rapid on my pump, have to say I haven't noticed any difference really....sorry I couldn't offer more help

 

[robofski]

I'd have X in the morning and Y in the afternoon There doesn't seem to be a great deal in it but the X seems to give fewer Highs and Lows.

 

[DeusXM]

X seems to be more stable - although Y does have some slightly lower averages, once you take meter error into account they're irrelevent.

I would say you definitely need to look at reworking your ratios though - all your averages are a little on the high side. Ideally for all of these you should be in the 4-6 range.

 

[Phil65]

X seems to be more stable - although Y does have some slightly lower averages, once you take meter error into account they're irrelevent.

I would say you definitely need to look at reworking your ratios though - all your averages are a little on the high side. Ideally for all of these you should be in the 4-6 range.

....I take my hat off to you if you are always in the 4-6 range!

 

[bennyg70]

Always working to improve, and maybe one day Ill get there (4 - 6), but it looks unlikely in the near future. Id just like to get them stabler (If thats a word) for now. I guarentee those numbers would have read in the 8s and 9s over the last few years.

Id like to get to constant 4 -8s with the odd minor blip, before looking at lowering the overall average. Ie Id rather see a average of 7, with 100s of 7s in my book, so a low standard deviation, working towards just lowering my average to begin with.

Im pretty happy with them. But you have to aim high

 

[DeusXM]

....I take my hat off to you if you are always in the 4-6 range!

Knowing the path, and walking it, are two completely different things 😱

Id like to get to constant 4 -8s with the odd minor blip, before looking at lowering the overall average. Ie Id rather see a average of 7, with 100s of 7s in my book, so a low standard deviation, working towards just lowering my average to begin with.

Absolutely. And on those grounds, insulin X definitely looks the better option.

 

[bennyg70]

Thanks for the feedback

X was the Novarapid. And I do think its the one to work with for me!

 

[everydayupsanddowns]

Awww you've gone and revelaed before I read the thread!

I was going to say X too - with a little bit of work around eve mealtime.

Both sets of results are pretty good, but if you can keep the reduced variation goimg longterm you'll be onto a winner!

M

 

[bennyg70]

Ahhh sorry!! I just couldnt hold it in any longer!!

 

[trophywench]

LOL - X was obviously The One as soon as I read your post Benny.

Apart from evening meal but that might be to do with basal running out, mightn't it? If it isn't then you need a different carb ratio then. Or for some types of food, or in consideration of exercise yesterday or the weather or what happened at work at lunchtime - or whatever ...... it's all a bit debatable on just that info!

 

[bennyg70]

Def agree those are the areas I need to work on. Its kind of strange really.

Although ill have a good to OK result 2 hours post lunch, Ill sometimes get a higher reading toward dinner than the 2 hours after lunch one. I thought doing a basal test would highlight a rise at this time, but it didnt!!

However I think I made a break through, I dont think my Nova lasts as long between 12 & 4, and burns out after 2 - 2.5 hours. What was happening was if I saw a result say 5 or 6 mmol/l 2 hours post lunch, Id have a small snack as I thoguht I was heading too loopy la la low land. However Ive tried a couple of times now taking my result at 2 hours post lunch and the following hour & dinner time and they were identicle. So I was inflicting this rise on myself.

The reason id do this was because with apidra I could guarentee Id be 2mmol/l lower at dinner than my post 2 hour reading. But not so with Nova.

More testing needed to confirm I hold and that the nova burns out after 2 hours

 

[everydayupsanddowns]

More testing needed to confirm I hold and that the nova burns out after 2 hours

Or that the remaining lunch is digesting at exactly the right rate to hold you level. I havent researched extensively, but my feeling rthe last time I looked was that 2hrs was not enough time to completely finish digesting a meal.