Novolog and regular insulin
Common Questions and Answers about Novolog and regular insulin
novolog
Steve, here is what I know about insulins and insulin pumps. Please consult your doctor for more details:
Insulins:
Novolog (aspart),onset 5-10 mins, peak 1-3 hrs, duration 3-5 hrs
Humalog (lispro), onset <15 mins, peak .5-1.5 hrs, duration 2-4
Regular, onset .
Hello Geek,
I didn't see your msg until today and hope I can be of some help to you. I'm not a physician, but I have been a pumper for ~9 years and have had DM for ~35.
When I starated pumping, the only insulins available were "Regular" insulin and the main difference, as you know, is "how quickly" the insulin starts working, when it peaks and how long it lasts. Regular normally kicks in later than Novolog or Humalog will.
For the past year, I have been taking Novolog Insulin in combination with Lantus. I have noticed the beginning stages of cellulite around the areas where I give the Novolog injection. I am a 27 year old, juvenile onset diabetic. I am thin for my height and have never had a problem with cellulite until the change in medication. Can this be linked to either of the new insulins that I am taking?
I use a sliding scale of Humalog at mealtimes and I use 14 units of Lantis each evening. Lantis is a 24 cylce insulin or a long acting insulin where Humalog is short term or short acting insulin. But this just shows you that different people have different needs. Before I used Lantis I used to use NPH-which is a shorter long acting inuslin-more like 8 hours. Have you tried giving your Novolin before you eat?
Extreme heat or cold can impact the effectivess of insulin. The injection site can sometimes be a factor in absorption of the insulin and ultimate impact on blood sugar. Then, of course, there are also a million other things that go on in our bodies that seem to wreak havoc with our blood sugars without any clue as to why.
I wouldn't hurry to change your insulin without first exploring the issue with your diabetes doctor. Good luck and let me know how you resolve this.
The diabetes nurse agreed to a Novolog trial, and we have not had a problem with his site since (4 weeks and counting). I am still changing every 2 days, to be on the safe side. The new insulin seems to work faster, so he doesn't go as high after meals either. We couldn't be more pleased, nor more grateful for the suggestion. Thank you!
My father was recently discharged from a nursing home and he takes 2 different kinds of insulin. Novolog 70/30 and Novolog Aspart (Sliding Scale). I've heard about sliding scale before but when i brought it up to his pharmacist she did not know much about it (got me concerned). I found this one sliding scale online, listings of how much units to give depending on what his blood sugar level is.
Normally your care provider would have provided you with instructions. Didn't instructional paperwork accompany the pen? Contact your care provider for the proper amount [units] designated for you. Then Google search "how to use novolog flex pen" [w/o the " " [quotes]], scroll down and click the link to [PDF] NovoLog Flex Pen. You'll need a .pdf reader to read it. If you don't have one, go to Adobe and download and install the free pdf file reader.
I am a type one and have been on novalog for 5 years. For the last 6 months sometime my novolog works and sometimes it don't. For example tonight four hours after meal I was at 280 so I tryed to correct with 5 units of novolog. Normally this should have brought my numbers down but, tonight and here laity 3 hours later i was still at 259...It's like i never tryed to correct.
I am a type 1 diabetic and I have been using Novolog for the past three years. For the first year I was using it by shots, but the last two years I have been using it in an insulin pump. In the last three to four months I have developed intense itching at the infusion site when I change it. For about 36 hours it itches so much I have scratched it to bleeding. In the last few weeks it has begun itching almost as soon as I put in a new canula.
Cristophe,
It sounds like skipping meals is working for you. And, as long as your blood sugars remain within the target range, thats great. But the insulin you are using was not really designed to be used that way. Mixtard is pre-mixed insulin containing 30% rapid-acting and 70% NPH insulin. It's maximum action is at 2-8 hours after injection. And meals should be timed to coincide with this.
If your total daily dose of insulin were 30, then 1500 divided by 30 = 50, meaning that 1 unit of Regular insulin would drop your blood glucose approximately 50 mg/dl.
If you use Humalog (and likely the same would apply for Novolog): If your total daily dose of insulin were 30, then 1800 divided by 30 = 60, meaning that 1 unit of Humalog or Novolog would drop your blood glucose approximately 60 mg/dl.
I use a short-acting insulin, Novolog, and a 24-period insulin, Lantis. I give Novolog with each meal, and Lantus when I go to bed. I am having troubles with my sugars in the morning. I wake up at 7am, and eat breakfast. I give my shot immediately after eating breakfast, around 7:20. I test my sugar before I eat breakfast and it is normally good. Then at 8am, I head to school. When I arrive at school around 9am, I test my sugar, which is usually pretty high (200-300).
12. He goes to school all day, and sometimes gets hungry and I am wondering if it is necessary always for him to take insuling even for snacks?
Any ideas/input would be appreciated.
Ask your dr to prescribe you the new insulin Tresiba. This is an ultralong acting insulin and seems to help many people with avoiding high morning sugars.
5. Take your breakfast soon after you wake up (you will need to dose Novolog to provide both a correction and to cover the food). it will be best if your breakfast is very low carb ie. eggs or meat and some veges, to avoid further increasing blood sugars too much.
I think the problem centers on the fac that she is on Novolog and NPH in the morning and then she is on Novolog and Lantusin the evening. NPH lasts 12-18 hours and Lantus lasts 18-26 hours. I think those doses are overlapping. My question to the Dr. would be why is she on Lantus and NPH??!?!?!?!?
It is important to note that a diluted blood sample will produce a diluted reading.
Sliding scale is quite an old approach to dosing insulin. Another approach is to dose insulin based on the amount of carbs, protein, and fat in any single meal. This gives a much more accurate dosing (and control of blood sugars) than sliding scale.
Your requirements are individual - please talk to your doctor as well.
Has anyone out there gotten any skin reactions with using the Minimed pump or Novolog insulin? My wife has started getting awful welts on her stomach and even her leg and we were wondering if anyone else has had this problem. The welt is terrible swelling at the injection site and I've done some research and it looks like the Novolog is the problem, but it could also be the pump. Anyone else had this happen?
Thanks.
I have PCOS and have type 2 diabetes so my doctor put me on insulin. I feel like my readings are ranging from 148-220 before meals and I'm concerned that something will go wrong with the baby's development because they aren't getting lower. Anyone have this issue and what did you do? I'm on novolog and levemir (levemir is just at bedtime).
This has never happened to me, sorry I cant relate. you could try actrapid instead of novolog. Its old school but it might be worth trying a different short acting insulin. It drives me mad when DR's don't listen or hear you out and just assume things. If your feeling like crap only when you use novolog, its obviously whats causing the problem.
His endocrinologist prescribed Glucophage tablets at his January 07 visit. He is a pumper (Novolog) and during the summer he chooses to get off of the pump so we give him Lantus(basal) and he uses the Novolog
flexpen when he eats. My concern is the Glugophage-- he tried it for 2 weeks and complained of headaches and stomach aches, so I took him off of it. His Dr. scolded me for stopping the med, and insists that I continue to give him Glucophage. The Dr.
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