Some people find that one works more effectively than the other, so which is used is really up to the patient. Humulin, more commonly called Humulin NPH, and even more commonly called just NPH, is a long acting insulin. It is absorbed more slowly, and it's effects last longer, about 12 hours. Usually NPH is used in combination with one of the fast acting insulins. An alternative long acting insulin would be Lantus.
I am taking Humulin-N but my sugar level every morning is around 225.
You're a good friend to be concerned about your friends well being. If "N" is Humulin N, there is no "standard" Humulin N dose that will work for all people or even for the same person in all situations. This applies to other insulin types too. If your friends at home test results show low glucose levels "several times per week" it is time to have his/her insulin dosages re-evaluated by their physician.
Most dogs do well on either Novolin N or Humulin N. Personally, I found Humulin N to work better for my dog. The cost of a bottle of insulin at WalMart is about $25 compared to $50 for the same thing at a regular retail pharmacy.
7. There are many diets you can use. You are not limited to w/d, which the vets seem to push! I don't know if your dog vomited because he didn't like the w/d, but maybe you have an idea about why that happened. It may have been because his sugar was high.
You might consider a different (lower still) insulin carbo ratio. Meals with relatively high carbos that are covered by relatively high doses of Humalog might be contributing.
If you've also been exercising regularly, then there's a chance your metabolism has just kicked up a notch & you no longer need so much. Think about meds and stress as ES suggested. Thyroid okay?
If you are in US I understand you can buy the old insulins (Humulin N and R over the counter in wallmart quite cheaply). This will be better than none. You can also get cheaper meter and strips the same way. I assume you do know how to use insulin properly.
You need to check how you can get assistance. Do you have a Dr? Can you get access to any assistance. Sounds like you might be in trouble with really high blood sugars. Juice can make your sugars very high.
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.
The doctors are saying that she has Normal Pressure Hydochephalus, but she is also exhibiting symptoms unrelated to NPH. Her reflexes are very jumpy and her walking is very choppy. She explains that when she is sitting for long periods or lays down to go to sleep her quad muscles tighten uncomfortably. When the doctor performs simple reflex tests, such as hitting her knee, her leg seems to jump all the way from her hip. Any ideas what could be causing this?
Since the ventricles enlarge slowly so fluid pressure may not be as high as in other types of hydrocephalus. The parts of brain mostly affected in NPH, are those that affect the legs, bladder and cognitive mental processes like memory, reasoning, speech and problem solving.
Treatment options are limited, surgery can relieve and those not candidates for this will have to be given behavioral therapy. Hope this helps. takecare.
I have had diabetes for 30 years.I had much better control when I was using humuln n and humulin r . I am now taking lantus and novolog .I have had to increase my dosages and am still having a hard time getting control of my blood sugars. My aic is 7.8 this quarter vs 8. last quarter. should I go back to using the older drugs that gave me better control?
Lows in the early hours of the morning are quite common when NPH (of which Humalin N is a brand)is injected before bed. It happens because NPH peaks 6-10 hours after being injected. It doesn't always happen because there is up to 30% variation in absorption and the level of action with NPH.
Your wife is probably being put on Lantus or Levemir basal insulin, both of which are peakless. And the intraday variability is much lower. So things will improve.
My grandson is a Type 1 diabetic. He takes Lantus at night, NPH and Humalog at Breakfast, and Humalog at evening meal. He measures his blood sugar six time a day: 7:30am (breakfast), 9:30 am, noon, 5:30 pm (dinner), 7:30 pm, and 9:30 pm. My concern is the apparent difference in effectiveness of the Humalog which he takes at 7:30 am and 5:30 pm. He measures his blood sugar two hours after taking the Humalog (@ 9:30 am and @ 7:30 pm).
Im a type 1 diabetic, since 1991, and have been on NPH since 1998. Last November i had a huge problem, a bad low, which caused me to hallucinate, then sadly my new wife got hurt. Then this continued until march when then i was told my body was rejecting the NPH, is this common? My wife has since filed for divorce, i am now on new insulin, Lantus, and i cant even talk with her.
I use humulin n as a long acting insulin , generally about 45 units a day , and humulog to keep my sugars down , lately I have been checking my sugars every half hour to try and get a grip on them , my pharmasist told me that humulog lasts up to 2 hours , I have checked my sugars after injecting it , and it generally takes 1/2 an hour to come down 6 points ( 13 to 7 )
but I have become very brittle , a bowl of porage , no milk , can send me up 6 points , should I be using my humulin R as well as
Zoe - I think Windchimes meant humulin insulin not huminsulin. Humulin is considered an intermediate acting insulin as its duration is 24 hours, but this can vary per individual. LANTUS, on the other hand, is considered long lasting as its duration is up to 36 hours.
Windchimes - You kept your Humulin dose a secret so one can only assume you're at max and why your doctor is considering moving to the pump. This link will give an inside on pumps http://tinyurl.com/lvs7o6 .
In the past week when he tests his blood at bedtime it is in the normal range - he eats his bedtime snack and takes his usual dose of Novarapid and the NPH insulin. Within a half hour or so, she notices his abnormal behaviour and urges him to re-test. His blood sugar level is less than 2. She is concerned because he had a normal reading less than an hour before and eaten his normal snack - but what could be causing his sugars to be so low at this time?
) in addition to wetting her pants. Turns out that neurological symptoms in combination with urinary incontinence are textbook with NPH.
The possibility is also intriguing to me since I have for many, many years said that it often feels as though there is literally fluid moving around in my brain and the pressure can intensify when I get into certain positions (such as bending forward at a yoga class) or when I'm at higher elevations (such as on top of a parking garage).
My son recently changed from NPH/R/H to Lantus and humalog pens. This is his fourth day on Lantus. He is doing fine but I am having problems trusting the Lantus - when his b/s drops below 100, I want to give him a can of apple juice, and of course that causes a moderate high. Also, he is not interested in stopping to eat as many snacks and meals because he does not have to 'feed' the NPH. Are these common problems in families starting on Lantus?
My daughter was diagnosed with Type 1 diabetes when she was 5 years old. She has been giving NPH with Humalog. It hasn't been working much though because she's high most of the time even when we watch what she eats and exercises. It just doesn't make much sense why the NPH isn't working anymore. She's on a sliding scale for Humalog and she gives a shot of 40 units of NPH in the morning.
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