Really hard to say which will work better. Since like punk others prefer mdi. However it week be very valuable if you can get him a cgm (continuous glucose minitoring).
Xopenex® Inhalation Solution (levalbuterol) is a short acting inhaled medicine, a rescue medicine, with fewer side effects than similar medicines used for the relief of acute asthma symptoms. It is not a medicine well-suited for long term, sustained asthma control.
There are other classes of asthma medicines, called controller medicines and these do not have the same excitatory side effects.
Separate dosing of Lantus (long acting) and Humalog (short acting) where you inject each insulin separately (also called MDI for multi daily injections) is much more flexible. You test and adjust your basal insulin (lantus), then you dose your fast acting for each meal based on how much food / carbs/ protein you eat. You can also use your Humalog to correct for high blood sugars. Mixed insulin cannot be used to correct high blood sugars.
Advair discus (realy any dry powder inhaler) has larger particles than MDI inhalers that land on the vocal cords and irritate them causing you to be hoarse. I would suggest that you ask your docotr about MDI alternatives. Advair Hfa is one. Others include Symbicort and Dulera.
Feel better.
And I was wondering if you could get an MDI in your hip, because I am experiencing similar pain in my hip and shoulder.
All peoples in Mdi help are saying that you have not HIV but I am still very serious due eye strain, floaters, refraction and brittle nails.I am also sufferring from gas and acidity since 1 year. I am very scared what to do.
Dear Doc, Im 34 years old male. HPT since 2004 on Perindopril 6mg (ACE Inhibitors). Last January i have palpitations. ECG shown Probable LVH. I haven't done my Echo yet. Back then with ACE inhibitor my BP were not well controlled. So the Dr. change it to ARB Co-Approvel. I check my BP 3 times a day since February. My BP now are well controlled ranging from 105/66 - 136/85mmHg but usually its <130/90mmHg.
t help on the assistance side, but as cost of supplies are so high can you go back on MDI (injections) to at least reduce some of the costs.
Can you contact your pump supplier to ask if they have any assistance programmes for people in your situation?
You could ask your dr about Humalin-N and Humalin-R, which tend to be cheaper. But these are not available as mixed insulins and need to be taken as MDI (Humlin-N, twice a day, and humlin R- abouy 30 minutes before eating).
To Reduce insulin requirements, you can follow a low carb diet, reduce weight (if overweight), and add in daily exercise. This should be done under medical supervision as these measures may mean you can reduce your insulin / at risk of low blood sugars.
I take 500 MDI of Advair twice a day and spiriva. I still smoke a little a day. I also have to work in a hot humid kitchen in the summer. I started having panic attacks when I would get busy and I would get winded easily and fustrated. I am off work presently but I want to go back soon. Anyone in a similar situation and if so, any suggestions.
280 Current Medications : amiodarone, coumadin, Allegra, levalbuterol, guaifenesen, metoprolol, paw-paw
Medical Conditions : emphasema, exercise induced asthma, COPD, chronic bronchitis And I've been in and out of afib at least 2 years and I suspect much longer. Recently having high blood pressure issues.
According to the Combivent website, the only difference between Combivent MDI and COMBIVENT RESPIMAT is the delivery system.
Are you taking MDI (multiple daily injections)? DO you know your basal and bolus rates? Ie. how much insulin you need when you don't eat (basal), and how much insulin to inject for how much carbs? And then how much insulin to use for corrextions in case you are high?
Using Insulin is a great book, also Think Like A Pancreas. If you can't get them from a local bookstore, you should be able to find them on Amazon.
Hope this helps.
Hi,
Can I ask what insulins you take? Are you on pump or MDI (multiple daily injections). Is your basal insulin taken once or twice a day.
If you are going low from exercise, you may need to decrease your basal (this is easier if you are on a pump). Alternatively you may plan your exercise after eating and inject slightly less than usual insulin for the meal, as the exercise will naturally bring your blood sugars down.
For starters, I'd see your doctor and let them know you are having exercise induced asthma problems. May I ask what controller asthma meds are? (Inhaler & pills, aside from albuterol or levalbuterol.) Prednisone should be a last resort anymore. Leukotriene inhibitors such as montelukast (Singulair), and Advair (diskus or HFA inhaler) are better choices for controller medications. There's other options, too, I'm just mentioning the two I use.
Do this anulom vilom (pranayam) morning and evening, and you will not need anything at night.Come back with your feedback so others can benefit.
Build up your timing gradually.If you feel tired or dizzy, stop and resume after one minute.
t concentrate properly, memory loss today the symptoms are feeling a little bit better i have a had all blood work done a brain mdi all normal the doctor said depression/anxeity could that cause all this they put me on sertraline two weeks ago
Gross,
I have been experiencing TERRIBLE pain by my right shoulder blade. I have a condition called MDI ( aka a chronically dislocated shoulder)! I was at ballet class when popped out of place and back in funny. i got a shooting pain down my back all the way up to my shoulder blade! when i breathe i get the terrible pain again! its been going on for about 24 hours now! and i dont know what to do :( please help!
Sophie F.
Hi everyone... I was just wondering if anyone knows about asthma treatment during pregnancy. I am a 24 yr old who is looking to get pregnant and have come off my advair and singlair but am now taking my albuterol MDI several times a day. I don't know if there is something other than the advair that I can take or If I should just go back on it.
I am now using my nebulizer twice a day with a mixture of Levalbuterol and Hypertonic saline 7%. Mucus now all white again. Hopefully I can keep my lungs flushed now and prevent more recurrences of pneumonia and pseudonymous.
I have already had my heart checked because of shortness of breath just to be sure and my heart is good, no blockage, etc.
I appreciate the responses.
Recommended
